Cognitive Task Analysis: Bringing Olympic Athlete Style Training to Surgical Education.
| Title: | Cognitive Task Analysis: Bringing Olympic Athlete Style Training to Surgical Education. |
|---|---|
| Authors: | Wingfield LR; University of East Anglia, Norwich, UK.; Kulendran M; St. George's Hospital, London, UK.; Chow A; Department of Surgery and Cancer, Imperial College London, UK.; Nehme J; Royal Free Hospital, London, UK.; Purkayastha S; Department of Surgery and Cancer, Imperial College London, UK s.purkayastha@imperial.ac.uk. |
| Source: | Surgical innovation [Surg Innov] 2015 Aug; Vol. 22 (4), pp. 406-17. Date of Electronic Publication: 2014 Nov 12. |
| Publication Type: | Journal Article; Systematic Review |
| Language: | English |
| Journal Info: | Publisher: Sage Publications Country of Publication: United States NLM ID: 101233809 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1553-3514 (Electronic) Linking ISSN: 15533506 NLM ISO Abbreviation: Surg Innov Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Thousand Oaks, CA : Sage Publications |
| MeSH Terms: | Models, Theoretical*; Education, Medical/*methods ; General Surgery/*education ; Surgeons/*education ; Surgeons/*statistics & numerical data; Clinical Competence ; Computer Simulation ; Humans |
| Abstract: | Background: Surgical training is changing and evolving as time, pressure, and legislative demands continue to mount on trainee surgeons. A paradigm change in the focus of training has resulted in experts examining the cognitive steps needed to perform complex and often highly pressurized surgical procedures.; Objective: To provide an overview of the collective evidence on cognitive task analysis (CTA) as a surgical training method, and determine if CTA improves a surgeon's performance as measured by technical and nontechnical skills assessment, including precision, accuracy, and operative errors.; Methods: A systematic literature review was performed. PubMed, Cochrane, and reference lists were analyzed for appropriate inclusion.; Results: A total of 595 surgical participants were identified through the literature review and a total of 13 articles were included. Of these articles, 6 studies focused on general surgery, 2 focused on practical procedures relevant to surgery (central venous catheterization placement), 2 studies focused on head and neck surgical procedures (cricothyroidotomy and percutaneous tracheostomy placement), 2 studies highlighted vascular procedures (endovascular aortic aneurysm repair and carotid artery stenting), and 1 detailed endovascular repair (abdominal aorta and thoracic aorta). Overall, 92.3% of studies showed that CTA improves surgical outcome parameters, including time, precision, accuracy, and error reduction in both simulated and real-world environments.; Conclusion: CTA has been shown to be a more effective training tool when compared with traditional methods of surgical training. There is a need for the introduction of CTA into surgical curriculums as this can improve surgical skill and ultimately create better patient outcomes.; (© The Author(s) 2014.) |
| Contributed Indexing: | Keywords: colorectal surgery; evidence-based medicine/surgery; gastric surgery; orthopedic surgery; simulation; surgical education |
| Entry Date(s): | Date Created: 20141114 Date Completed: 20160505 Latest Revision: 20250711 |
| Update Code: | 20260130 |
| DOI: | 10.1177/1553350614556364 |
| PMID: | 25392150 |
| Database: | MEDLINE |
Journal Article; Systematic Review