Journal of Surgical Education
Volume 67, Issue 2 , Pages 66-70 , March 2010

Performance Goals on Simulators Boost Resident Motivation and Skills Laboratory Attendance

Presented at the Surgical Forum on Education, American College of Surgeons, San Francisco, CA, October 2008.

  • Dimitrios Stefanidis, MD

      Affiliations

    • Department of General Surgery, Carolinas Medical Center, Charlotte, North Carolina
    • Carolinas Simulation Center, Carolinas Medical Center, Charlotte, North Carolina
    • Corresponding Author InformationCorrespondence: Inquiries to Dimitrios Stefanidis, MD, Carolinas Simulation Center, Division of Gastrointestinal and Minimally Invasive Surgery, Department of General Surgery, Carolinas Medical Center, 1000 Blythe Boulevard, MEB 601, Charlotte, NC 28203; tel: (704) 355-5114; fax: (704) 355-5619
  • ,
  • Christina E. Acker

      Affiliations

    • Carolinas Simulation Center, Carolinas Medical Center, Charlotte, North Carolina
  • ,
  • Frederick L. Greene, MD

      Affiliations

    • Department of General Surgery, Carolinas Medical Center, Charlotte, North Carolina

References 

  1. Seymour NE, Gallagher AG, Roman SA, et al. Virtual reality training improves operating room performance: Results of a randomized, double-blinded study. Ann Surg. 2002;236:458–463Discussion:463-464
  2. Korndorffer JR, Dunne JB, Sierra R, et al. Simulator training for laparoscopic suturing using performance goals translates to the operating room. J Am Coll Surg. 2005;201:23–29
  3. Stefanidis D, Acker C, Heniford BT. Proficiency-based laparoscopic simulator training leads to improved operating room skill that is resistant to decay. Surg Innov. 2008;15:69–73
  4. Stefanidis D, Korndorffer JR, Markley S, Sierra R, Scott DJ. Proficiency maintenance: Impact of ongoing simulator training on laparoscopic skill retention. J Am Coll Surg. 2006;202:599–603
  5. Stefanidis D, Acker CE, Swiderski D, Heniford BT, Greene FL. Challenges during the implementation of a laparoscopic skills curriculum in a busy general surgery residency program. J Surg Educ. 2008;65:4–7
  6. Chang L, Petros J, Hess DT, Rotondi C, Babineau TJ. Integrating simulation into a surgical residency program: Is voluntary participation effective?. Surg Endosc. 2007;21:418–421
  7. Scott DJ, Dunnington GL. The new ACS/APDS Skills Curriculum: moving the learning curve out of the operating room. J Gastrointest Surg. 2008;12:213–221
  8. Madan AK, Harper JL, Taddeucci RJ, Tichansky DS. Goal-directed laparoscopic training leads to better laparoscopic skill acquisition. Surgery. 2008;144:345–350
  9. Gonzalez R, Bowers SP, Smith CD, Ramshaw BJ. Does setting specific goals and providing feedback during training result in better acquisition of laparoscopic skills?. Am Surg. 2004;70:35–39
  10. Ahlberg G, Enochsson L, Gallagher AG, et al. Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg. 2007;193:797–804
  11. Ritter EM, Scott DJ. Design of a proficiency-based skills training curriculum for the fundamentals of laparoscopic surgery. Surg Innov. 2007;14:107–112
  12. Ericsson KA. Deliberate practice and acquisition of expert performance: a general overview. Acad Emerg Med. 2008;15:988–994
  13. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79:S70–S81
  14. Issenberg SB, McGaghie WC, Petrusa ER, Lee GD, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review. Med Teach. 2005;27:10–28
  15. Stefanidis D, Korndorffer JR, Markley S, et al. Closing the gap in operative performance between novices and experts: Does harder mean better for laparoscopic simulator training?. J Am Coll Surg. 2007;205:307–313
  16. Stefanidis D, Scerbo MW, Korndorffer JR, Scott DJ. Redefining simulator proficiency using automaticity theory. Am J Surg. 2007;193:502–506
  17. Magill RA. Motor Learning and Control. In: Concepts and Applications. 7th ed.. New York: McGraw-Hill; 2004;

 The authors have no financial or personal relationships with people or organizations that could inappropriately bias their work. No financial support was received for this study.

PII: S1931-7204(10)00025-5

doi: 10.1016/j.jsurg.2010.02.002

Journal of Surgical Education
Volume 67, Issue 2 , Pages 66-70 , March 2010