You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment III1 Apr 2017PD46-01 CAN SURGICAL MENTOR'S TRUST HOLD THE KEY TO TRAINEE PERFORMANCE? Somayeh Shafiei, Ahmed Hussein, Justen Kozlowski, Youssef Ahmed, Sarah Muldoon, and Khurshid Guru Somayeh ShafieiSomayeh Shafiei More articles by this author , Ahmed HusseinAhmed Hussein More articles by this author , Justen KozlowskiJusten Kozlowski More articles by this author , Youssef AhmedYoussef Ahmed More articles by this author , Sarah MuldoonSarah Muldoon More articles by this author , and Khurshid GuruKhurshid Guru More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2373AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Although robot-assisted surgery (RAS) provides many advantages in terms of ergonomics, visualization, and perioperative outcomes, it adds complexity to the surgical environment, due to its remoteness. Cognition-based trust is related to performance-relevant understandings such as competence, responsibility, reliability, integrity, and dependability. We sought to develop an objective method for evaluation of cognition-based trust during RAS. METHODS We examined EEG data from a mentor who observed 116 Urethro-vesical anastomoses (UVAs) and 98 pelvic lymph node dissections (PLNDs) performed by 3 trainees. The mentor assessed trainee performance using NASA-TLX questionnaires at the end of each step. Procedures were classified as Trustworthy (mentor satisfied) or Concerning (mentor not satisfied) based on the performance score given by the mentor. We tested 68 features extracted from EEG data and applied Kernel Target Alignment (KTA) method to find the most discriminative features. The outcome of the classification was evaluated using the accuracy, sensitivity and specificity of these objective features in their ability to distinguish between trustworthy and concerning procedures. RESULTS Of all features tested, we found that the five most predictive features were Stress, mental workload (MW), Frustration, Surprise and Modularity. These features were significantly different between Trustworthy and Concerning performances, showing higher frustration, stress, MW, surprise and lower modularity while mentoring concerning as opposed to trustworthy performances. CONCLUSIONS Cognition-based Trust can be objectively evaluated using EEG features. This is the first reported study to objectively evaluate trust during RAS by featuring cognitive and brain functioning features. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e889-e890 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Somayeh Shafiei More articles by this author Ahmed Hussein More articles by this author Justen Kozlowski More articles by this author Youssef Ahmed More articles by this author Sarah Muldoon More articles by this author Khurshid Guru More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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