Skill acquisition and stress adaptations following laparoscopic surgery training and detraining in novice surgeons

B.T. Crewther, K. Shetty, D. Jarchi, S. Selvadurai, C.J. Cook, D.R. Leff, A. Darzi, G.-Z. Yang

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

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 
Original languageEnglish
Pages (from-to)2961-2968
Number of pages8
JournalSurgical Endoscopy and Other Interventional Techniques
Volume30
Issue number7
DOIs
Publication statusPublished - 2016
Externally publishedYes

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Laparoscopy
Heart Rate
Near-Infrared Spectroscopy
Prefrontal Cortex
Workload
Medical Students
Hydrocortisone
Testosterone
Anxiety
Surgeons

Cite this

Crewther, B.T. ; Shetty, K. ; Jarchi, D. ; Selvadurai, S. ; Cook, C.J. ; Leff, D.R. ; Darzi, A. ; Yang, G.-Z. / Skill acquisition and stress adaptations following laparoscopic surgery training and detraining in novice surgeons. In: Surgical Endoscopy and Other Interventional Techniques. 2016 ; Vol. 30, No. 7. pp. 2961-2968.
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Skill acquisition and stress adaptations following laparoscopic surgery training and detraining in novice surgeons. / Crewther, B.T.; Shetty, K.; Jarchi, D.; Selvadurai, S.; Cook, C.J.; Leff, D.R.; Darzi, A.; Yang, G.-Z.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 30, No. 7, 2016, p. 2961-2968.

Research output: Contribution to journalArticle

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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.

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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 

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