| The impact of stress factors in simulation-based laparoscopic training. | |
| | |
MedLine Citation:
|
PMID: 20414972 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: This study aimed to quantify learner reactions manifesting from a realistic contextual stressor while training with a laparoscopic simulator, and to identify learner-derived stress-modifying behaviors. Stress factors are known to affect cognitive and psychomotor performance. Simulation-based medical training typically occurs in environments that are relatively stress free compared with the applied context. Training is most effective when it occurs in a highly faithful context, so the inclusion of typical clinical stressors in simulated laparoscopic learning environments may be beneficial. METHODS: Preclinical medical students (N = 27) completed tasks using a laparoscopic simulator under the following 2 conditions: faculty direct observation (stressor) and unobserved (no stressor). The data included simulator performance, blood pressure, real-time heart rates, videotaped behavior, and pre/post surveys of latent anxiety and stress factors associated with participating in the research (eg, STAI 9). RESULTS: Physiologic and behavioral manifestations of stress were observed for all participants during the stressor condition and during poor performance on simulator tasks. Stress was highest during periods of poor performance under the stressor condition. Focusing on the task itself mitigated stress reactions and improved performance on the simulator. CONCLUSION: Stress reactions can be induced in a laboratory setting where simulation-based training occurs. Stressors imposed on the learner during simulation-based training may help support the acquisition of stress management skills that are necessary in the applied clinical setting. A ramped-up sequence of acquiring technical skills and clinical decision making, followed by stress management techniques, may lead to a more efficient transfer of learning from the simulated context to the clinical area. |
| | |
Authors:
|
Pamela B Andreatta; Miranda Hillard; Lewis P Krain |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Surgery Volume: 147 ISSN: 1532-7361 ISO Abbreviation: Surgery Publication Date: 2010 May |
Date Detail:
|
Created Date: 2010-04-22 Completed Date: 2010-05-07 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0417347 Medline TA: Surgery Country: United States |
Other Details:
|
Languages: eng Pagination: 631-9 Citation Subset: AIM; IM |
Affiliation:
|
Department of Medical Education, University of Michigan Medical School, G1105 Towsley Center, Ann Arbor, MI 48109-5201, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Blood Pressure Computer-Assisted Instruction / methods* Education, Medical, Undergraduate / methods* Female General Surgery / education* Heart Rate Humans Laparoscopy* Male Psychomotor Performance Stress, Psychological / psychology* Students, Medical / psychology* Test Anxiety Scale Videotape Recording |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Parechoviruses in children: understanding a new infection.
Next Document: Genetic transfer of fusion proteins effectively inhibits VCAM-1-mediated cell adhesion and transmi...