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Acquisition, retention and transfer of simulated laparoscopic tasks using fNIR and a contextual interference paradigm
Journal article   Open access   Peer reviewed

Acquisition, retention and transfer of simulated laparoscopic tasks using fNIR and a contextual interference paradigm

Patricia A Shewokis, Faiz U Shariff, Yichuan Liu, Hasan Ayaz, Andres Castellanos and D. Scott Lind
The American journal of surgery, v 213(2), pp 336-345
Feb 2017
PMID: 28041606
url
https://doi.org/10.1016/j.amjsurg.2016.11.043View
Accepted (AM)Open Access (Publisher-Specific) Open

Abstract

Laparoscopic skill acquisition Contextual interference Simulation fNIR
Using functional near infrared spectroscopy, a noninvasive, optical brain imaging tool that monitors changes in hemodynamics within the prefrontal cortex (PFC), we assessed performance and cognitive effort during the acquisition, retention and transfer of multiple simulated laparoscopic tasks by novice learners within a contextual interference paradigm. Third-year medical students (n = 10) were randomized to either a blocked or random practice schedule. Across 3 days, students performed 108 acquisition trials of 3 laparoscopic tasks on the LapSim® simulator followed by delayed retention and transfer tests. Performance metrics (Global score, Total time) and hemodynamic responses (total hemoglobin (μm)) were assessed during skill acquisition, retention and transfer. All acquisition tasks resulted in significant practice schedule X trial block interactions for the left medial anterior PFC. During retention and transfer, random performed the skills in less time and had lower total hemoglobin change in the right dorsolateral PFC than blocked. Compared with blocked, random practice resulted in enhanced learning through better performance and less cognitive load for retention and transfer of simulated laparoscopic tasks.

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Collaboration types
Domestic collaboration
Web of Science research areas
Surgery
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