PD58-08 MENTAL TRAINING AND ITS EFFECT ON PROCEDURAL AND COGNITIVE LEARNING - A BLUEPRINT FOR UROLOGIC RESIDENTS IN A CONDENSED WORK ENVIRONMENT?

Abstract

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment II1 Apr 2018PD58-08 MENTAL TRAINING AND ITS EFFECT ON PROCEDURAL AND COGNITIVE LEARNING - A BLUEPRINT FOR UROLOGIC RESIDENTS IN A CONDENSED WORK ENVIRONMENT? Phillip Marks, Julia Kaulfuβ, Luis Kluth, Philippe Grange, Felix Chun, Margit Fisch, and Christian Meyer Phillip MarksPhillip Marks More articles by this author , Julia KaulfuβJulia Kaulfuβ More articles by this author , Luis KluthLuis Kluth More articles by this author , Philippe GrangePhilippe Grange More articles by this author , Felix ChunFelix Chun More articles by this author , Margit FischMargit Fisch More articles by this author , and Christian MeyerChristian Meyer More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2796AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The work environments of current residents are fundamentally changing, characterized by a demand for cost-containment and dense working hours without compromising highest quality of care (outcome quality/patient safety). As a field, urology requires core competencies in cognitive processing of a diverse range of diseases and the perfection of many different manual skills (endoscopy, sonography, open surgery etc.). This training is cost- and time-consuming. We hypothesized that a specific mental training can enhance and optimize cognitive and manual skill acquisition. METHODS We designed a prospective trial of 24 laparoscopic novices (medical students) who were randomized to 1) a control group, 2) a video training group, 3) a mental training group. Mental training consisted of the identification of procedural key steps, relaxation, mental vocalization and mental imaging techniques over a course of 2 weeks after one initial supervised training session. All groups completed a basic training in 2 exercises of the official E-BLUS (European training in basic laparoscopic urological skills) curriculum (PEG transfer, cutting a circle) before intervention (video training, video training+mental training). Both exercises were assessed 48 h and 2 weeks after intervention. Primary endpoints were scores in a global rating scale (handling, efficiency of movement etc.), procedural time and error rates. Additionally, participants completed several theoretical tests examining spatial differentiation, theoretical knowledge and a test of performance strategies. Statistical analyses included ANOVA and general linear models with repeated measures. RESULTS All group baseline characteristics were homogeneous after randomization (p>0.05). Mental training improved time efficiency in PEG transfer but not cutting a circle exercises after 48 h (p=0.017). Mental training significantly improved the global rating scale score (p=0.035) and performance strategies (p=0.041) after 2 weeks. Participants who received and exercised mental training significantly reduced procedural error rates and improved their performance strategies (p=0.02 and p=0.01, respectively). There was no significant differences between the groups with regards to cognitive functioning tests or theoretical knowledge testing. CONCLUSIONS In this randomized controlled trial of laparoscopic novices, mental training significantly improved procedural time efficiency and performance strategies, while theoretical knowledge did not significantly change. The regular and continuous integration of mental training strategies into urological residency might serve as a blueprint to improve and streamline manual skill acquisition and performance while retaining cost- and time-efficiency. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1136-e1137 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Phillip Marks More articles by this author Julia Kaulfuβ More articles by this author Luis Kluth More articles by this author Philippe Grange More articles by this author Felix Chun More articles by this author Margit Fisch More articles by this author Christian Meyer More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...