Effects of a novel mental skills curriculum on surgical novices' attention

Anton, Nicholas E.; Mulji, Neelam; Howley, Lisa D.; Yurco, Ashley; Tobben, Daniel; Bean, Eric; Bacon, Simon L.

doi:10.1016/j.jss.2017.05.112

Cited by 11 publications

(9 citation statements)

References 27 publications

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“…The review identified 20 relevant studies; six targeted open clinical skills (Wetzel et al 2011;Ignacio et al 2016;Lorello et al 2016;Ignacio et al 2017;Goldberg et al 2018;Church 2019) and 14 targeted closed clinical skills (Immenroth et al 2007;Wright et al 2008;Arora et al 2011;Hunziker et al 2013;Maher et al 2013;Anton, Mulji, et al 2017;Stefanidis, Anton, McRary, et al 2017;Anton et al 2018Anton et al , 2019Anton et al , 2020Raison et al 2018 The extent of PMST in HPE As Supplement Table 1 shows, the majority of the studies were from the United States of America (n ¼ 10) and the United Kingdom (n ¼ 5), with 14 studies on closed CS and six studies on open CS.…”

Section: Resultsmentioning

confidence: 99%

Applying sport psychology in health professions education: A systematic review of performance mental skills training

et al. 2021

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Introduction: Health professionals are expected to consistently perform to a high standard during a variety of challenging clinical situations, which can provoke stress and impair their performance. There is increasing interest in applying sport psychology training using performance mental skills (PMS) immediately before and during performance. Methods: A systematic review of the main relevant databases was conducted with the aim to identify how PMS training (PMST) has been applied in health professions education and its outcomes. Results: The 20 selected studies noted the potential for PMST to improve performance, especially for simulated situations. The key implementation components were a multimodal approach that targeted several PMS in combination and delivered face-to-face delivery in a group by a trainer with expertise in PMS. The average number of sessions was 5 and of 57 min duration, with structured learner guidance, an opportunity for practice of the PMS and a focus on application for transfer to another context. Conclusion: Future PMST can be informed by the key implementation components identified in the review but further design and development research is essential to close the gap in current understanding of the effectiveness of PMST and its key implementation components, especially in real-life situations.

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Section: Resultsmentioning

confidence: 99%

Applying sport psychology in health professions education: A systematic review of performance mental skills training

et al. 2021

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“…When a colleague or teammate shows personal or professional disconnect, intuitive and empathetic surgeon leaders must recognize these as symptoms suggestive of Burnout and take appropriate action. However, before taking action, the surgeon leader must understand the concept of mindfulness skills or mental coping strategies, which may be effective in mitigating stress in various work environments [ 23 – 26 ]. One mental coping strategy—achieving a restful mental state prior to performance—is known to improve performance of surgical residents [ 27 ].…”

Section: Leading With Joymentioning

confidence: 99%

“…One mental coping strategy—achieving a restful mental state prior to performance—is known to improve performance of surgical residents [ 27 ]. Likewise, mental coping strategies can help improve technical skills particularly when delivered through organized curricula aimed at increasing resilience and self-reflection [ 26 ]. Moreover, surgeon leaders, as members of the healthcare team, should consider the lessons of improvement science to aid in developing a framework that would reinvigorate the pursuit of meaning and purpose by removing small, persistent impediments to joy.…”

Section: Leading With Joymentioning

confidence: 99%

The COVID-19 reset: lessons from the pandemic on Burnout and the Practice of Surgery

et al. 2020

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Background Burnout among physicians is an increasing concern, and surgeons are not immune to this threat. The ongoing COVID-19 pandemic has caused dramatic changes to surgeon workflow, often leading to redeployment to other clinical areas, slowdown and shutdown of elective surgery practices, and an uncertain future of surgical practice in the post-pandemic setting. Paradoxically, for many surgeons who had to prepare for but not immediately care for a major surge, the crisis did allow for reflective opportunities and a resetting of priorities that could serve to mitigate chronic patterns contributory to Burnout. Methods SAGES Reimagining the Practice of Surgery task force convened a webinar to discuss lessons learned from the COVID pandemic that may address burnout. Results Burnout is multifactorial and may vary in cause among different generation/experience groups. Those that report burnout symptoms often complain of lacking purpose or meaning in their work. Although many mechanisms to address Burnout are from a defensive standpoint-including coping mechanisms, problem solving, and identification of a physician having wellness difficulties-offensive mechanisms such as pursuing purpose and meaning and finding joy in one's work can serve as reset points that promote thriving and fulfillment. Understanding what motivates physicians will help physician leaders to develop and sustain effective teams. Reinvigorating the surgical workforce around themes of meaning and joy in the service rendered via our surgical skills may diminish Burnout through generative and aspirational strategies, as opposed to merely reactive ones. Fostering an educational environment free of discriminatory or demeaning behavior may produce a new workforce conducive to enhanced and resilient wellbeing at the start of careers. Conclusion Surgeon wellness and self-care must be considered an important factor in the future of all healthcare delivery systems, a need reaffirmed by the COVID-19 pandemic.

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“…Additionally, systems are decentralized and isolated, with each component requiring a separate monitor to display data, regardless of whether it is currently being utilized. This abundance of information can lead to physician overstimulation through data overload [11] , [12] .…”

Section: Introductionmentioning

confidence: 99%

Performance Evaluation of Mixed Reality Display for Guidance During Transcatheter Cardiac Mapping and Ablation

Southworth¹,

Silva

Blume³

et al. 2020

IEEE J. Transl. Eng. Health Med.

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Cardiac electrophysiology procedures present the physician with a wealth of 3D information, typically presented on fixed 2D monitors. New developments in wearable mixed reality displays offer the potential to simplify and enhance 3D visualization while providing hands-free, dynamic control of devices within the procedure room. Objective: This work aims to evaluate the performance and quality of a mixed reality system designed for intraprocedural use in cardiac electrophysiology. Method: The Enhanced Electrophysiology Visualization and Interaction System (ĒLVIS) mixed reality system performance criteria, including image quality, hardware performance, and usability were evaluated using existing display validation procedures adapted to the electrophysiology specific use case. Additional performance and user validation were performed through a 10 patient, in-human observational study, the Engineering ĒLVIS (E2) Study. Results: The ĒLVIS system achieved acceptable frame rate, latency, and battery runtime with acceptable dynamic range and depth distortion as well as minimal geometric distortion. Bench testing results corresponded with physician feedback in the observational study, and potential improvements in geometric understanding were noted. Conclusion: The ĒLVIS system, based on current commercially available mixed reality hardware, is capable of meeting the hardware performance, image quality, and usability requirements of the electroanatomic mapping display for intraprocedural, real-time use in electrophysiology procedures. Verifying off the shelf mixed reality hardware for specific clinical use can accelerate the adoption of this transformative technology and provide novel visualization, understanding, and control of clinically relevant data in real-time.

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Effects of a novel mental skills curriculum on surgical novices' attention

Cited by 11 publications

References 27 publications

Applying sport psychology in health professions education: A systematic review of performance mental skills training

Applying sport psychology in health professions education: A systematic review of performance mental skills training

The COVID-19 reset: lessons from the pandemic on Burnout and the Practice of Surgery

Performance Evaluation of Mixed Reality Display for Guidance During Transcatheter Cardiac Mapping and Ablation

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