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Toward Optimal Learning of the Gesture in Laparoscopic Surgery: Methodology and Performance

Classical surgical education has to face both a forensic reality and a technical issue: to train a learner in more complex techniques in an increasingly short time. Moreover, surgical training is still based on an empirical hierarchical relationship in which learners must reproduce a sequence of act...

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Autores principales: Cau, Marine, Sandoval, Juan, Arguel, Amaël, Breque, Cyril, Huet, Nathalie, Cau, Jerome, Laribi, Med Amine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911446/
https://www.ncbi.nlm.nih.gov/pubmed/35268489
http://dx.doi.org/10.3390/jcm11051398
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author Cau, Marine
Sandoval, Juan
Arguel, Amaël
Breque, Cyril
Huet, Nathalie
Cau, Jerome
Laribi, Med Amine
author_facet Cau, Marine
Sandoval, Juan
Arguel, Amaël
Breque, Cyril
Huet, Nathalie
Cau, Jerome
Laribi, Med Amine
author_sort Cau, Marine
collection PubMed
description Classical surgical education has to face both a forensic reality and a technical issue: to train a learner in more complex techniques in an increasingly short time. Moreover, surgical training is still based on an empirical hierarchical relationship in which learners must reproduce a sequence of actions in a situation of strong emotional pressure. However, the effectiveness of learning and its quality are linked to the emotional states in which learners find themselves. Among these emotions, epistemic confusion can be found that arises in complex learning situations where there is a cognitive imbalance related to the comprehension of the task, and which results from a rupture between the pre-established patterns of the learner and the new learning task. Although one knows that confusion can have a beneficial or a negative impact on learning, depending on whether it is well regulated or not, the factors that can influence it positively are still poorly understood. Thus, the objective of this experiment is to assess the impact of confusion on the learning of a surgical procedure in an augmented reality context and to determine if this impact varies according to the feedback given to the learners and according to the occurrence of disruptive events. Medical externs were recruited (N = 15) who were required to perform a suturing task on a simulator and whose performance was measured using a Motion Capture (MoCap) system. Even though the statistical analyzes did not allow a conclusion to be reached, the protocol already established makes it possible to consider a longer-term study that will allow (by increasing the number of sessions and the number of participants) more significant results to be obtained in order to develop new surgical learning protocols. This preliminary study opens a new field of research on the influence of epistemic emotions, and more particularly of confusion, which is likely to upset traditional surgical teaching, and is based on negative conditioning and strong emotions with negative valence as well as stress and coercion.
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spelling pubmed-89114462022-03-11 Toward Optimal Learning of the Gesture in Laparoscopic Surgery: Methodology and Performance Cau, Marine Sandoval, Juan Arguel, Amaël Breque, Cyril Huet, Nathalie Cau, Jerome Laribi, Med Amine J Clin Med Article Classical surgical education has to face both a forensic reality and a technical issue: to train a learner in more complex techniques in an increasingly short time. Moreover, surgical training is still based on an empirical hierarchical relationship in which learners must reproduce a sequence of actions in a situation of strong emotional pressure. However, the effectiveness of learning and its quality are linked to the emotional states in which learners find themselves. Among these emotions, epistemic confusion can be found that arises in complex learning situations where there is a cognitive imbalance related to the comprehension of the task, and which results from a rupture between the pre-established patterns of the learner and the new learning task. Although one knows that confusion can have a beneficial or a negative impact on learning, depending on whether it is well regulated or not, the factors that can influence it positively are still poorly understood. Thus, the objective of this experiment is to assess the impact of confusion on the learning of a surgical procedure in an augmented reality context and to determine if this impact varies according to the feedback given to the learners and according to the occurrence of disruptive events. Medical externs were recruited (N = 15) who were required to perform a suturing task on a simulator and whose performance was measured using a Motion Capture (MoCap) system. Even though the statistical analyzes did not allow a conclusion to be reached, the protocol already established makes it possible to consider a longer-term study that will allow (by increasing the number of sessions and the number of participants) more significant results to be obtained in order to develop new surgical learning protocols. This preliminary study opens a new field of research on the influence of epistemic emotions, and more particularly of confusion, which is likely to upset traditional surgical teaching, and is based on negative conditioning and strong emotions with negative valence as well as stress and coercion. MDPI 2022-03-03 /pmc/articles/PMC8911446/ /pubmed/35268489 http://dx.doi.org/10.3390/jcm11051398 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cau, Marine
Sandoval, Juan
Arguel, Amaël
Breque, Cyril
Huet, Nathalie
Cau, Jerome
Laribi, Med Amine
Toward Optimal Learning of the Gesture in Laparoscopic Surgery: Methodology and Performance
title Toward Optimal Learning of the Gesture in Laparoscopic Surgery: Methodology and Performance
title_full Toward Optimal Learning of the Gesture in Laparoscopic Surgery: Methodology and Performance
title_fullStr Toward Optimal Learning of the Gesture in Laparoscopic Surgery: Methodology and Performance
title_full_unstemmed Toward Optimal Learning of the Gesture in Laparoscopic Surgery: Methodology and Performance
title_short Toward Optimal Learning of the Gesture in Laparoscopic Surgery: Methodology and Performance
title_sort toward optimal learning of the gesture in laparoscopic surgery: methodology and performance
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911446/
https://www.ncbi.nlm.nih.gov/pubmed/35268489
http://dx.doi.org/10.3390/jcm11051398
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