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Basic Training in Technical Skills: Introduction to Learning ‘Surgical Skills’ in a Constructive Way

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Part of the book series: European Manual of Medicine ((EUROMANUAL))

Abstract

What is a good surgeon? This question cannot be easily, sincerely or precisely answered despite the fact that we ‘all know’ [54]. I assume that we all agree that a surgeon needs manual dexterity. Dexterity usually refers to skills and ease in physical activity especially manual activity which in the context of surgical dexterity should be understood as motor skills [1, 16]. Dexterity is closely connected to performance in surgery although a strict definition is not obtainable [46, 54].

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References

  1. Adams JA (1987) Historical review and appraisal of research on the learning, retention, and transfer of human motor skills. Psychol Bull 101:41–74

    Article  Google Scholar 

  2. Apuzzo MLJ, Hodge CJ Jr (2000) The metamorphosis of communication, the knowledge revolution, and the maintenance of a contemporary perspective during the 21st century. Neurosurgery 46:7–15

    Article  CAS  PubMed  Google Scholar 

  3. Arnold P, Farrel MJ (2002) Can virtual reality be used to measure and train surgical skills? Ergonomics 45:362–379

    Article  PubMed  Google Scholar 

  4. Barnes RW (1987) Surgical handicraft, teaching and learning surgical skills. Am J Surg 153:422–427

    Article  CAS  PubMed  Google Scholar 

  5. Bernardo A, Preul MC, Zabramski JM, Spetzler RF (2003) A three-dimensional interactive virtual dissection model to simulate transpetrous surgical avenues. Neurosurgery 52:499–509

    Article  PubMed  Google Scholar 

  6. Bulstrode C, Holsgrove G (1996) Education for educating surgeons. BMJ 312:326–327

    CAS  PubMed  Google Scholar 

  7. Chance S, Gaunet F, Beall A, Loomis JM (1998) Locomotion mode affects the updating of objects encountered during travel. The contribution of vestibular and proprioceptive inputs to path integration. Presence 7:168–178

    Article  Google Scholar 

  8. Collins A, Brown JS, Newman SE (1989) Cognitive apprenticeship: teaching the crafts of reading, writing and mathematics. In: Resnick LB (ed) Knowing, learning and instruction: essays in honor of Robert Glaser (oo 453-94). Erlbaum, Hillsdale

    Google Scholar 

  9. Couldwell WT, Rovit RL(2002) Rethinking neurosurgical subspecialisation. Surg Neurol 58:359–363

    Article  PubMed  Google Scholar 

  10. Dargahi J, Najarian S (2004) Human tactile perception. Int J Med Robot 1:23–35

    CAS  PubMed  Google Scholar 

  11. Davis DA, Thomson MA, Oxman AD, Haynes RB (1995) Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA 274:700–705

    Article  CAS  PubMed  Google Scholar 

  12. De Graf E, Bouhuijs PAJ (1993) Implementation of problem-based learning in higher education. Thesis Publishers, Amsterdam

    Google Scholar 

  13. Drascic D, Milgram P (1996) Perceptual issues in augmented reality. Proc SPIE, vol 2653: stereoscopic displays and virtual reality systems III

    Google Scholar 

  14. Dreyfus HL, Dreyfus SE (1988) Mind over machine. The power of human intuition and expertise in the era of the computer. Free Press, New York, pp 36–41

    Google Scholar 

  15. Fleishman E, Quaintance M (1984) Taxonomies of human performance: the description of human tasks. Academic, Orlando

    Google Scholar 

  16. Fogg BJ (2003) Persuasive technology: using computers to change what we think and do. Morgan Kaufmann, San Francisco

    Google Scholar 

  17. Gallagher AG, Richie K, McClure N, McGuigan J (2002) Objective psychomotor skills assessment of experienced, junior, and novice laparoscopists with virtual reality. World J Surg 25:1478–1483

    Article  Google Scholar 

  18. Gerloff C, Corwell B, Chen R, Hallett M, Cohen LG (1997) Stimulation over the human supplementary motor area interferes with the organization of future elements in complex motor sequences. Brain 120:1587–1602

