Mental rehearsal: A useful simulation adjunct to surgical training

Area of Science:

• Surgical Education
• Cognitive Simulation
• Medical Training

Background:

• Simulation is a key component of surgical training.
• Mental rehearsal, a form of cognitive simulation, is increasingly recognized for its performance-enhancing potential in motor skills.
• Despite its recognized benefits, mental rehearsal is not yet formally integrated into surgical training curricula.

Purpose of the Study:

• To assess the current utilization of mental rehearsal among general surgical trainees and consultants.
• To understand the perceived benefits and contexts of mental rehearsal in surgical practice.

Main Methods:

• A six-item questionnaire was electronically distributed to general surgical trainees and consultants.
• Both qualitative and quantitative data analyses were conducted independently.

Main Results:

• 91.5% of the 153 respondents (51.6% consultants, 48.4% trainees) reported using mental rehearsal before operating, primarily for complex cases.
• No significant difference was found in the use of mental rehearsal based on case complexity or surgeon's grade.
• The primary reported benefits included clarification, increased confidence, and anticipation of potential difficulties (58.6% of responses).

Conclusions:

• Mental rehearsal appears to be an instinctive practice for general surgeons, irrespective of seniority or case complexity.
• The long-term efficacy and sustained use of mental rehearsal throughout a surgeon's career remain to be determined.
• Mental rehearsal is proposed as a valuable, albeit informal, method for surgical training that warrants further investigation and formal integration.