Implementation results of a novel comprehensive mental skills curriculum during simulator training.


BACKGROUND:Mental skills training refers to the implementation of cognitive performance-enhancing strategies to promote optimal performance. We aimed to develop a surgery-specific mental skills curriculum (MSC) and obtain initial evidence of efficacy. METHODS:The developed MSC consisted of 8 proven performance-enhancing modules. Its efficacy was assessed during laparoscopic simulator-based practice by novices using validated instruments of mental skills, workload, and stress, in addition to a skill transfer test to a porcine model. A paired t test was used to analyze the data. RESULTS:Nine surgical novices completed the curriculum. Compared with baseline assessment, participants improved significantly their laparoscopic performance and mental skills after completion of the MSC. All participants completed the task in the porcine model without an appreciable change in their perceived stress. During the skill transfer test, 8 participants were observed using mental skills taught in the MSC. CONCLUSIONS:A surgery-specific simulator-based MSC was developed, and its efficacy in improving mental skills and surgical performance was supported during a surgical skill transfer test.


Am J Surg


Stefanidis D,Anton NE,McRary G,Howley LD,Pimentel M,Davis C,Yurco AM,Sevdalis N,Brown C




Has Abstract


2017-02-01 00:00:00














  • Evaluation of intestinal mucosal permeability function in patients with acute pancreatitis.

    abstract::This study aims to evaluate the intestinal mucosal permeability in patients with acute pancreatitis. The lactulose:mannitol (L:M) ratio was used to assess permeability. It is an inexpensive and quite reliable method. The intestinal permeability was increased in patients with acute pancreatitis compared with the contro...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Nagpal K,Minocha VR,Agrawal V,Kapur S

    更新日期:2006-07-01 00:00:00

  • Use of the nephrocholedochoscope in vascular surgery.

    abstract::The nephrocholedochoscope designed for inspection of the ductal system of the urinary and bladder tracts has proved to be a useful method for examining the denuded vessel wall after limited blind endarterectomy. This technic is especially helpful in endarterectomy of the common iliac arteries and also has application ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Davies OG Jr

    更新日期:1976-11-01 00:00:00

  • Strategies for building an effective mentoring relationship.

    abstract::Mentoring has been recognized as a critical aspect of the professional and/or personal development of the student, resident or faculty member. This career development resource discusses strategies for building effective mentoring relationships and outlines some of the challenges to contemporary mentoring. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Sanfey H,Hollands C,Gantt NL

    更新日期:2013-11-01 00:00:00

  • Open abdomen in liver transplantation.

    abstract:INTRODUCTION:Damage control laparotomy with vacuum assisted closure (VAC) is used for selective cases in trauma. In liver transplantation, VAC has also been applied for management of intra-operative hemorrhage. The primary objective was to evaluate peri-operative blood loss and blood product utilization in VAC compared...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Chan T,Bleszynski MS,Youssef DS,Segedi M,Chung S,Scudamore CH,Buczkowski AK

    更新日期:2018-05-01 00:00:00

  • Lasers in endoscopic gastrointestinal surgery.

    abstract::Lasers have been used for endoscopic gastrointestinal surgery at our institution since 1977. The argon and Nd-YAG lasers are valuable for coagulating upper gastrointestinal hemorrhage, arteriovenous malformations, and benign and malignant lesions, as well as a variety of anatomic anomalies. Between December 1977 and S...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Hunter JG,Bowers JH,Burt RW,Sullivan JJ,Stevens SL,Dixon JA

    更新日期:1984-12-01 00:00:00

  • Clinical and hemodynamic results of bypass to isolated tibial artery segments for ischemic ulceration of the foot.

    abstract::Patients with ischemic ulceration of the foot and no continuous tibial or inframalleolar vessels acceptable for bypass are often treated with primary amputation. We have performed autogenous vein bypass to isolated tibial artery segments (ITAS) in nine patients with ischemic foot ulcers and no other outflow options. W...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Belkin M,Welch HJ,Mackey WC,O'Donnell TF Jr

    更新日期:1992-09-01 00:00:00

  • Intraoperative nerve monitoring is associated with a lower risk of recurrent laryngeal nerve injury: A national analysis of 17,610 patients.

