Is there a role for the use of aviation assessment instruments in surgical training preparation? A feasibility study

Stolk-Vos, Aline C; Heres, Marion; Kesteloo, Jasper; Verburg, Dick; Hiddema, F; Lie, Désirée; Korne, Dirk de

doi:10.1136/postgradmedj-2016-133984

Cited by 5 publications

(6 citation statements)

References 28 publications

(38 reference statements)

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“…Theme Three: VSA aptitude testing Twenty-four articles discussed VSA aptitude testing for entry into surgical programs (Table S4). Stolk-Vos and colleagues 86 explored the feasibility of aptitude testing of medical trainees using the Computerized Pilot Aptitude and Screening System (COMPASS). While testing of surgical candidates was deemed feasible, it is unknown whether the COMPASS can predict surgical performance.…”

Section: Theme One: Vsa and Surgical Performancementioning

confidence: 99%

“…While testing of surgical candidates was deemed feasible, it is unknown whether the COMPASS can predict surgical performance. 86 A systematic review by Maan et al 18 concluded that intermediate-and high-level VSA, specifically on measures of perception, can predict surgical skill acquisition and ability. As such, Maan et al 18 suggested that VSA be used to assess candidates for surgical programs.…”

Section: Theme One: Vsa and Surgical Performancementioning

confidence: 99%

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Recent evidence on visual-spatial ability in surgical education: A scoping review

et al. 2020

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Background: Understanding the relationships between structures is critical for surgical trainees. However, the heterogeneity of the literature on visual-spatial ability (VSA) in surgery makes it challenging for educators to make informed decisions on incorporating VSA into their programs. We conducted a scoping review of the literature on VSA in surgery to provide a map of the literature and identify where gaps still exist for future research. Methods: We searched databases until December 2019 using keywords related to VSA and surgery. The resulting articles were independently screened by two researchers for inclusion in our review. Results: We included 117 articles in the final review. Fifty-nine articles reported significant correlations between VSA tests and surgical performance, and this association is supported by neuroimaging studies. However, it remains unclear whether VSA should be incorporated into trainee selection and whether there is a benefit of three-dimensional (3D) over two-dimensional (2D) training. Conclusions: It appears that VSA correlates with surgical performance in the simulated environment, particularly for novice learners. Based on our findings, we make suggestions for how surgical educators may use VSA to support novice learners. Further research should determine whether VSA remains correlated to surgical performance when trainees move into the operative environment.

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Section: Theme One: Vsa and Surgical Performancementioning

confidence: 99%

Section: Theme One: Vsa and Surgical Performancementioning

confidence: 99%

Recent evidence on visual-spatial ability in surgical education: A scoping review

et al. 2020

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“…The academic results and theoretic paper tests are evaluated for medical students who want to become surgeons without evaluating technical and non-technical abilities, whereas, in case of candidate pilots, they are expected to undergo some personality and sensorimotor tests to check their aptitude before getting admission in a flight school. 11…”

Section: Introductionmentioning

confidence: 99%

“…10 Surgeons, as well as pilots, perform critical functions in a high-risk situation, in a specific well-defined environment and with the use of technology. 11 In spite of these similarities, the selection process for surgeons and pilots is completely different. The academic results and theoretic paper tests are evaluated for medical students who want to become surgeons without evaluating technical and nontechnical abilities, whereas, in case of candidate pilots, they are expected to undergo some personality and sensorimotor tests to check their aptitude before getting admission in a flight school.…”

Section: Introductionmentioning

confidence: 99%

“…The academic results and theoretic paper tests are evaluated for medical students who want to become surgeons without evaluating technical and nontechnical abilities, whereas, in case of candidate pilots, they are expected to undergo some personality and sensorimotor tests to check their aptitude before getting admission in a flight school. 11 On the basis of these similarities between the surgeons and pilots, a literature review was done regarding NTS in surgery, with the aim to find out if the "aptitude" of the surgeons should be evaluated in the selection process and to evaluate the role of training these skills in surgeons.…”

Section: Introductionmentioning

confidence: 99%

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Psychological aptitude for surgery: The importance of non-technical skills

et al. 2019

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Introduction: Psychological aptitude for surgery includes all the non-technical abilities that are necessary for the surgeons. However, differently from the other careers, these skills are not considered in the selection process and their role is definitively underestimated in the field of surgery. We perform a literature review of non-technical skills for surgery to identify their role and to understand how to train and evaluate these abilities among the surgeons. Results: Different methods have been presented for the evaluation and training of non-technical skills for surgeons; based on the model of aviation and anesthesia a wide range of simulated scenarios have been proposed to practice these aptitudes and abilities. Different behavioral markers systems have been developed for correct identification and definition of these skills, these can be used in the real surgical room and even learned and trained in the simulated operating theatre. Conclusion: This article shows the importance of non-practical abilities in the surgical performance and in defining the aptitude for surgery. Learning these skills and introducing them in surgical education can be useful to improve the surgical performance.

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