Attentional selectivity, automaticity, and self-efficacy predict simulator-acquired skill transfer to the clinical environment
| Autor: | Tomoko Mizota, Lava Timsina, Nicholas E. Anton, Dimitrios Stefanidis, Erinn M. Myers, Jake Whiteside |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Operating Rooms Transfer test medicine.medical_specialty Swine education Psychological intervention Automaticity Skill transfer 03 medical and health sciences Skills training 0302 clinical medicine Physical medicine and rehabilitation Animals Humans Medicine Attention Computer Simulation Self-efficacy business.industry Internship and Residency General Medicine Mental skills Self Efficacy General Surgery 030220 oncology & carcinogenesis Female Laparoscopy 030211 gastroenterology & hepatology Surgery Clinical Competence Curriculum business |
| Zdroj: | The American Journal of Surgery. 217:266-271 |
| ISSN: | 0002-9610 |
| Popis: | Introduction Several studies demonstrated that simulator-acquired skill transfer to the operating room is incomplete. Our objective was to identify trainee characteristics that predict the transfer of simulator-acquired skill to the operating room. Methods Trainees completed baseline assessments including intracorporeal suturing (IS) performance, attentional selectivity, self-reported use of mental skills, and self-reported prior clinical and simulated laparoscopic experience and confidence. Residents then followed proficiency-based laparoscopic skills training, and their skill transfer was assessed on a live-anesthetized porcine model. Predictive characteristics for transfer test performance were assessed using multiple linear regression. Results Thirty-eight residents completed the study. Automaticity, attentional selectivity, resident perceived ability with laparoscopy and simulators, and post-training IS performance were predictive of IS performance during the transfer test. Conclusions Promoting automaticity, self-efficacy, and attention selectivity may help improve the transfer of simulator-acquired skill. Mental skills training and training to automaticity may therefore be valuable interventions to achieve this goal. |
| Databáze: | OpenAIRE |
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