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Speed versus damage: using selective feedback to modulate laparoscopic simulator performance
Bas Kengen1,2, Wouter M IJgosse3, Harry van Goor3
1Department of Surgery, Radboud University Medical Center, Geert Grooteplein zuid 10, Nijmegen, 6525 GA, Gelderland, The Netherlands. baskengen@live.nl.
BMC Medical Education
|June 30, 2021
Summary
Selective performance feedback in surgical training improves targeted skills, whether speed or damage control. This adaptive training method effectively guides focus without being influenced by trainee impulsiveness.
Area of Science:
- Medical Education
- Surgical Simulation
- Human Factors Engineering
Background:
- Adaptive training adjusts to individual trainee needs, potentially mitigating personality trait impacts on surgical performance.
- Selective performance feedback is a key adaptive training strategy.
- This study explores feedback's effect on trainees with varying impulsiveness levels.
Purpose of the Study:
- To investigate if selective performance feedback can direct surgical skill development in trainees.
- To determine if impulsiveness influences the effectiveness of selective feedback in adaptive training.
Main Methods:
- 83 medical students with known impulsiveness completed a 4-session laparoscopic virtual reality training.
- Trainees received feedback on either task duration or damage control during separate task series.
- Performance parameters were compared to assess feedback's steering effect and impulsiveness modulation.
Main Results:
- Feedback on speed significantly reduced task duration across all sessions (p < .05).
- Feedback on damage control significantly improved performance in most tasks (p < .05).
- Trainee impulsiveness did not affect the efficacy of selective feedback.
Conclusions:
- Selective feedback effectively enhances targeted surgical skills (speed or damage control) in adaptive training.
- Impulsiveness does not alter the effectiveness of selective feedback.
- This method can guide training focus and mitigate negative effects of impulsiveness on surgical performance.
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