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Stress in surgical educational environments: a systematic review
Maria Suong Tjønnås1,2, Carmen Guzmán-García3, Patricia Sánchez-González3,4
1Department of Neuromedicine and Movement Science (INB), Faculty of Medicine and Health Sciences, NTNU, Norwegian University of Science and Technology, N-7491, Trondheim, Norway. lethi@stud.ntnu.no.
BMC Medical Education
|November 16, 2022
Summary
Stress impacts surgical residents, affecting training and performance. Stress management training, particularly mental-based approaches, shows positive effects on residents and their surgical performance.
Area of Science:
- Medical Education
- Surgical Training
- Occupational Health
Background:
- Stress significantly impacts surgical residents' training and performance.
- Understanding stress in surgical environments is crucial for effective resident preparation.
- This review analyzes stress monitoring, management training, and performance effects.
Approach:
- Systematic review of literature from Web of Science, Scopus, and PubMed.
- Inclusion/exclusion criteria applied to 787 initially retrieved articles.
- Analysis of 61 selected articles for stress monitoring, training, and performance data.
Key Points:
- Heart rate analysis and STAI-6 scale are common stress monitoring tools.
- Mental-, simulation-, and feedback-based training methods are utilized.
- Mental-based training demonstrates clear positive effects on participants.
- Stress affects surgical performance with both negative and positive outcomes.
Conclusions:
- Stress is a critical factor in surgical education, influencing resident development.
- Diverse stress management training methods positively impact surgeons' stress levels and performance.
- The precise effects of stress on surgical performance remain complex and not fully elucidated.
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