Study of surgical performance during clavicle plate placements using 2 learning methods: naive practice versus
Pierre Klein1, Thibaut Goetsch2, Philippe Clavert3
1Department of Hand Surgery, Strasbourg University Hospitals, FMTS, 1 Avenue Molière, 67200 Strasbourg, France.
Orthopaedics & Traumatology, Surgery & Research : OTSR
|July 20, 2024
Summary
Deliberate practice (DP) significantly improves surgical skill acquisition compared to naive practice (NP). DP accelerates learning curves and enhances performance in trainees, though it may increase stress levels.
Area of Science:
- Surgical Education
- Medical Training
- Skill Acquisition
Background:
- Companionship and naive practice (NP) are less effective for surgical expertise than deliberate practice (DP).
- DP involves expert analysis of errors and targeted goal setting for improvement.
Purpose of the Study:
- To compare the learning curve evolution for clavicle locking plate placement using NP versus DP.
- To assess the impact of different learning methods on surgical trainee performance.
Main Methods:
- Ten surgical residents were divided into NP and DP groups.
- Objective performance (OP) was measured using OSATS, self-evaluation, and the analgesia-nociception index (ANI).
- DP involved personalized feedback after video analysis of each trial.
Main Results:
- The DP group showed significantly greater mean OP progression (5.1 vs. 0.8) than the NP group.
- Self-evaluated performance progression was higher in the DP group (4.6 vs. 3.4).
- The DP group experienced a positive ANI progression (+5 vs. -4.5), indicating potentially higher stress.
Conclusions:
- Deliberate practice leads to superior outcomes in learning clavicle plate osteosynthesis compared to naive practice.
- DP shortens the learning curve and enhances trainee performance.
- DP is a valuable technique complementing traditional surgical training methods.
