Movement and attention, part of actions demonstrating fine/gross motor skills using precision instruments associated with intracorporeal knot tying and intracorporeal suturing in total hysterectomy. A fundamental of perceptual–motor learning is improvement of precision/consistency of spatial–temporal control of limbs. With demand for greater accountability/patient safety in health care delivery; effective surgical performance measurement is an absolute necessity. Multiple practice sessions, objective measurement of skills and delivering remote training leads to objective proficiency measurement system for movement that will be reliable, replicable, affordable.
Attention gives skilled performer an advantage in maximising efficiency of cognitive resources, which is important as such resources may be reduced in stressful/unpredictable situations. Expert performers have external focus of attention, concentrating on environment/task goal, while novices tend to focus on own movements. Expert performance can be affected by switching attention to internal processes. In intermediate stages of learning, attention may switch between internal processes and external factors.
Hysterectomy is one of the most common surgical procedures with younger people at greater risks of long-term congestive heart failure. Hysterectomy simulation is needed as an effective training strategy incorporating robust quality assurances that retention of skills remains stable beyond learning period to progress from safety of laboratory to operating room.
