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Applying Elite Sports Coaching Routines to Enhance Cognitive Load Management and Skill Development in Trainee

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Summary
This summary is machine-generated.

Metacognitive mental skills training, the PERFORM model, improved surgical residents' technical skills and reduced perceived stress. This pilot study suggests PERFORM can enhance surgical performance and cognitive resilience.

Keywords:
cognitive loadcontinued educationperformancepostgraduate educationpsychologysimulation

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Area of Science:

  • Surgical Education and Training
  • Cognitive Psychology in Medicine
  • Medical Simulation

Background:

  • Metacognitive skills training is crucial for developing expertise in high-stakes professions.
  • The PERFORM model offers a structured approach to metacognitive skill development.
  • Resident surgeons face significant cognitive load and stress, impacting performance.

Purpose of the Study:

  • To assess the efficacy of the PERFORM model in enhancing surgical residents' technical performance.
  • To determine if the PERFORM model reduces cognitive load and perceived stress in surgical trainees.
  • To pilot a novel metacognitive intervention for surgical education.

Main Methods:

  • A pilot, proof-of-concept experimental study with partial randomization.
  • Participants included 29 resident surgical trainees (14 control, 15 intervention).
  • Assessments included technical performance (GOALS), subjective workload (SURG-TLX), and physiological stress (EDA) using laparoscopic simulators.

Main Results:

  • The PERFORM group showed moderate improvements in laparoscopic technical performance (GOALS score Δ=+2.0).
  • Participants in the PERFORM group experienced reduced perceived workload (SURG-TLX total Δ=-4.7), especially situational stress (d=0.60).
  • Electrodermal activity data was collected but not detailed in results.

Conclusions:

  • Metacognitive training via the PERFORM model shows potential for enhancing surgical technical skills and reducing stress in residents.
  • Findings support further investigation into long-term and physiological outcomes in larger cohorts.
  • Integrating the PERFORM model into surgical curricula could foster cognitive resilience and improve surgical performance.