Research on intraoperative stressors has focused on external factors without considering individual differences in the ability to cope with stress. One individual difference that is implicated in adverse effects of stress on performance is "reinvestment," the propensity for conscious monitoring and control of movements. The aim of this study was to examine the impact of reinvestment on laparoscopic performance under time pressure

A Prabhu

AI Thuraisingam

AP Tendulkar

B Bohm

BJ Chell

CM Liao

CM Wetzel

CY Wan

DJ Scott

EM Ritter

FF Zhu

I Hassan

J Sexton

Jamie M. Poolton

JM Poolton

JP Maxwell

JP Poolton

K Moorthy

Karen Ngo

Mark R. Wilson

MR Wilson

MW Eysenck

Neha Malhotra

NP Kinrade

PB Andreatta

R Berguer

Rich S. W. Masters

RS Holzman

RS Lazarus

RSW Masters

S Arora

S Yule

SK Sarker

TM Marteau

V Datta

WL Wong

English

PubMed

Background: Research on intraoperative stressors has focused on external factors without considering individual differences in the ability to cope with stress. One individual difference that is implicated in adverse effects of stress on performance is reinvestment, the propensity for conscious monitoring and control of movements. The aim of this study was to examine the impact of reinvestment on laparoscopic performance under time pressure. Methods: Thirty-one medical students (surgery rotation) were divided into high- and low-reinvestment groups. Participants were first trained to proficiency on a peg transfer task and then tested on the same task in a control and time pressure condition. Outcome measures included generic performance and process measures. Stress levels were assessed using heart rate and the State Trait Anxiety Inventory (STAI). Results: High and low reinvestors demonstrated increased anxiety levels from control to time pressure conditions as indicated by their STAI scores, although no differences in heart rate were found. Low reinvestors performed significantly faster when under time pressure, whereas high reinvestors showed no change in performance times. Low reinvestors tended to display greater performance efficiency (shorter path lengths, fewer hand movements) than high reinvestors. Conclusion: Trained medical students with a high individual propensity to consciously monitor and control their movements (high reinvestors) displayed less capability (than low reinvestors) to meet the demands imposed by time pressure during a laparoscopic task. The finding implies that the propensity for reinvestment may have a moderating effect on laparoscopic performance under time pressure. © 2012 The Author(s).published_or_final_versionSpringer Open Choice, 28 May 201

Malhotra, N

Ngo, K

Wilson, MR

Masters, RSW

Poolton, JM

HKU Scholars Hub

Surgical Endoscopy

Conscious monitoring and control (reinvestment) in surgical performance under pressure

Springer - Publisher Connector

Crossref

Masters, RS

Leeds Beckett Repository

A comparison of evaluation, time pressure and multitasking as stressors of psychomotor surgical performance.

A prospective randomized trial on heart rate variability of the surgical team during laparoscopic and conventional sigmoid resection.

Analogy learning: a means to implicit motor learning.

Anesthesia crisis resource management: real life simulation training in operating room crises.

Anxiety and cognitive performance: attentional control theory.

Anxiety: the cognitive perspective.

Can research in sports and other motor skills help improve endoscopy training? Gastrointest Endosc 63:276–279

Certiﬁcation pass rate of 100% for fundamentals of laparoscopic surgery skills after proﬁciency-based training. Surg Endosc

Cognitive theories of stress and the issue of circularity. In: Appley MH, Trumbull R (eds) Dynamics of stress: physiological, psychological and social perspectives.

Darzi A

Decision making in laparoscopic surgery: a prospective, independent and blinded analysis.

Design of a proﬁciency-based skills training curriculum for the fundamentals of laparoscopic surgery.

Development and validation of the decision-speciﬁc reinvestment scale.

Development of a movement speciﬁc reinvestment scale. In:

Development of a rating system for surgeons’ non-technical skills. Med Educ 40:1098–1104

Dispositional reinvestment and skill failure in cognitive and motor tasks. Psychol Sport Exerc 11:312–319

Duration of Parkinson disease is associated with an increased propensity for ‘‘reinvestment’’.

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Factors compromising safety in surgery:stressfuleventsintheoperatingroom.AmJSurg199:60–65

From novice to no know-how: a longitudinal study of implicit motor learning.

Implicit learning of movement skills for surgery.

Implicit motor learning and complex decision making in time-constrained environments.

Implicit motor learning in surgery: implications for multi-tasking.

Implicit motor learning promotes neural efﬁciency during laparoscopy. Surg Endosc 25:2950–2955 Surg Endosc

Implicit motor learning, reinvestment and movement disruption: what you don’t know won’t hurt you? In: Williams AM, Hodges NJ (eds) Skill acquisition in sport: research, theory and practice.

Increased stress levels may explain the incomplete transfer of simulator-acquired skill to the operating room.

Knowledge, knerves and know-how: the role of explicit versus implicit knowledge in the breakdown of a complex motor skill under pressure.

Manipulated stress and dispositional reinvestment in a wall-volley task: an investigation into controlled processing. Percept Mot Skills 97:435–448

Neural co-activation as a yardstick of implicit motor learning and the propensity for conscious control of movement.

Passing thoughts on the evolutionary stability of implicit motor behaviour: performance retention under physiological fatigue.

Performance breakdown in sport: the roles of reinvestment and verbal knowledge.

Performance degradation under pressure in music: an examination of attentional processes.

Performing laparoscopic surgery is signiﬁcantly more stressful for the surgeon than open surgery. Surg Endosc 15:1204–1207

Quantiﬁcation of surgical resident stress ‘‘on call’’.

Reinvestment and falls in community-dwelling older adults.

Reinvestment: a dimension of personality implicated in skill breakdown under pressure. Pers Indiv Differ 14:655–666

Rules for reinvestment. Percept Mot Skills 99:771–774

Stable implicit motor processes despite aerobic locomotor fatigue.

Stress impairs psychomotor performance in novice laparoscopic surgeons. Surg Endosc 24:2588–2593

The development of a six-item short-form of the state scale of the Spielberger State Trait Anxiety Inventory (STAI).

The impact of stress factors in simulation-based laparoscopic training.

The impact of stress on surgical performance: a systematic review of the literature.

The Imperial Stress Assessment Tool (ISAT): a feasible, reliable and valid approach to measuring stress in the operating room.

The implicit beneﬁt of learning without errors.

The inﬂuence of anxiety on visual attentional control in basketball free throw shooting.

The theory of reinvestment.

Zielke A

Conscious monitoring and control (reinvestment) in surgical performance under pressure.

http://hub.hku.hk/bitstream/10722/147124/1/fulltext.pdf

Conscious monitoring and control (reinvestment) in surgical performance under pressure.

Abstract

Similar works

Full text

Available Versions

HKU Scholars Hub

Springer - Publisher Connector

Springer - Publisher Connector

Crossref

Leeds Beckett Repository