| Autor: |
Semsar, A, Ton, J, Maharoof, N, Avellino, I, Zahiri, HR, Guckes, F, Mentis, H |
| Zdroj: |
Journal of Minimally Invasive Gynecology; 2021 Supplement, Vol. 28 Issue 11, pS60-S61, 2p |
| Abstrakt: |
Our study explores whether providing surgeon mentors with formal training on a novel telementoring software improves the experience of teaching laparoscopic oophorectomy remotely. Mentor, in a separate room, used the telementoring technology - a shared screen for annotations and a microphone to enable verbal instruction - to remotely coach the trainee through a simulated laparoscopic oophorectomy. A between-subject study was conducted. Mentors assessed their Cognitive Load using Paas 9-point likert scale, and trainees' performance using Global Rating scale (GRS). Trainees evaluated Quality of Instruction (QoI). GRS and QoI are validated 5-point Likert scales. Linear mixed model analysis was conducted to compare the two conditions. A lab-developed telementoring technology was utilized. Stryker laparoscopic boxes were used for oophorectomy simulations on plastic models at a community hospital. A total of 16 trainees - 5 OB-Gyn interns and 11 third-year medical students - and 2 faculty gynecologic surgeons as mentors. Prior to the second cohort of trainees, mentors watched a video on effective use of the telementoring technology and took a quiz. Task completion time was significantly lower in the trained mentors' condition (P=0.007). Mentors did not find higher cognitive load in providing instructions when they were trained (P=0.84). QoI was perceived relatively higher in the intervention condition (M=4.8, SD=0.2) as compared to standard (M=4.5, SD=0.3)(P=0.12). Mentors tended to rate trainees' performance relatively higher in intervention condition (M=3.5, SD=0.7) compared to non-trained mentors' condition (M=3.5, SD=0.4) although not significant (P=0.49). Providing surgical mentors with formal training in telementoring technologies in laparoscopic oophorectomy could improve quality of instruction and trainees' performance without a significant increase in mentors' cognitive load. More participants may make these findings more evident. This study shows the benefit of training expert surgeons on optimal use of telementoring technology as part of an emerging curriculum of remote surgical training and coaching. [ABSTRACT FROM AUTHOR] |
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