The use of a cognitive task analysis-based multimedia program to teach surgical decision making in flexor tendon repair

Am J Surg. 2008 Jan;195(1):11-5. doi: 10.1016/j.amjsurg.2007.08.052.

Abstract

Background: The aim of this study was to compare the surgical knowledge of residents before and after receiving a cognitive task analysis-based multimedia teaching module.

Methods: Ten plastic surgery residents were evaluated performing flexor tendon repair on 3 occasions. Traditional learning occurred between the first and second trial and served as the control. A teaching module was introduced as an intervention between the second and third trial using cognitive task analysis to illustrate decision-making skills.

Results: All residents showed improvement in their decision-making ability when performing flexor tendon repair after each surgical procedure. The group improved through traditional methods as well as exposure to our talk-aloud protocol (P > .01). After being trained using the cognitive task analysis curriculum the group displayed a statistically significant knowledge expansion (P < .01).

Conclusions: Residents receiving cognitive task analysis-based multimedia surgical curriculum instruction achieved greater command of problem solving and are better equipped to make correct decisions in flexor tendon repair.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Clinical Competence
  • Cognition*
  • Curriculum
  • Decision Making*
  • Educational Measurement
  • Humans
  • Multimedia
  • Plastic Surgery Procedures / education*
  • Surgery, Plastic / education*
  • Task Performance and Analysis
  • Teaching
  • Tendons / surgery