The Role of Anxiety in Simulation-Based Dexterity and Overall Performance: Does It Really Matter?

Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research
Fatema DhaifApostolos Papalois

Abstract

Essential Skills in the Management of Surgical Cases (ESMSC) is an international undergraduate surgical masterclass which combines ex vivo, dry lab and high fidelity in vivo simulation-based learning (SBL). It consists of 32 stations of skills-based learning, including open reduction internal fixation (ORIF) of fractures. Current literature suggests early involvement in skills-based learning at the undergraduate level is vital. To compare students' dexterity and skills-based performance with demographic and educational background parameters. 112 medical students from European Union countries including the United Kingdom, Germany, Greece, Cyprus, Germany, and Bulgaria were selected from a competitive pool of candidates to attend the course. Students undertook ORIF in an ex vivo swine model, and in a simulated fracture on a bamboo rod. Skills-based performance was assessed by two consultant surgeons with validated direct observation of procedural skills (DOPS) forms. Anxiety was self-assessed using the Westside Anxiety Scale prior to the ORIF stations. Dexterity was measured with the O'Connor tweezer dexterity test. Female students had significantly higher dexterity scores (median difference 7, p =.003). Right-handed students ach...Continue Reading

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