Top

Surgical Endoscopy

Published in:

01-08-2006

High-level visual-spatial ability for novices correlates with performance in a visual-spatial complex surgical simulator task

Authors: L. Hedman, P. Ström, P. Andersson, A. Kjellin, T. Wredmark, L. Felländer-Tsai

Published in: Surgical Endoscopy | Issue 8/2006

Abstract

Background

This study addresses how high-level visual-spatial ability of surgical novices is related to performance of two simulator tasks with (KSA) and without (MIST) anatomic graphics and haptic feedback, differing in visual-spatial complexity.

Methods

Visual-spatial test scores assessed by Mental Rotation Test (MRT) and BasIQ and performance scores for Instrument Navigation (IN) in Key Surgical Activities (Procedicus KSA) and Manipulate and Diathermy (MD) in Minimally Invasive Surgical Trainer (Procedicus MIST) were correlated for 54 Swedish surgical novices.

Results

Significant Pearson’s r correlations were obtained between visual-spatial scores measured by MRT-C and total score from the last trial for IN (r = 0.278, p < 0.05). Visual-spatial scores (measured by BasIQ) also correlated with total score from the first trial (r = 0.443, p < 0.05) and from the last trial (r = 0.489, p < 0.05).

Conclusion

High-level visual-spatial ability is important for surgical novices to possess in the early training phase of a visual-spatial complex task in KSA.

Borg G (1998) Borg’s perceived exertion and pain scales. In: Human kinetics. Champaigne, IL, pp 30–67

Carpenter PA, Just MA (1986) Spatial ability: An information processing approach to psychometrics. In: Sternberg RJ (ed) Advances in the psychology of human intelligence. Erlbaum, Hillsdale, NJ, pp 221–253

Cuschieri A (1995) Whither minimal access surgery: tribulations and expectations. Am J Surg 169: 9–19PubMedCrossRef

Ekstrom RB, French JW, Hartman HH, Dermen D (1976) Manual for kit of factor-referenced cognitive tests. Educational Testing Service, Princeton, NJ, Champaign, IL

Gallagher AG, McClure N, McGuigan J, Ritchie K, Sheehy NP (1998) An ergonomic analysis of the fulcrum effect in the acquisition of endoscopic skills. Endoscopy 30: 617–620PubMedCrossRef

Gallagher AG, Richie K, McClure N, McGuigan J (2001) Objective psychomotor skills assessment of experienced, junior, and novice laparoscopists with virtual reality. World J Surg 25: 1478–1483PubMedCrossRef

Ghani JA, Deshpande SP (1994) Task characteristics and the experience of optimal flow in human-computer interaction. J Psychol 128: 381–391

Gustafsson J-E (1998) Hierarchical models of individual differences in cognitive abilities. In: Sternberg RJ (ed) Advances in the psychology of human intelligence. Lawrence Erlbaum Associates, Hillsdale, NJ, pp 35–71

Lohman DF (2000) Complex information processing and intelligence. In: Sternberg RJ (ed). Handbook of intelligence. Cambridge University Press, New York, pp 285–340

10.

Macmillan AI, Cuschieri A (1999) Assessment of innate ability and skills for endoscopic manipulations by the Advanced Dundee Endoscopic Psychomotor Tester: predictive and concurrent validity. Am J Surg 177: 274–277PubMedCrossRef

11.

Mountcastle VB (1998) Perceptual neuroscience: the cerebral cortex. Harvard University Press, Cambridge, MA

12.

Mårdberg B, Sjöberg A, Henrysson-Eidvall S (2000) BasIQ begåvningstest: manual. Psykologiförlaget, Stockholm, Sweden, pp 47–55

13.

Peters M, Laeng B, Latham K, Jackson M, Zaitouna R, Richardson C (2000) A redrawn Vanderberg and Kuse mental rotation test: different versions and factors that affect performance. Brain Cogn 28: 39–58CrossRef

14.