    abstract:BACKGROUND:Based on current evidence, the benefit of intraoperative nerve monitoring (IONM) in thyroid surgery is equivocal. METHODS:All patients who underwent planned thyroid surgery in the 2016-2018 ACS NSQIP procedure-targeted thyroidectomy dataset were included. Multivariable regression analyses were performed to ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Kim J,Graves CE,Jin C,Duh QY,Gosnell JE,Shen WT,Suh I,Sosa JA,Roman SA

    更新日期:2020-10-16 00:00:00

  • Slowed rate of gastric emptying of solid food in man by high caloric parenteral nutrition.

    abstract::We studied the effect of high caloric parenteral nutrition on the rate of gastric emptying of solid food. The linear pattern of gastric emptying was not altered by parenteral nutrition, but the gastric emptying rate was consistently slowed. The degree of slowing of gastric emptying while on parenteral nutrition correl...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: MacGregor IL,Wiley ZD,Lavigne ME,Way LW

    更新日期:1979-11-01 00:00:00

  • The economic and logistical burden of care for severe work-related injuries in a level 1 tertiary care trauma referral center.

    abstract:BACKGROUND:Work-related injuries (WRIs) represent a significant economic and logistical burden to healthcare systems. METHODS:All patients with severe WRIs (Injury Severity Score [ISS] ≥ 12) (1995 to 2013) were compared with patients with non-WRIs using standard methodology (P < .05). RESULTS:A total of 1,270 (8.5%) ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Robertson-More C,Wells BJ,Nickerson D,Kirkpatrick AW,Ball CG

    更新日期:2015-09-01 00:00:00

  • Completed FDA feasibility trial of surgically placed temporary diaphragm pacing electrodes: A promising option to prevent and treat respiratory failure.

    abstract:BACKGROUND:Etiologies contributing to failure to wean from mechanical ventilation (MV) are multiple, resulting in morbid and costly outcomes. Diaphragm pacing (DP) is used in spinal cord injury to replace MV. Temporary DP could be utilized in acute respiratory failure to reduce MV. METHODS:A prospective FDA feasibilit...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章


    authors: Onders RP,Markowitz A,Ho VP,Hardacre J,Novitsky Y,Towe C,Elmo M,Kaplan C,Schilz R

    更新日期:2018-03-01 00:00:00

  • A prospective randomized trial demonstrating valved implantable ports have fewer complications and lower overall cost than nonvalved implantable ports.

    abstract:BACKGROUND:The purpose of the current study was to evaluate whether a totally implanted valved subcutaneous port system would have fewer complications as compared to a standard nonvalved port. METHODS:Study subjects requiring port placement were randomized to receive a valved port (PASV; Boston Scientific, Natick, MA)...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Carlo JT,Lamont JP,McCarty TM,Livingston S,Kuhn JA

    更新日期:2004-12-01 00:00:00

  • Hemodynamic performance of carotid artery shunts.

    abstract::Although the use of shunts for carotid artery surgery remains controversial, the hemodynamics of the shunts currently available have not been carefully evaluated in vivo. We developed an animal model using contralateral carotid artery ligation, which produced ipsilateral carotid blood flows (640 +/- 44 ml/min) and int...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Aufiero TX,Thiele BL,Rossi JA,Miller CA,Neumyer MM

    更新日期:1989-08-01 00:00:00

  • Human percutaneous laser angioplasty. Patient selection criteria and early results.

    abstract::Percutaneous transluminal laser angioplasty is a new method for treating atherosclerotic disease previously not amenable to routine percutaneous transluminal angioplasty techniques. Our results compared favorably with other clinical trials. Patient selection criteria include lesions in the superficial femoral or popli...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Fleisher HL 3rd,Thompson BW,McCowan TC,Ferris EJ,Reifsteck JE,Barnes RW

    更新日期:1987-12-01 00:00:00

  • Indications and results for transduodenal sphincteroplasty in the era of endoscopic sphincterotomy.

    abstract:BACKGROUND:Transduodenal sphincterotomy (TS) has fallen into disuse since endoscopists developed techniques to treat sphincter problems nonsurgically. However, some patients experience recurrent sphincter strictures after endoscopic sphincterotomy (ES), with the ampulla endoscopically inaccessible, and pancreas divisum...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Miccini M,Amore Bonapasta S,Gregori M,Bononi M,Fornasari V,Tocchi A

