TY - JOUR
T1 - Skill acquisition and stress adaptations following laparoscopic surgery training and detraining in novice surgeons
AU - Crewther, B.T.
AU - Shetty, K.
AU - Jarchi, D.
AU - Selvadurai, S.
AU - Cook, C.J.
AU - Leff, D.R.
AU - Darzi, A.
AU - Yang, G.-Z.
N1 - Funding Information:
This project was supported by the Elite Sport Performance Research in Training with Pervasive Sensing Programme (EP/H009744/1), funded by the Engineering and Physical Sciences Research Council, and UK Sport.
Funding Information:
Research funds This project was supported by the Elite Sport Performance Research in Training with Pervasive Sensing Programme (EP/H009744/1), funded by the Engineering and Physical Sciences Research Council, and UK Sport.
Publisher Copyright:
© 2015, Springer Science+Business Media New York.
PY - 2016
Y1 - 2016
N2 - Background: Surgical training and practice is stressful, but adaptive changes in the stress circuitry (e.g. perceptual, physiological, hormonal, neural) could support skill development. This work examined skill acquisition and stress adaptations in novice surgeons during laparoscopic surgery (LS) training and detraining. Methods: Twelve medical students were assessed for skill performance after 2 h (BASE), 5 h (MID) and 8 h (POST) of LS training in weeks 1–3, and then after 4 weeks of no training (RETEST). The stress outcomes included state anxiety, perceived stress and workload, heart rate (HR), heart rate variability (HRV), and salivary testosterone and cortisol concentrations. Functional near-infrared spectroscopy was used to assess cortical oxygenation change, as a marker of prefrontal cortex (PFC) activity. Results: Skill performance improved in every session from BASE (p
AB - Background: Surgical training and practice is stressful, but adaptive changes in the stress circuitry (e.g. perceptual, physiological, hormonal, neural) could support skill development. This work examined skill acquisition and stress adaptations in novice surgeons during laparoscopic surgery (LS) training and detraining. Methods: Twelve medical students were assessed for skill performance after 2 h (BASE), 5 h (MID) and 8 h (POST) of LS training in weeks 1–3, and then after 4 weeks of no training (RETEST). The stress outcomes included state anxiety, perceived stress and workload, heart rate (HR), heart rate variability (HRV), and salivary testosterone and cortisol concentrations. Functional near-infrared spectroscopy was used to assess cortical oxygenation change, as a marker of prefrontal cortex (PFC) activity. Results: Skill performance improved in every session from BASE (p
KW - Cortisol
KW - Motor learning
KW - Neural
KW - Prefrontal cortex
KW - Saliva
KW - Testosterone
UR - http://www.scopus.com/inward/record.url?scp=84944937265&partnerID=8YFLogxK
UR - http://www.mendeley.com/research/skill-acquisition-stress-adaptations-following-laparoscopic-surgery-training-detraining-novice-surge
U2 - 10.1007/s00464-015-4584-0
DO - 10.1007/s00464-015-4584-0
M3 - Article
SN - 1432-2218
VL - 30
SP - 2961
EP - 2968
JO - Surgical Endoscopy and Other Interventional Techniques
JF - Surgical Endoscopy and Other Interventional Techniques
IS - 7
ER -