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Mental practice for laparoscopic salpingectomy.

Evelyn Zielinski¹, James Dilley², Natasha Graham³

¹Department of Obstetrics and Gynaecology, University Hospitals of Leicester, Leicester, UK.

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology

|December 12, 2022

Summary

Mental practice (MP) enhances surgical training. A new MP tool for laparoscopic salpingectomy (LS) improved novice trainees' confidence and imagery quality, proving effective in both virtual and face-to-face formats.

Keywords:

Education imagery laparoscopic salpingectomy mental practice surgical training virtual platform

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Area of Science:

Surgical Education
Medical Simulation
Cognitive Training

Background:

Mental practice (MP) is a valuable, non-physical method for surgical skill enhancement.
Laparoscopic salpingectomy (LS) requires specialized training for optimal surgical outcomes.
Standardized tools are needed to facilitate effective mental practice in surgical trainees.

Purpose of the Study:

To develop and validate a mental practice (MP) tool specifically for laparoscopic salpingectomy (LS).
To assess the impact of structured MP on trainee motivation, confidence, preparedness, and imagery quality.
To compare the feasibility and efficacy of a virtual MP platform versus a face-to-face approach.

Main Methods:

An imagery script for LS was created and implemented in structured MP sessions.
Trainees in Obstetrics and Gynaecology and expert gynaecologists participated across three UK teaching hospitals.
A virtual platform was piloted for one trainee group, with pre- and post-session assessments conducted.

Main Results:

Significant improvements in global imagery scores were observed in novice trainees after MP sessions.
Expert gynaecologists demonstrated higher scores than the face-to-face novice group, indicating construct validity.
No significant differences were found between virtual and face-to-face novice groups, supporting the virtual platform's non-inferiority.

Conclusions:

The developed MP tool is effective in enhancing surgical trainees' confidence and imagery quality for LS.
A virtual platform offers a feasible and non-inferior alternative for delivering MP, crucial in the current healthcare climate.
This study validates MP as a key component in modern surgical training curricula, particularly for complex laparoscopic procedures.