Boyer, William C, DHSc, MS

Huang, Hubert K, MS,MEd

Ruhf, Robert

Scagliotti, Charles, MD,FFACS

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of EducationEvaluation of Stress on Laparoscopic Skills ofSurgical Residents in Simulation-Based EducationWilliam C. Boyer DHSc, MSLehigh Valley Health Network, William_C.Boyer@lvhn.orgHubert K. Huang MS,MEdLehigh Valley Health Network, hubert_k.huang@lvhn.orgCharles Scagliotti MD,FFACSLehigh Valley Health Network, Charles.Scagliotti@lvhn.orgRobert RuhfLehigh Valley Health Network, Robert.Ruhf@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/educationPart of the Educational Assessment, Evaluation, and Research Commons, EducationalPsychology Commons, Educational Sociology Commons, Medical Education Commons,Psychology Commons, and the Surgery CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtThe American College of Surgeons 5th Annual Accredited Education Institutes Meeting. March 16, 2012Lehigh Valley Health Network, Allentown, PennsylvaniaEvaluation of Stress on Laparoscopic Skills of Surgical Residents in Simulation-Based EducationWilliam C. Boyer, DHSc, MS; Hubert K. Huang, MS, MEd; Charles Scagliotti, MD, FACS; Robert RuhfBackground: Intraoperative stress may impact surgical performance negatively and compromise patient safety. Limited research exists that examines the relationship between stress and laparoscopic performance of surgical residents.  Arora (2010) noted only three studies that examined how laparoscopic procedures lead to greater stress levels and poorer technical performance.  Additionally, two studies look at how expert surgeons experience less stress and impaired performance compared with juniors. While Lee (2005) examined laparoscopic surgery and stress among thirteen medical residents, correlation between stress and performance was not considered and stress was self-reported.  Hassan (2005) objectively measured resident laparoscopic skills but stress-coping was also self-reported. This study will seek to establish an empirical link between surgical residents’ laparoscopic performance and stress as measured by physiologic assessment in a simulation setting.References:1.  Berguer R, Smith WD, Chung YH. Performing laparoscopic surgery is significantly more stressful for the surgeon than open surgery.  Surg Endosc 2001;15:1204-7.2.  Hassan I, Weyers P, Maschuw K, Dick B, Gerdes B, Rothmund M, et al. Negative stress-coping strategies among novices in surgery correlate with poor virtual laparoscopic performance. Br J Surg 2006;93:1554-9.3.  Lee EC, Rafiq A, Merrell R, Ackerman R, Dennerlein JT. Ergonomics and human factors in endoscopic surgery: a comparison of manual vs telerobotic simulation systems. Surg Endosc 2005;19:1064-70.4.  Arora S, Sevdalis N, Nestel, D, Woloshynowych M, Darzi A, Kneebone R. The impact of stress on surgical performance: a systematic review of the literature. Surgery 2010; 147:318-30.Methods: Approximately 30 PGY1 through PGY5 surgical residents will complete five task stations using the Fundamentals of Laparoscopic Surgery (FLS) task trainer.  The five task stations assist residents in preparation for the FLS exam.  The FLS measures basic laparoscopic technical skills, eye-hand coordination, ambidexterity, and depth perception.  Assessment of the residents’ laparoscopic performance will be measured and documented manually and through simulator software, including object drops, accuracy of tasks, and time of completion.  Stress will be assessed objectively by heart rate, blood pressure, respiratory rate, and Galvanci Skin Response and subjectively by a pre- and post-assessment survey.   Comparisons will be done with other stress measurement tools, such as the Imperial Stress Assessment Tool (ISAT) and the State Trait Anxiety Inventory (STAI) for reliability.  Data will be analyzed using SPSS.  Results: The results of this study will contribute to the limited research on surgical residents, laparoscopic skills, simulation training, and stress. In a surgical education context, the findings can inform stress management programs in resident surgical education. Future studies could compare the resident’s stress from laparoscopic surgery and open surgery.Contact Information:William C. Boyer, D.H.Sc., M.S.Medical Educator, Lehigh Valley Health NetworkAssistant Professor, University of South Florida College of Medicine610.402.2520William_C.Boyer@lvhn.org

Evaluation of Stress on Laparoscopic Skills of Surgical Residents in Simulation-Based Education

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1003&context=education

Evaluation of Stress on Laparoscopic Skills of Surgical Residents in Simulation-Based Education

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