    更新日期:2010-08-01 00:00:00

  • Palliative operations for pancreatic cancer in the hospitals of the U.S. Department of Veterans Affairs from 1987 to 1991.

    abstract::A total of 1,180 patients underwent palliative surgery for pancreatic cancer in the 158 hospitals of the U.S. Department of Veterans Affairs from 1987 to 1991. Using computerized data files, we analyzed these procedures according to type of procedure (gastric bypass only [GO], biliary bypass only [BO], or combined bil...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Neuberger TJ,Wade TP,Swope TJ,Virgo KS,Johnson FE

    更新日期:1993-12-01 00:00:00

  • Reconstruction of the portal vein using a peritoneal patch-graft.

    abstract:BACKGROUND:Reconstruction of the portal vein with autologous veins requires extra incisions. Prosthetic material is associated with an increased risk of infection. We therefore created an animal model of portal vein reconstruction using the peritoneum. METHODS:A 2.5 x 2.5 cm piece of the peritoneum was resected from L...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Yoshioka M,Onda M,Tajiri T,Akimaru K,Mineta S,Hirakata A,Takubo K

    更新日期:2001-03-01 00:00:00

  • Thrombotic thrombocytopenic purpura: indications for and results of splenectomy.

    abstract:BACKGROUND:Thrombotic thrombocytopenic purpura (TTP) is a rare, life-threatening disorder of unknown pathophysiology. The role of splenectomy in the multimodality therapy of TTP is controversial. MATERIALS AND METHODS:All charts of patients with TTP at the University of Utah between 1984 and 1994 were reviewed to eval...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Winslow GA,Nelson EW

    更新日期:1995-12-01 00:00:00

  • Inflammatory properties of bile from dogs with pigment gallstones.

    abstract:BACKGROUND:Gallbladder inflammation and mucus hypersecretion are prominent features of cholesterol and pigment gallstones in humans and animals. The factors leading to inflammation and mucus hypersecretion are poorly understood. These studies examine the inflammatory potential of bile from dogs with pigment gallstones....

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Rege RV,Prystowsky JB

    更新日期:1996-01-01 00:00:00

  • Is immediate chest radiograph necessary after central venous catheter placement in a surgical intensive care unit?

    abstract:BACKGROUND:Current standard of care dictates that central venous catheter (CVC) insertion should be followed by an immediate chest radiograph to confirm appropriate position and rule out complications. We hypothesized that a subset of monitored intensive care unit patients exists that is at low risk for complications a...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Bailey SH,Shapiro SB,Mone MC,Saffle JR,Morris SE,Barton RG

    更新日期:2000-12-01 00:00:00

  • Extrathoracic repair of branch occlusions of the aortic arch.

    abstract::Thirty extrathoracic operations in twenty-six patients with occlusive disease involving the primary branches of the aortic arch were reviewed. Spanning a fourteen year experience, these operations included carotid-subclavian artery bypass, retrograde common carotid artery thrombectomy, carotid-carotid artery bypass, a...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Moore WS,Malone JM,Goldstone J

    更新日期:1976-08-01 00:00:00

  • Rural surgeons' perspectives on necessity of post-residency training are stable across generations.

    abstract:BACKGROUND:Training future rural surgeons is critical, but training needs are unclear. We hypothesize perspectives on necessity of subspecialty training differ among rural surgeons by generational cohort. METHODS:An online survey was sent to ACS Rural Surgery Listserv subscribers. Closed-ended elements were analyzed u...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究


    authors: Hughes D,Cook MR,Deal SB,Hughes TG,Sarap M,Brasel K,Alseidi A

    更新日期:2019-02-01 00:00:00

  • Advanced and recurrent squamous carcinoma of the lower lip.

    abstract::The results of aggressive surgical treatment of primary lip cancer and advanced and recurrent carcinoma of the lip are illustrated and discussed. Early detection of involved lymph nodes before capsular penetration occurs and careful and complete dissection of the submental and submandibular regions are advocated as po...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Brown RG,Poole MD,Calamel PM,Bakamjian VY

