Background: In recent years, we have established an entry-level Forward Surgical Team (FST) training program in a Chinese military medical university for the 5th grade undergraduates, who would be deployed to differen...Background: In recent years, we have established an entry-level Forward Surgical Team (FST) training program in a Chinese military medical university for the 5th grade undergraduates, who would be deployed to different military medical services as primary combat surgeons. This study aimed to assess the role of this pre-service training in improving their confidence with combat medical skills, after several years since they received the training. Methods: We conducted a nationwide survey of 239 primary combat surgeons who have ever participated in an entry-level FST training program before deployment between June 2016 and June 2020, which was for evaluating on a 5-point Likert scale the benefits of entry-level FST training and conventional surgery training in improving their confidence with combat medical skills. The difference in scores was compared using the student t-test. Significance was considered as P Results: The total score was significantly higher for entry-level FST training than that for conventional surgery training (30.76 ± 4.33 vs. 28.95 ± 4.80, P There was no significant difference between the training for surgical skills confidence scores (18.03 ± 8.04 vs. 17.51 ± 8.30, P = 0.098), but for non-technical skills, the score of entry-level FST training was significantly higher than that of conventional surgery training (12.73 ± 5.39 vs. 11.44 ± 5.62, P The distributions of confidence scores were different under various subgroups by demographics. There were no significant differences in scores between the two training in all specific surgical skill sets except “life-saving surgery” (P = 0.011). Scores of all 4 non-technical skill sets were significantly higher for entry-level FST than those for conventional surgery training (P Conclusions: The training should be considered as an essential strategy to improve confidence in combat medical skills, especially life-saving surgery and non-technical skills, for primary combat surgeons.展开更多
Objective:Interpersonal brain synchronization(IBS)has emerged as a significant concept in understanding collaborative team dynamics,with functional near-infrared spectroscopy(fNIRS)proving to be a vital tool in its as...Objective:Interpersonal brain synchronization(IBS)has emerged as a significant concept in understanding collaborative team dynamics,with functional near-infrared spectroscopy(fNIRS)proving to be a vital tool in its assessment.This review aims to collate and analyze the literature on the application of fNIRS in various team settings,emphasizing its potential utility in surgical environments.Methods:A thorough search and screening process across multiple databases resulted in 17 studies being reviewed,with a focus on the utilization of fNIRS to measure IBS in different collaborative tasks.This review examined the tasks employed,participant demographics,organizational structures of teams,methodologies for IBS measurement,and correlations between brain synchronization and behavioral measurements.Results:fNIRS emerged as a non-invasive,cost-effective,and portable tool,predominantly used to assess IBS in pair-based tasks with a variety of participant demographics.Wavelet transform coherence was the primary method used for measuring synchronization,particularly in the prefrontal brain region.A consistent correlation was found between increased brain synchronization and enhanced team performance,underscoring the potential of fNIRS in understanding and optimizing team dynamics.Conclusion:This review establishes fNIRS as a promising tool for investigating the neural mechanisms underlying team cooperation,providing invaluable insights for potential applications in surgical settings.While acknowledging the limitations in the current literature,the review highlights the need for further research with larger sample sizes and varied task complexities to solidify the understanding of IBS and its impact on team performance.The ultimate goal is to leverage fNIRS in assessing and improving surgical team dynamics,contributing to improved patient outcomes and safety.展开更多
Aim:To examine the significance of team collaboration in the context of complex laparoscopic surgery,laparoscopic tasks performed by single operators are compared against that of dyad teams.Methods:The laparoscopic ta...Aim:To examine the significance of team collaboration in the context of complex laparoscopic surgery,laparoscopic tasks performed by single operators are compared against that of dyad teams.Methods:The laparoscopic tasks require subjects to reach,grasp and transport a ring through a rollercoaster obstacle using a pair of laparoscopic graspers.The task was performed either bimanually(using both hands)or unimanually(using their preferred hands)in a dyad team.Results:Twelve participants completed all the tasks.The dyad teams recorded significantly greater number of anticipatory movements than individuals who performed the task bimanually(p<0.05).However,there is no significant difference in the task completion time(p=0.701)and the number of errors(p=0.860)recorded between the dyad and the bimanual group.Conclusion:Compared to a single operator,dyad operators performed the task with greater number of anticipatory movements.The increased movement synchronization can help benefit surgical education and team training.展开更多
