Publication
Title
Surgical skill : trick or trait?
Author
Abstract
OBJECTIVE: Among other indispensible qualities, a competent surgeon needs to be technically skilled. With the advent of minimally invasive procedures, technical demands on surgeons also increase. Will it be possible for all individuals to meet these technical demands through motivated practice or is there a trait such as "aptitude" that determines ultimate surgical skill? DESIGN: Baseline laparoscopic psychomotor aptitude (on a box trainer), visual-spatial aptitude (Schlauch figures test), and interest in surgery (10-point Likert scale) were measured in our study group. Afterward, study participants attended a 3-hour hands-on laparoscopy training, followed by 2 additional weeks of voluntary practice for those who were motivated to do so. After these 2 weeks, participants were retested using the laparoscopic box trainer. SETTING: All research was performed in the Center for Surgical Technologies, Leuven. PARTICIPANTS: A total of 68 fifth-year medical students without prior experience in laparoscopy from the University of Leuven. RESULTS: Multiple additive regression analysis showed significant effect for psychomotor aptitude (26%), interest in surgery (9%), and voluntary practice (18%) on final box trainer performance. No correlation was found between aptitude and interest in surgery (p = 0.27). No correlation was found between aptitude and amount of voluntary practice High-aptitude students more frequently applied for surgical disciplines in their final career choice (50% vs 18%, p = 0.01). CONCLUSIONS: This study shows that aptitude and motivated practice equally influence final box trainer performance. Students with lower aptitude do not automatically train more. Although the interest in surgery was initially not related to psychomotor aptitude, eventually students with high aptitude apply more frequently for a surgical career. ((C) 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
Language
English
Source (journal)
Journal of surgical education. - Philadelphia, Pa
Publication
Philadelphia, Pa : 2015
ISSN
1931-7204
Volume/pages
72:6(2015), p. 1247-1253
ISI
000366240200027
Full text (Publisher's DOI)
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 15.01.2016
Last edited 04.10.2017
To cite this reference