    更新日期:1976-10-01 00:00:00

  • Ultrasonic imaging during biliary and pancreatic surgery.

    abstract::Real-time ultrasound scanning was used during operations on the biliary tract and pancreas. The principal application in biliary surgery was to evaluate the common bile duct for presence of calculi. Our initial experience indicates that operative ultrasonography compares favorably with operative cholangiography. In pa...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Sigel B,Coelho JC,Spigos DG,Donahue PE,Wood DK,Nyhus LM

    更新日期:1981-01-01 00:00:00

  • Hypercalcemia of seven years' duration after kidney transplantation.

    abstract::A case is reported of hypercalcemia persisting for seven years after kidney transplantation, with normocalcemia being achieved after subtotal parathyriodectomy. The finding of post-transplantation hyperparathyroidism of this extreme duration, in association with several other reports of hyperparathyroidism persisting ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Bigos ST,Neer RM,Goar WT

    更新日期:1976-07-01 00:00:00

  • Thymoma: a ten year review.

    abstract::The histopathology, clinical features, treatment, and results are reported in twenty-nine patients with thymoma. Benign and malignant thymomas are differentiated by their invasive characteristics. Surgical excision is recommended for benign lesions. Surgical excision and postoperative irradiation are recommended for m...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Gerein AN,Srivastava SP,Burgess J

    更新日期:1978-07-01 00:00:00

  • Circulating thyroglobulin mRNA does not predict early and midterm recurrences in patients undergoing thyroidectomy for cancer.

    abstract:BACKGROUND:The aim of the present study was to evaluate if serum Tg mRNA assay predicts recurrence in patients undergoing thyroidectomy for cancer. METHODS:Sixty-four consecutive patients undergoing surgery between April 1997 and July 1999 were studied. One year after surgery, blood samples were taken for serum thyrog...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Lombardi CP,Bossola M,Princi P,Boscherini M,La Torre G,Raffaelli M,Traini E,Salvatori M,Pontecorvi A,Bellantone R

    更新日期:2008-09-01 00:00:00

  • Recurrent ventricular tachycardia: how effective is surgical management?

    abstract::Previous "blind" surgical intervention for recurrent, sustained ventricular tachycardia has been disappointing. Successful surgical intervention requires that a local arrhythmia circuit be interrupted, ablated, or disengaged from the adjacent healthy myocardium while incurring minimal injury to the remaining functiona...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Harken AH,Josephson ME

    更新日期:1983-06-01 00:00:00

  • The impact of perioperative warm-up jackets on surgical site infection: cost without benefit?

    abstract:BACKGROUND:On July 1st, 2012, the University of Minnesota Medical Centers adopted a policy requiring all personnel to wear cover jackets in perioperative areas. This policy is based on the Association of Perioperative Registered Nurses recommended practice for cover jacket usage. We hypothesized that the cover jacket p...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Chow CJ,Hayes LM,Saltzman DA

    更新日期:2016-11-01 00:00:00

  • Sentinel lymph node dissection provides axillary control equal to complete axillary node dissection in breast cancer patients with lobular histology and a negative sentinel node.

    abstract:OBJECTIVE:Invasive lobular carcinoma (ILC) presents special challenges to treating physicians because of the diffuse infiltrative growth pattern. As sentinel lymph node dissection (SLND) is rapidly replacing axillary lymph node dissection (ALND) in the management of patients with early-stage breast cancer, we sought to...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Khakpour N,Hunt KK,Kuerer HM,Yi M,Meric-Bernstam F,Ross MI,Lucci A

    更新日期:2005-10-01 00:00:00

  • Clinical significance of preoperative neutrophil-lymphocyte vs platelet-lymphocyte ratio in primary operable patients with non-small cell lung cancer.

    abstract:BACKGROUND:Our aim was to determinate the prognostic value of neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) in primary operable patients with non-small cell lung cancer (NSCLC). METHODS:Six hundred seventy-eight NSCLC patients were enrolled in this study. The prognostic significance of both mar...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Zhang H,Xia H,Zhang L,Zhang B,Yue D,Wang C

    更新日期:2015-09-01 00:00:00