Using mental imagery in clinical skills instruction can be a valuable teaching strategy. Prior studies have supported its use in the teaching of a variety of clinical skills including basic surgery and venipuncture. We extended this research to lumbar puncture. After viewing an instructional video, medical students received instruction on how to perform a lumbar puncture on simulators. The students were then randomized into two groups with one group receiving additional practice on the simulators and the other group receiving guided mental imagery practice. Students then performed a lumbar puncture as part of an Objective Structured Clinical Examination (OSCE) and were graded on a reliable rating instrument developed for this study. Consistent with prior studies, there was no statistically significant difference in performance between the group receiving additional physical practice and the group receiving guided mental imagery practice. Mental imagery practice appears to be an effective and cost-efficient method to teach lumbar puncture as well as a lifelong learning skill.
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Driscoll JE, Copper C, Moran A. Does mental practice enhance performance? J Appl Psychol 1994;79:481–92.
Barrows KA, Jacobs BP. Mind-body medicine: An introduction and review of literature. Comp Alt Med 2002;86:11–31.
Sadoski M, Paivio A. Imagery and Text: A Dual Coding Theory of Reading and Writing. Mahwah, NJ: Lawrence Erlbaum;2001.
Feltz DL, Landers DM. The effects of mental practice on motor skill learning and performance: A meta-analysis. J Sport Psychol 1983;5:25–57.
Edwards JC, Sadoski M, Burdenski TM. Physicians’ reported use of mental images and language in clinical reasoning. Imagination, Cognition, and Personality2005;24:41–9.
Bathalon S, Dorion D, Darveau S, Martin M. Cognitive skills analysis, kinesiology, and mental imagery in the acquisition of surgical skills. J Otolaryngol 2005;34:328–32.
Donnon T, DesCoteauz JG, Violato C. Impact of cognitive imaging and sex differences on the development of laproscopic suturing skills. Can J Surg 2005;48:387–93.
Sanders CW, Sadoski M, van Walsum K, Bramson R, Wiprud R. Learning basic surgical skills with mental imagery: Simulation center in the mind. Med Educ 2008;42:607–12.
Sanders CW, Sadoski M, Bramson R, Wiprud R, van Walsum K. Comparing the effects of physical practice and mental imagery rehearsal on learning basic skills by medical students. Am J Obstet Gynecol 2004;191:1811–4.
Sanders CW, Sadoski M, Wasserman R, Wiprud R, English M, Bramson R. Comparing the effects of physical practice and mental imagery rehearsal on learning basic venipuncture by medical students. Imagination, Cognition, and Personality2008;27:117–27.
Suinn RM. Mental practice in sport psychology: Where have we been, where do we go? Clinical Psychology: Science and Practice 1997;3:189–207.
Sadoski M, Sanders CW. Mental imagery in clinical skills instruction: A promising solution to a critical problem. Ann Behav Sci Med Educ 2008;14:2–6.
Campbell DT, Stanley JC. Experimental and Quasi-Experimental Designs for Research. Chicago, IL: Rand McNally;1966.
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Bramson, R., Sanders, C.W., Sadoski, M. et al. Comparing the Effects of Mental Imagery Rehearsal and Physical Practice on Learning Lumbar Puncture by Medical Students. ANN BEHAV SCI MED EDUC 17, 3–6 (2011). https://doi.org/10.1007/BF03355155
- clinical skills instruction
- lumbar puncture
- mental imagery
- lifelong learning