dc.contributor.author | Malhotra, N | |
dc.contributor.author | Poolton, JM | |
dc.contributor.author | Wilson, MR | |
dc.contributor.author | Fan, JK | |
dc.contributor.author | Masters, RS | |
dc.date.accessioned | 2016-02-25T14:08:42Z | |
dc.date.issued | 2014-05-13 | |
dc.description.abstract | BACKGROUND: Identifying personality factors that account for individual differences in surgical training and performance has practical implications for surgical education. Movement-specific reinvestment is a potentially relevant personality factor that has a moderating effect on laparoscopic performance under time pressure. Movement-specific reinvestment has 2 dimensions, which represent an individual's propensity to consciously control movements (conscious motor processing) or to consciously monitor their 'style' of movement (movement self-consciousness). OBJECTIVE: This study aimed at investigating the moderating effects of the 2 dimensions of movement-specific reinvestment in the learning and updating (cross-handed technique) of laparoscopic skills. METHODS: Medical students completed the Movement-Specific Reinvestment Scale, a psychometric assessment tool that evaluates the conscious motor processing and movement self-consciousness dimensions of movement-specific reinvestment. They were then trained to a criterion level of proficiency on a fundamental laparoscopic skills task and were tested on a novel cross-handed technique. Completion times were recorded for early-learning, late-learning, and cross-handed trials. RESULTS: Propensity for movement self-consciousness but not conscious motor processing was a significant predictor of task completion times both early (p = 0.036) and late (p = 0.002) in learning, but completion times during the cross-handed trials were predicted by the propensity for conscious motor processing (p = 0.04) rather than movement self-consciousness (p = 0.21). CONCLUSION: Higher propensity for movement self-consciousness is associated with slower performance times on novel and well-practiced laparoscopic tasks. For complex surgical techniques, however, conscious motor processing plays a more influential role in performance than movement self-consciousness. The findings imply that these 2 dimensions of movement-specific reinvestment have a differential influence in the learning and updating of laparoscopic skills. | en_GB |
dc.description.sponsorship | This work was supported by a GRF grant from the Research Grants Council, University Grants Committee, Hong Kong (HKU752211H). | en_GB |
dc.identifier.citation | Journal of Surgical Education, 2014, Vol. 71, Issue 6, pp. 798 - 804 | en_GB |
dc.identifier.doi | 10.1016/j.jsurg.2014.04.003 | |
dc.identifier.uri | http://hdl.handle.net/10871/20120 | |
dc.language.iso | en | en_GB |
dc.publisher | Elsevier | en_GB |
dc.relation.url | http://www.ncbi.nlm.nih.gov/pubmed/24831440 | en_GB |
dc.rights | © 2014. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | en_GB |
dc.subject | Medical Knowledge | en_GB |
dc.subject | Patient Care | en_GB |
dc.subject | Practice-Based Learning and Improvement | en_GB |
dc.subject | conscious control | en_GB |
dc.subject | cross-handed technique | en_GB |
dc.subject | laparoscopic training | en_GB |
dc.subject | personality factors | en_GB |
dc.subject | reinvestment | en_GB |
dc.subject | self-consciousness | en_GB |
dc.subject | Adult | en_GB |
dc.subject | Clinical Competence | en_GB |
dc.subject | Consciousness | en_GB |
dc.subject | Education, Medical, Undergraduate | en_GB |
dc.subject | Hong Kong | en_GB |
dc.subject | Humans | en_GB |
dc.subject | Laparoscopy | en_GB |
dc.subject | Male | en_GB |
dc.subject | Motor Skills | en_GB |
dc.subject | Movement | en_GB |
dc.subject | Psychometrics | en_GB |
dc.title | Conscious motor processing and movement self-consciousness: two dimensions of personality that influence laparoscopic training. | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2016-02-25T14:08:42Z | |
dc.identifier.issn | 1931-7204 | |
exeter.place-of-publication | United States | |
dc.description | Published | en_GB |
dc.description | Research Support, Non-U.S. Gov't | en_GB |
dc.identifier.journal | Journal of Surgical Education | en_GB |