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The Interactive Relationship Between Instructor Perceptions and Learner Personality on Surgical Skills Performance.

Peter Zhan Tao Wang1, Claire A Wilson1, Shiva M Nair2

  • 1Department of Surgery, Western University, London, Ontario, Canada.

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Summary

Learner personality, particularly Extraversion, impacts surgical skill acquisition when instructors perceive trainees as trainable. Instructor perceptions and learner traits are crucial for effective surgical training and feedback.

Keywords:
instructor perceptionsnovicespersonalitysurgical skills

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Area of Science:

  • Medical Education
  • Surgical Skills Training
  • Psychology in Medicine

Background:

  • Learner variability in surgical skill acquisition is significant despite uniform training.
  • Learner personality traits may influence skill acquisition independently.
  • Instructor perceptions and feedback dynamics are critical in surgical training.

Purpose of the Study:

  • To investigate the association between learner personality and surgical skill acquisition (performance improvement).
  • To explore the interaction between instructor perceptions of trainability and learner personality.
  • To understand how these factors influence surgical training and feedback.

Main Methods:

  • Prospective, two-phase study with 62 undergraduate students (medical and non-medical).
  • Participants performed an end-to-side anastomosis on a model over two sessions with expert feedback.
  • Assessed learner personality, performance improvement, and instructor perceptions of trainability.

Main Results:

  • A significant interaction was found between learner Extraversion and instructor-perceived trainability (OR=4.83, p=0.017).
  • Higher Extraversion correlated with improved performance only in those deemed trainable.
  • Trainable participants received significantly less feedback (9.45) than non-trainable ones (16.48).

Conclusions:

  • Both individual learner characteristics and instructor perceptions are vital for successful surgical skill acquisition.
  • The interplay between personality and perceived trainability affects training outcomes.
  • Feedback delivery may differ based on instructor perceptions of learner trainability.