    Article  PubMed  Google Scholar 

  19. Grantcharov TP, Bardram L, Funch-Jensen P, Rosenberg J (2002) Assessment of technical surgical skills. Eur J Surg 168:139–144

    Article  PubMed  Google Scholar 

  20. Haase J (1997) Control and structure of a training program. The view of a non-academic hospital. In: Reulen H-J, Steiger H-J (eds) Training in neurosurgery. Springer, Vienna, New York, pp 79–82

    Google Scholar 

  21. Haase J (1999) Image guided surgery/neuronavigation/SurgiScope: a reflexion on a theme. Minim Invasive Neurosurg 42:53–59

    Article  CAS  PubMed  Google Scholar 

  22. Haase J (2002) Commentary: [“Rethinking neurosurgical subspecialisation” by Couldwell WT and Rovit RL, Surgical Neurology 58(6):359–363]. Surg Neurol 58:365

    Article  Google Scholar 

  23. Haase J (2005) Commentary: [The impact of subspecialization on postgraduate medical education in neurosurgery, Surgical Neurology 64(5):383–386]. Surg Neurol 64:388

    Article  Google Scholar 

  24. Haase J, Musaeus P, Boisen E (2004) Virtual reality and habitats for learning microsurgical skills. In: Andersen P, Qvortrup L (eds) Virtual applications. Springer, Berlin Heidelberg New York

    Google Scholar 

  25. Hansen KV, Brix L, Pedersen CF, Haase JP, Larsen OV (2004) Modelling of interaction between a spatula and a human brain. Med Image Anal 8:23–33

    Article  PubMed  Google Scholar 

  26. Hoell T, Nagel M, Huschak G, Beier A, Meisel HJ (2005) Electromyographic investigation on handling forces of mechanically counterbalanced and sensor–servomotor-supported surgical microscopes. Surg Neurol 63:434–441

    Article  PubMed  Google Scholar 

  27. Jarosch H-W (1997) Selection of Air Force Officers: profiles, criteria, testing. Acta Neurochir Suppl 69:22–26

    CAS  PubMed  Google Scholar 

  28. Kaptelinin V (1996) Activity theory: implications for human-computer interaction. In: Nardi B (ed) Context and consciousness: activity theory and human-computer interaction. MIT Press, Cambridge

    Google Scholar 

  29. Kneebone RL, Scott W, Darzi A, Horrocks M (2004) Simulation and clinical practice: strengthening the relationship. Med Educ 38:1095–1102

    Article  CAS  PubMed  Google Scholar 

  30. Kochro RA, Serra L, Tseng-Tsan Y, Tseng-Tsai Y, Chan C, Yih-Yian S, Gim-Guan C, Lee E, Hoe LY, Hern N, Nowinski WL (2000) Planning and simulation of neurosurgery in a virtual reality world. Neurosurgery 46:118–137

    Article  Google Scholar 

  31. Kolmos A (1996) Reflections on project work and problem-based learning. Eur J Eng Educ 21:141–148

    Article  Google Scholar 

  32. Larsen OV, Haase J, Østergaard LR, Hansen KV, Nielsen H (2001) The Virtual Brain Project: development of a neurosurgical simulator. In: Westwood JD, Hoffman HM, Mogel GT, Stredney D, Robb RA (eds) Medicine meets virtual reality 2001 [January 24–27, Newport Beach, California, USA]. Studies in health technology and informatics; 81. IOS Press, Amsterdam, pp 256–262

    Google Scholar 

  33. Lasjaunias P (2000) Editorial: teaching, learning and the web. Intervent Neuroradiol 6:83–84

    Google Scholar 

  34. Lee G, Rutecki GW, Whittie FC, Clarett MR, Jarjoura D (1997) A comparison of interactive computerized medical education software with a more traditional teaching format. Teach Learn Med 9:111–115

    Article  Google Scholar 

  35. Long D (2004) Competency based training in neurosurgery: the next revolution in medical education. Surg Neurol 61:5–14

    Article  PubMed  Google Scholar 

  36. McBride DK (1998) Individual differences in the performance of highly learned skill. Percept Mot Skills 86:985–986

    CAS  PubMed  Google Scholar 

  37. McDonald J (1992) Mental readiness and its links to performance. Excellence in surgery (thesis). Kinetek, Ottawa, Canada

