Speed versus damage: using selective feedback to modulate laparoscopic simulator performance.
Adaptive training
Laparoscopy
Personality
Simulation
Skills development
Journal
BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679
Informations de publication
Date de publication:
29 Jun 2021
29 Jun 2021
Historique:
received:
21
01
2021
accepted:
10
06
2021
entrez:
30
6
2021
pubmed:
1
7
2021
medline:
2
7
2021
Statut:
epublish
Résumé
Adaptive training is an approach in which training variables change with the needs and traits of individual trainees. It has potential to mitigate the effect of personality traits such as impulsiveness on surgical performance. Selective performance feedback is one way to implement adaptive training. This paper investigates whether selective feedback can direct performance of trainees of either high- or low impulsiveness. A total of 83 inexperienced medical students of known impulsiveness performed a four-session laparoscopic training course on a Virtual Reality Simulator. They performed two identical series of tasks every session. During one series of tasks they received performance feedback on duration and during the other series they received feedback on damage. Performance parameters (duration and damage) were compared between the two series of tasks to assess whether selective performance feedback can be used to steer emphasis in performance. To assess the effectiveness of selective feedback for people of high- or low impulsiveness, the difference in performance between the two series for both duration and damage was also assessed. Participants were faster when given performance feedback for speed for all exercises in all sessions (average z-value = - 4.14, all p values < .05). Also, they performed better on damage control when given performance feedback for damage in all tasks and during all sessions except for one (average z-value = - 4.19, all but one p value < .05). Impulsiveness did not impact the effectiveness of selective feedback. Selective feedback on either duration or damage can be used to improve performance for the variable that the trainee receives feedback on. Trainee impulsiveness did not modulate this effect. Selective feedback can be used to steer training focus in adaptive training systems and can mitigate the negative effects of impulsiveness on damage control.
Sections du résumé
BACKGROUND
BACKGROUND
Adaptive training is an approach in which training variables change with the needs and traits of individual trainees. It has potential to mitigate the effect of personality traits such as impulsiveness on surgical performance. Selective performance feedback is one way to implement adaptive training. This paper investigates whether selective feedback can direct performance of trainees of either high- or low impulsiveness.
METHODS
METHODS
A total of 83 inexperienced medical students of known impulsiveness performed a four-session laparoscopic training course on a Virtual Reality Simulator. They performed two identical series of tasks every session. During one series of tasks they received performance feedback on duration and during the other series they received feedback on damage. Performance parameters (duration and damage) were compared between the two series of tasks to assess whether selective performance feedback can be used to steer emphasis in performance. To assess the effectiveness of selective feedback for people of high- or low impulsiveness, the difference in performance between the two series for both duration and damage was also assessed.
RESULTS
RESULTS
Participants were faster when given performance feedback for speed for all exercises in all sessions (average z-value = - 4.14, all p values < .05). Also, they performed better on damage control when given performance feedback for damage in all tasks and during all sessions except for one (average z-value = - 4.19, all but one p value < .05). Impulsiveness did not impact the effectiveness of selective feedback.
CONCLUSION
CONCLUSIONS
Selective feedback on either duration or damage can be used to improve performance for the variable that the trainee receives feedback on. Trainee impulsiveness did not modulate this effect. Selective feedback can be used to steer training focus in adaptive training systems and can mitigate the negative effects of impulsiveness on damage control.
Identifiants
pubmed: 34187596
doi: 10.1186/s12909-021-02789-3
pii: 10.1186/s12909-021-02789-3
pmc: PMC8243418
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
361Références
Accid Anal Prev. 2013 Apr;53:142-8
pubmed: 23428428
Am J Surg. 2020 Oct;220(4):914-919
pubmed: 32145917
Am J Surg. 2018 Dec;216(6):1223-1229
pubmed: 30082027
Psychol Rep. 1978 Dec;43(3 Pt 2):1247-55
pubmed: 746091
Mil Med. 2016 May;181(5 Suppl):214-20
pubmed: 27168575
J Cogn Neurosci. 2000 Mar;12(2):246-54
pubmed: 10771409
World J Surg. 2021 Jan;45(1):66-71
pubmed: 32989581
Dev Sci. 2009 Jul;12(4):F9-15
pubmed: 19635074
J Surg Educ. 2010 Nov-Dec;67(6):417-20
pubmed: 21156301
J Clin Psychol. 1995 Nov;51(6):768-74
pubmed: 8778124
Stud Health Technol Inform. 2008;132:26-30
pubmed: 18391250
Stud Health Technol Inform. 2005;111:385-9
pubmed: 15718765
J Health Psychol. 2006 Sep;11(5):643-54
pubmed: 16908463
J Surg Res. 2008 Mar;145(1):80-6
pubmed: 17936796
Acta Psychol (Amst). 1983 Apr;53(1):1-8
pubmed: 6869044
Am J Surg. 2010 Jan;199(1):115-20
pubmed: 20103076
Am J Obstet Gynecol. 2009 May;200(5):540.e1-8
pubmed: 19285646
Neuron. 2002 Jul 3;35(1):205-11
pubmed: 12123620
Surg Endosc. 2010 Oct;24(10):2453-7
pubmed: 20349087
Accid Anal Prev. 2005 Mar;37(2):341-8
pubmed: 15667821
Surgery. 2010 Aug;148(2):194-201
pubmed: 20580046
Am J Surg. 2011 Jan;201(1):31-9
pubmed: 21167363
BMJ. 2009 May 14;338:b1802
pubmed: 19443914
Acta Obstet Gynecol Scand. 2008;87(1):99-103
pubmed: 18158634
Accid Anal Prev. 2011 Jul;43(4):1323-31
pubmed: 21545861
Am J Surg. 2007 Jun;193(6):797-804
pubmed: 17512301
Br J Surg. 2012 Dec;99(12):1610-21
pubmed: 23034658