Expertise in perception during robotic surgery (ExPeRtS): What we see and what we say - 28/08/22
, Joseph Lin b, Rana Higgins c, Patricia S. O'Sullivan b, d, Emily Huang eAbstract |
Background |
Given the challenges of teaching in robotic operating rooms, we sought to investigate the language of perceptual expertise used by robotic surgeons, in an effort to improve current approaches to robotic training.
Methods |
Expert robotic surgeons reviewed 8 anonymous video clips portraying key portions of two robotic general surgery procedures and their comments were recorded and transcribed. Using content analysis, each transcript was double-coded and reconciled using a consensus developed codebook.
Results |
Seventeen expert robotic surgeons participated and comments formed two primary themes: visual comprehension and surgical technique. Surgeons minimally used tactile language. Risk avoidance was a second-order theme dominating language used.
Conclusions |
Experts occasionally used tactile language and emphasized risk avoidance as they observed robotic surgery. Despite the need to communicate perceptual expertise to trainees in robotic surgery, tactile language was not exhibited by expert surgeons, revealing an important future area of focus for intraoperative teaching skills.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | Robotic surgeons use perceptual expertise to guide intraoperative decision making. |
• | Content analysis of surgeons' describing robotic surgery revealed 2 themes: visual comprehension and surgical technique. |
• | Surgeons minimally used tactile language. |
• | An emphasis on risk avoidance suggests negative knowledge (knowing what not to do) is critical for surgical expertise. |
• | Curriculum addressing techniques, instruments or surgical approaches may promote acquisition of negative knowledge. |
• | Acquisition of negative knowledge augments perceptual expertise in surgery. |
Keywords : Robotic surgery, Surgical education, Perceptual expertise
Mappa
Vol 224 - N° 3
P. 908-913 - settembre 2022 Ritorno al numero
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