Supporting the Development of Psychomotor Skills
Comprehensive acquisition and mastery of psychomotor skills for surgical procedures must eventually be facilitated in the context of applied surgery. Although simulation-supported instruction provides a benign environment for acquiring basic abilities such as suturing and knot tying, the application of those abilities within procedural contexts requires alignment of optimal techniques and integration of process sequences dictated by operative circumstances. Trainees acquire these abilities through direct guidance and supervision by operative faculty. The challenge for faculty and trainees is to align the abilities of trainees within a procedural context, so trainees are able to practice what they have learned, while safely acquiring new abilities. We introduce a framework based on the Dave taxonomy of the psychomotor domain and implemented through the briefing-intraoperative-debriefing (BID) model that allows faculty and trainees to deliberately and collaboratively plan and monitor the cycle of psychomotor acquisition and development of mastery in any surgical context.
KeywordsBID Psychomotor skills Dave taxonomy Briefing Debriefing
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