Can tonic accommodation predict surgical performance?
Autor: | I. Paul, J. Shah, Ara Darzi, John P. Frisby, Helen Davis, David Buckley |
---|---|
Rok vydání: | 2003 |
Předmět: |
Adult
Laparoscopic surgery medicine.medical_specialty Students Medical medicine.medical_treatment Pilot Projects Functional Laterality Tonic (physiology) Physical medicine and rehabilitation Predictive Value of Tests Humans Minimally Invasive Surgical Procedures Medicine Computer Simulation Surgical simulator Minimally invasive procedures Visual testing business.industry Open surgery Educational Technology Accommodation Ocular Surgery Clinical Competence Educational Measurement business Accommodation Psychomotor Performance Computer-Assisted Instruction Abdominal surgery |
Zdroj: | Surgical Endoscopy. 17:787-790 |
ISSN: | 1432-2218 0930-2794 |
DOI: | 10.1007/s00464-002-9107-0 |
Popis: | Background: Pilots undergo many visual tests for both selection and assessment, and we know that there are many similarities between pilots and surgeons. Hence, it would not be unreasonable to bring similar visual tests into surgery. Tonic accommodation (TA) is a stable parameter that is adopted by the eye in the absence of any stimulation. Over recent years, surgery has undergone change from traditional open surgery to minimally invasive procedures, bringing many advantages. However, not every surgeon has the ability to perform under conditions where the operative field is represented on a flat monitor. Method: We determined the TA values in medical students and then correlated this with their performance on a virtual reality surgical simulator. Results: We found that TA values predicted the number of errors made with the dominant hand, accounting for 27% of the variance. Conclusion: The data suggest that TA may play a role in the individual differences that are noted when surgeons perform laparoscopic surgery. Further studies are needed to evaluate the exact role of TA in surgical performance. |
Databáze: | OpenAIRE |
Externí odkaz: |