Video-based learning of coping strategies for common errors improves laparoscopy training-a randomized study.

Area of Science:

• Medical Education
• Surgical Training
• Psychology of Learning

Background:

• Laparoscopic surgery requires specialized skills and efficient training methods.
• Developing effective coping strategies for surgical errors is crucial for patient safety.
• The Lazarus model of stress, appraisal, and coping provides a framework for understanding psychological responses to challenges.

Purpose of the Study:

• To evaluate the impact of solution-oriented coping strategies on laparoscopic training efficiency.
• To determine if learning to manage common errors enhances surgical skill acquisition and learning motivation.
• To assess the effectiveness of a coping model utilizing observational learning in laparoscopic training.

Main Methods:

• 55 laparoscopically naive medical students participated in a video-based knot-tying training.
• The intervention group received training on error analysis and solution strategies (coping model) alongside mastery videos.
• The control group received only mastery videos demonstrating the ideal technique.

Main Results:

• No significant difference in the number of attempts to reach proficiency between groups.
• The intervention group showed a significantly higher fraction of technically proficient knots after initial coping model use (60.9% vs. 38.0%).
• The intervention group reported significantly higher interest in learning, subjective learning benefit, and error awareness.

Conclusions:

• Video-based learning of coping strategies for errors enhances laparoscopic training.
• This approach improves learning motivation, technical proficiency, and error awareness in surgical trainees.
• Solution-oriented thinking is vital for surgeons to manage intraoperative difficulties and complications.