| Title |
Practice does not always make perfect: need for selection curricula in modern surgical training
|
|---|---|
| Published in |
Surgical Endoscopy, April 2017
|
| DOI | 10.1007/s00464-017-5572-3 |
| Pubmed ID | |
| Authors |
Marisa Louridas, Peter Szasz, Andras B Fecso, Michael G Zywiel, Parisa Lak, Ayse B. Bener, Kenneth A Harris, Teodor P Grantcharov |
| Abstract |
It is hypothesized that not all surgical trainees are able to reach technical competence despite ongoing practice. The objectives of the study were to assess a trainees' ability to reach technical competence by assessing learning patterns of the acquisition of surgical skills. Furthermore, it aims to determine whether individuals' learning patterns were consistent across a range of open and laparoscopic tasks of variable difficulty. Sixty-five preclinical medical students participated in a training curriculum with standardized feedback over forty repetitions of the following laparoscopic and open technical tasks: peg transfer (PT), circle cutting (CC), intracorporeal knot tie (IKT), one-handed tie, and simulated laparotomy closure. Data mining techniques were used to analyze the prospectively collected data and stratify the students into four learning clusters. Performance was compared between groups, and learning curve characteristics unique to trainees who have difficulty reaching technical competence were quantified. Top performers (22-35%) and high performers (32-42%) reached proficiency in all tasks. Moderate performers (25-37%) reached proficiency for all open tasks but not all laparoscopic tasks. Low performers (8-15%) failed to reach proficiency in four of five tasks including all laparoscopic tasks (PT 7.8%; CC 9.4%; IKT 15.6%). Participants in lower performance clusters demonstrated sustained performance disadvantage across tasks, with widely variable learning curves and no evidence of progression towards a plateau phase. Most students reached proficiency across a range of surgical tasks, but low-performing trainees failed to reach competence in laparoscopic tasks. With increasing use of laparoscopy in surgical practice, screening potential candidates to identify the lowest performers may be beneficial. |
X Demographics
The data shown below were collected from the profiles of 41 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 9 | 22% |
| United States | 7 | 17% |
| United Kingdom | 5 | 12% |
| Mexico | 2 | 5% |
| Australia | 2 | 5% |
| Spain | 1 | 2% |
| Unknown | 15 | 37% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 17 | 41% |
| Practitioners (doctors, other healthcare professionals) | 15 | 37% |
| Scientists | 6 | 15% |
| Science communicators (journalists, bloggers, editors) | 3 | 7% |
Mendeley readers
The data shown below were compiled from readership statistics for 54 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 54 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 8 | 15% |
| Student > Master | 6 | 11% |
| Researcher | 6 | 11% |
| Student > Bachelor | 6 | 11% |
| Student > Postgraduate | 4 | 7% |
| Other | 11 | 20% |
| Unknown | 13 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 17 | 31% |
| Psychology | 4 | 7% |
| Engineering | 4 | 7% |
| Nursing and Health Professions | 3 | 6% |
| Social Sciences | 3 | 6% |
| Other | 6 | 11% |
| Unknown | 17 | 31% |
Attention Score in Context
This research output has an Altmetric Attention Score of 26. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 March 2018.
All research outputs
#1,443,180
of 25,074,338 outputs
Outputs from Surgical Endoscopy
#100
of 6,756 outputs
Outputs of similar age
#27,746
of 315,364 outputs
Outputs of similar age from Surgical Endoscopy
#3
of 143 outputs
Altmetric has tracked 25,074,338 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 94th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,756 research outputs from this source. They receive a mean Attention Score of 4.0. This one has done particularly well, scoring higher than 98% of its peers.
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We're also able to compare this research output to 143 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 98% of its contemporaries.