Risucci D, Geiss A, Gellman L, Pinard B, Rosser J (2001) Surgeon-specific factors in the acquisition of laparoscopic surgical skills. Am J Surg 181: 289–293PubMedCrossRef

15.

Roethlisberger FJ, Dickson WJ (1946) Management and the worker. Harvard University Press (1939) xxiv. Oxford, England, p 615

16.

Rosser JC Jr, Rosser LE, Savalgi RS (1998) Objective evaluation of a laparoscopic surgical skill program for residents and senior surgeons. Arch Surg 133: 657–661PubMedCrossRef

17.

Salas E, Cannon-Bowers JA (2001) The science of training: a decade of progress. Annu Rev Psychol (2000): 471–499

18.

Satava RM, Cuschieri A, Hamdorf J (2003) Metrics for objective assessment. Surg Endosc 17: 220–226PubMedCrossRef

19.

Satava RM, Gallagher AG, Pellegrini CA (2003) Surgical competence and surgical proficiency: definitions, taxonomy, and metrics. J Am Coll Surg 196: 933–937PubMedCrossRef

20.

Senn S (1993) Cross-over trials in clinical research. Wiley, Chichester, England

21.

Seymour NE, Gallagher AG, Roman SA, O’Brien MK, Bansal VK, Andersen DK, Satava RM (2002) Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 236: 458–463; discussion 463–464PubMedCrossRef

22.

Sidhu RS, Tompa D, Jang R, Grober ED, Johnston KW, Reznick RK, Hamstra SJ (2004) Interpretation of three-dimensional structure from two-dimensional endovascular images: implications for educators in vascular surgery. J Vasc Surg 39: 1305–1311PubMedCrossRef

23.

Strom P, Kjellin A, Hedman L, Johnson E, Wredmark T, Fellander-Tsai L (2003) Validation and learning in the Procedicus KSA virtual reality surgical simulator. Surg Endosc 17: 227–231PubMedCrossRef

24.

Strom P, Kjellin A, Hedman L, Wredmark T, Fellander-Tsai L (2004) Training in tasks with different visual-spatial components does not improve virtual arthroscopy performance. Surg Endosc 18: 115–120PubMedCrossRef

25.

Taffinder N, Sutton C, Fishwick RJ, McManus IC, Darzi A (1998) Validation of virtual reality to teach and assess psychomotor skills in laparoscopic surgery: results from randomised controlled studies using the MIST VR laparoscopic simulator. Stud Health Technol Inform 50: 124–130PubMed

26.

Wanzel KR, Hamstra SJ, Anastakis DJ, Matsumoto ED, Cusimano MD (2002) Effect of visual-spatial ability on learning of spatially-complex surgical skills. Lancet 359: 230–231PubMedCrossRef

27.

Wanzel KR, Hamstra SJ, Caminiti MF, Anastakis DJ, Grober ED, Reznick RK (2003) Visual-spatial ability correlates with efficiency of hand motion and successful surgical performance. Surgery 134: 750–757PubMedCrossRef

28.

Wanzel KR, Ward M, Reznick RK (2002) Teaching the surgical craft: from selection to certification. Curr Probl Surg 39: 573–659PubMedCrossRef

Title: High-level visual-spatial ability for novices correlates with performance in a visual-spatial complex surgical simulator task
Authors: L. Hedman
P. Ström
P. Andersson
A. Kjellin
T. Wredmark
L. Felländer-Tsai
Publication date: 01-08-2006
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 8/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-005-0036-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

High-level visual-spatial ability for novices correlates with performance in a visual-spatial complex surgical simulator task

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 8/2006

The emergence of radiofrequency identification tags: applications in surgery

Complementary use of local excision and transanal endoscopic microsurgery for rectal cancer after neoadjuvant chemoradiation

Fluorescent cholangiography in a mouse model: an innovative method for improved laparoscopic identification of the biliary anatomy

How to teach an old dog new tricks and how to teach a new dog old tricks: bridging the generation gap to push the envelope of advanced laparoscopy

Endoluminal and transluminal surgery: current status and future possibilities

Optimal cosmetic results without increased operative risk