Effect of Training the Mentor on Quality of Instruction and Trainees’ Performance in Laparoscopic Oophorectomy Telementoring

Semsar, Azin; Ton, Jessica; Maharoof, N; Avellino, Ignacio; Zahiri, HR; Guckes, F; Mentis, Helena M.

doi:10.1016/j.jmig.2021.09.452

Cited by 2 publications

(2 citation statements)

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“…Surgery has been singled out as a domain that particularly struggles with this dual-task challenge [6,8], and in response, a diferent approach has been studied, of shifting the load of a more balanced communication to the remote trainer. Previous work by Semsar et al [39,40] has shown that training on the communication skills for appropriate use of telementoring tools could efectively convey remote instruction and mitigate the imbalance, although in a more recent study, the authors show that this has limitations as local trainees still show the need for virtual referencing, as well as ownership of the virtual annotations to manage them according to their needs as the task advances, and not when the trainer decided [41]. In summary, single-user input tools can improve task performance but also can make communication imbalanced.…”

Section: Deictic Communication In Surgicalmentioning

confidence: 97%

Supporting Collaborative Discussions In Surgical Teleconsulting Through Augmented Reality Head Mounted Displays

Maria

Mentis

Canlorbe

et al. 2023

Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems

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Although Augmented Reality (AR) has been touted as the future of surgery, its contribution to distributed collaboration such as in surgical teleconsulting has not been articulated. We propose AR-Head Mounted Displays (AR-HMD) to tackle two previously-identifed challenges: operating surgeons needing to view and interact with imaging systems that reside away from the operative feld, and, their lack of gesturing tools to point and annotate on the shared images and physical environment. We report on a controlled lab experiment where 12 expert gynecology surgeons perform a tumor localisation task guided by a remote radiologist (confederate) via an AR-HMD. We fnd that bringing the shared images to the place of work reduces the need for clarifcations and provides opportunistic access to information when required, and, that pointing and annotating provides opportunities to further support verbal instruction in deictic communication. Our results inform the design of intraoperative AR-HMD systems for surgical telecollaboration.

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Section: Deictic Communication In Surgicalmentioning

confidence: 97%

Supporting Collaborative Discussions In Surgical Teleconsulting Through Augmented Reality Head Mounted Displays

Maria

Mentis

Canlorbe

et al. 2023

Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems

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show abstract

“…Surprisingly, the fact that a virtual pointer is remote, can actually change behavior and lead trainees to attend more to the instructions, leading to a higher perceived quality of instruction [46]. All in all, virtual pointers are sociotechnical systems, where their success relies on both technological design and their situated use in a social context, which may require training the mentor to use pointers [47].…”

Section: Supportingmentioning

confidence: 99%

Understanding The Needs of Mentoring in Surgery to Guide the Design of Surgical Telementoring Systems

Lambert,

Voros,

Troccaz

et al. 2024

Proc. ACM Hum.-Comput. Interact.

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All along their careers, surgeons learn through mentoring, operating on patients side-by-side with expert surgeons. However, access to experts is more and more challenging as they are often located far from learners. Telementoring can increase the reach of mentors by supporting mentoring at a distance, but despite their potential, current systems remain rarely institutionalized. We investigate current surgical mentoring practices, to inform future design of telementoring systems in providing support for learning. In a field study, we observe 11 surgeries and conduct follow-up self-confrontation interviews with mentor-mentee pairs. Through Thematic Analysis, we find that the domain of surgery results in mentee's needs for reassurance regarding safety, being spared from workload and risk, both essential to support the acquisition of skills. Second, that mentors understand the situation primarily through the surgical site view but also through inspecting the mentee's posture and the patient's body. Thirdly, that mentors take physical distance as their presence limits mentees' autonomy development. We discuss the limits of current surgical telementoring systems and rethink their role as companions of onsite mentoring.

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Effect of Training the Mentor on Quality of Instruction and Trainees’ Performance in Laparoscopic Oophorectomy Telementoring

Cited by 2 publications

References 0 publications

Supporting Collaborative Discussions In Surgical Teleconsulting Through Augmented Reality Head Mounted Displays

Supporting Collaborative Discussions In Surgical Teleconsulting Through Augmented Reality Head Mounted Displays

Understanding The Needs of Mentoring in Surgery to Guide the Design of Surgical Telementoring Systems

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