000			03464nam a22005657a 4500
008			170614s20172017 xxu||||| |||| 00| 0 eng d
022			_a1878-7452
040			_aOvid MEDLINE(R)
099			_a28552418
245			_aDetermining the Effect of External Stressors on Laparoscopic Skills and Performance Between Obstetrics and Gynecology Residents.
251			_aJournal of Surgical Education. 74(5):862-866, 2017 Sep - Oct.
252			_aJ Surg Educ. 74(5):862-866, 2017 Sep - Oct.
253			_aJournal of surgical education
260			_c2017
260			_fFY2017
266			_d2017-06-14
520			_aCONCLUSION: Our work confirmed that while under stress residents were more efficient, this translated into their ability to complete tasks faster in all the tested skills. Efficiency, however, came at the expense of accuracy.
520			_aCopyright � 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
520			_aDESIGN CLASSIFICATION: Prospective cohort.
520			_aDESIGN: Observational prospective cohort study.
520			_aINTERVENTION: We assessed 4 basic laparoscopic skills at 2 sessions. The first session was the baseline; 6 months later the same skills were assessed under audiovisual stressors. We compared the effect of stress on accuracy and efficiency between the 2 sessions.
520			_aMEASUREMENTS AND MAIN RESULTS: A linear model was used to analyze time. Under stress, residents were more efficient in 3 of the 4 modules. Ring transfer (hand-eye coordination and bimanual dexterity), p = 0.0304. Ring of fire (bimanual dexterity and measure of depth perception), p = 0.0024 and dissection glove (respect of delicate tissue planes), p = 0.0002. Poisson regression was used to analyze the total number of penalties. Residents were more likely to acquire penalties under stress. Ring transfer, p = 0.0184 and cobra (hand-to-hand coordination), p = 0.0487 yielded a statistically significant increase in penalties in the presence of stressors. Dissection glove p = 0.0605 yielded a nonsignificant increase in penalties.
520			_aPARTICIPANTS (PATIENTS): Thirty-one obstetrics and gynecology residents, postgraduate years 1 to 4.
520			_aSETTING: Urban teaching university hospital.
520			_aSTUDY OBJECTIVE: To evaluate the effect of stress on laparoscopic skills between obstetrics and gynecology residents.
546			_aEnglish
650			_a*Clinical Competence
650			_a*Gynecologic Surgical Procedures/ed [Education]
650			_a*Laparoscopy/ed [Education]
650			_a*Laparoscopy/px [Psychology]
650			_a*Obstetric Surgical Procedures/es [Ethics]
650			_aAdult
650			_aCohort Studies
650			_aEducation, Medical, Graduate/mt [Methods]
650			_aFemale
650			_aHumans
650			_aInternship and Residency/mt [Methods]
650			_aMale
650			_aProspective Studies
650			_aPsychomotor Performance
650			_aSimulation Training
650			_aStress, Psychological
651			_aMedStar Washington Hospital Center
656			_aObstetrics and Gynecology
657			_aJournal Article
700			_aRobinson, James
790			_aAbi Khalil ED, Krapf J, Kumar D, Marfori C, Moawad GN, Robinson J, Tyan P
856			_uhttps://dx.doi.org/10.1016/j.jsurg.2017.03.001 _zhttps://dx.doi.org/10.1016/j.jsurg.2017.03.001
942			_cART _dArticle
999			_c3447 _d3447