文摘Background: In recent years, we have established an entry-level Forward Surgical Team (FST) training program in a Chinese military medical university for the 5th grade undergraduates, who would be deployed to different military medical services as primary combat surgeons. This study aimed to assess the role of this pre-service training in improving their confidence with combat medical skills, after several years since they received the training. Methods: We conducted a nationwide survey of 239 primary combat surgeons who have ever participated in an entry-level FST training program before deployment between June 2016 and June 2020, which was for evaluating on a 5-point Likert scale the benefits of entry-level FST training and conventional surgery training in improving their confidence with combat medical skills. The difference in scores was compared using the student t-test. Significance was considered as P Results: The total score was significantly higher for entry-level FST training than that for conventional surgery training (30.76 ± 4.33 vs. 28.95 ± 4.80, P There was no significant difference between the training for surgical skills confidence scores (18.03 ± 8.04 vs. 17.51 ± 8.30, P = 0.098), but for non-technical skills, the score of entry-level FST training was significantly higher than that of conventional surgery training (12.73 ± 5.39 vs. 11.44 ± 5.62, P The distributions of confidence scores were different under various subgroups by demographics. There were no significant differences in scores between the two training in all specific surgical skill sets except “life-saving surgery” (P = 0.011). Scores of all 4 non-technical skill sets were significantly higher for entry-level FST than those for conventional surgery training (P Conclusions: The training should be considered as an essential strategy to improve confidence in combat medical skills, especially life-saving surgery and non-technical skills, for primary combat surgeons.
文摘Objective:Interpersonal brain synchronization(IBS)has emerged as a significant concept in understanding collaborative team dynamics,with functional near-infrared spectroscopy(fNIRS)proving to be a vital tool in its assessment.This review aims to collate and analyze the literature on the application of fNIRS in various team settings,emphasizing its potential utility in surgical environments.Methods:A thorough search and screening process across multiple databases resulted in 17 studies being reviewed,with a focus on the utilization of fNIRS to measure IBS in different collaborative tasks.This review examined the tasks employed,participant demographics,organizational structures of teams,methodologies for IBS measurement,and correlations between brain synchronization and behavioral measurements.Results:fNIRS emerged as a non-invasive,cost-effective,and portable tool,predominantly used to assess IBS in pair-based tasks with a variety of participant demographics.Wavelet transform coherence was the primary method used for measuring synchronization,particularly in the prefrontal brain region.A consistent correlation was found between increased brain synchronization and enhanced team performance,underscoring the potential of fNIRS in understanding and optimizing team dynamics.Conclusion:This review establishes fNIRS as a promising tool for investigating the neural mechanisms underlying team cooperation,providing invaluable insights for potential applications in surgical settings.While acknowledging the limitations in the current literature,the review highlights the need for further research with larger sample sizes and varied task complexities to solidify the understanding of IBS and its impact on team performance.The ultimate goal is to leverage fNIRS in assessing and improving surgical team dynamics,contributing to improved patient outcomes and safety.
基金The author appreciates the support from Francesca Seal for assisting with data collection and David Pinzon for technical assistance throughout the project.This work was funded by the Wynne Rigal Summer Research Award to Bo Bao,Faculty of Medicine and Dentistry,University of Alberta and the Royal Alexandra Hospital Foundation(Grant no.Res00066823)MIS Research Funds to Dr.Bin Zheng.
文摘Aim:To examine the significance of team collaboration in the context of complex laparoscopic surgery,laparoscopic tasks performed by single operators are compared against that of dyad teams.Methods:The laparoscopic tasks require subjects to reach,grasp and transport a ring through a rollercoaster obstacle using a pair of laparoscopic graspers.The task was performed either bimanually(using both hands)or unimanually(using their preferred hands)in a dyad team.Results:Twelve participants completed all the tasks.The dyad teams recorded significantly greater number of anticipatory movements than individuals who performed the task bimanually(p<0.05).However,there is no significant difference in the task completion time(p=0.701)and the number of errors(p=0.860)recorded between the dyad and the bimanual group.Conclusion:Compared to a single operator,dyad operators performed the task with greater number of anticipatory movements.The increased movement synchronization can help benefit surgical education and team training.