    Google Scholar 

  38. Müller MC (2006) Increasing safety by implementing optimized team interaction: experience from the aviation industry. In: Porzolt F, Kaplan M (eds) Optimizing Health. Springer, New York, pp 131–145

    Google Scholar 

  39. O’Toole R, Playter R, Krummel T, Blank W, Cornelius N, Roberts W, Bell W, Raibert M (1999) Measuring and developing suturing technique with a virtual reality surgical simulator. J Am Coll Surg 189:127–128

    Article  Google Scholar 

  40. Paisley AM, Baldwin PJ, Paterson-Brown S (2001) Validity of surgical simulation for the assessment of operative skill. Br J Surg 88:1575–1582

    Article  Google Scholar 

  41. Patrick J (1992) Training, research and practice. Academic, London

    Google Scholar 

  42. Reid M, Ker JS, Dunkley MP, Williams B, Steele RJC (2000) Training specialist registrars in general surgery: a qualitative study in Tayside. J R Coll Surg Edinb 45:304–310

    CAS  PubMed  Google Scholar 

  43. Satava RM (1995) Virtual reality, telesurgery and the new world order of medicine. J Image Guided Surg 1:12–16

    Article  CAS  Google Scholar 

  44. Schueneman AL, Pickleman J, Hesslein R, Freeark RJ (1984) Neuropsychologic predictors of operative skill among general surgery residents. Surgery 96:288–295

    CAS  PubMed  Google Scholar 

  45. Sexton JB, Thomas EJ et al (2000) Error, stress and teamwork in medicine and aviation: cross sectional surveys. BMJ 320:745–749

    Article  CAS  PubMed  Google Scholar 

  46. Shah J, Darzi A (2001) Surgical skills assessment: an ongoing debate. B J U Int 88:655–660

    CAS  Google Scholar 

  47. Spicer MA, Apuzzo MLJ (2003) Virtual reality surgery. Neurosurgery and the contemporary landscape. Neurosurgery 52:489–501

    Article  PubMed  Google Scholar 

  48. Squire D, Giachino AA, Profitt AW, Heaney C (1989) Objective comparison of manual dexterity in physicians and surgeons. Can J Surg 32:467–470

    CAS  PubMed  Google Scholar 

  49. Tendick F, Downes M, Goktekin T, Cavusoglu MC, Feygin D, Wu X, Eyal R, Hegarty M, Way LW (2000) A virtual environment test bed for training laparoscopic surgical skills. Presence 9:236–255

    Article  Google Scholar 

  50. Tracey MR, Lathan CE (2001) The interaction of spatial ability and motor learning in the transfer of training from a simulator to a real task. Stud Health Technic Inform 81:521–527

    CAS  Google Scholar 

  51. Waldron EM Jr, Anton BS (1995) Effect of exercise on dexterity. Percept Mot Skills 80:883–889

    PubMed  Google Scholar 

  52. Waterworth JA (1997) Personal spaces: 3D spatial worlds for information exploration, organization and communication. In: The Internet in 3D. Academic, San Diego, pp 97–118

    Google Scholar 

  53. Witzke DB, Hoskins JD, Mastrangelo MJ, Witzke WO, Chu UB, Pande S, Park AE (2001) Immersive virtual reality used as a platform for perioperative training for surgical residents. In: Westwood JD, Hoffman HM, Mogel GT, Stredney D, Robb RA (eds) Medicine meets virtual reality 2001. IOS Press, Amsterdam, pp 577–558

    Google Scholar 

  54. Yasargil MG (1999) The legacy of microsurgery: memoirs, lessons, and axioms. Neurosurgery 45:1025–1092

    Article  CAS  PubMed  Google Scholar 

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Haase, J. (2010). Basic Training in Technical Skills: Introduction to Learning ‘Surgical Skills’ in a Constructive Way. In: Lumenta, C., Di Rocco, C., Haase, J., Mooij, J. (eds) Neurosurgery. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79565-0_3

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  • DOI: https://doi.org/10.1007/978-3-540-79565-0_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-79564-3

  • Online ISBN: 978-3-540-79565-0

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