- 作者：David Eldred-Evans ; MBBS? ; 1 ; eldredevans@doctors.org.uk ; Philippe Grange ; MD&dagger ; ; &Dagger ; ; 1 ; Adrian Cheang ; BSc? ; Hidekazu Yamamoto ; MRCS&dagger ; ; Salma Ayis ; PhD&Dagger ; ; Mubashir Mulla ; MRCS&dagger ; ; Marc Immenroth ; PhD§ ; ; Davendra Sharma ; FRCS&dagger ; ; Gabriel Reedy ; PhD&Dagger ;
- 关键词：mental training ; mental practice ; education ; laparoscopy
- 刊名：Journal of Surgical Education
- 出版年：2013
- 出版时间：July-August, 2013
- 年：2013
- 卷：70
- 期：4
- 页码：544-551
- 全文大小：331 K
Objectives
Laparoscopic simulators have been introduced as safe and effective methods of developing basic skills. Mental training is a novel training method likened to using the mind as a simulator to mentally rehearse the movements of a task or operation. It is widely used by professional athletes and musicians and has been suggested as a technique that could be used by surgical trainees. The purpose of this study was to assess the use of mental training in developing basic laparoscopic skills in novices.Methods
Sixty-four medical students without laparoscopic experience were randomized into 4 groups. The first 3 groups were trained to cut a circle on a box trainer. Group 1 received no additional training (BT), Group 2 received additional virtual reality training (BT + VRS), and Group 3 received additional mental training (BT + MT). The fourth group was trained on a virtual reality simulator with additional mental training (box-free). The following 4 assessment criterias: time, accuracy, precision and overall performance were measured on both the box-trainer and virtual simulator.
Results
The mental training group (BT + MT) demonstrated improved laparoscopic skills over both assessments. The improvement in skills in the VRS group (BT + VRS) was limited to VRS assessment and not observed in the box assessment. The fourth group (box-free) had the worst performance on both methods of assessment.
Conclusion
The addition of mental training led to improved laparoscopic skills development. It is a flexible technique and has the potential to challenge VRS as a more cost-effective training method associated with lower capital investment. Given the benefits of mental training with further research, it could be considered for inclusion in training curricula.