Cognitive ergonomics and robotic surgery
Cognitive ergonomics refer to mental resources and is associated with memory, sensory motor response, and perception. Cognitive workload (CWL) involves use of working memory (mental strain and effort) to complete a task. The three types of cognitive loads have been divided into intrinsic (dependent...
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description | Cognitive ergonomics refer to mental resources and is associated with memory, sensory motor response, and perception. Cognitive workload (CWL) involves use of working memory (mental strain and effort) to complete a task. The three types of cognitive loads have been divided into intrinsic (dependent on complexity and expertise), extraneous (the presentation of tasks) and germane (the learning process) components. The effect of robotic surgery on CWL is complex because the postural, visualisation, and manipulation ergonomic benefits for the surgeon may be offset by the disadvantages associated with team separation and reduced situation awareness. Physical fatigue and workflow disruptions have a negative impact on CWL. Intraoperative CWL can be measured subjectively post hoc with the use of self-reported instruments or objectively with real-time physiological response metrics. Cognitive training can play a crucial role in the process of skill acquisition during the three stages of motor learning: from cognitive to integrative and then to autonomous. Mentorship, technical practice and watching videos are the most common traditional cognitive training methods in surgery. Cognitive training can also occur with computer-based cognitive simulation, mental rehearsal, and cognitive task analysis. Assessment of cognitive skills may offer a more effective way to differentiate robotic expertise level than automated performance (tool-based) metrics. |
doi_str_mv | 10.1007/s11701-024-01852-7 |
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Cognitive workload (CWL) involves use of working memory (mental strain and effort) to complete a task. The three types of cognitive loads have been divided into intrinsic (dependent on complexity and expertise), extraneous (the presentation of tasks) and germane (the learning process) components. The effect of robotic surgery on CWL is complex because the postural, visualisation, and manipulation ergonomic benefits for the surgeon may be offset by the disadvantages associated with team separation and reduced situation awareness. Physical fatigue and workflow disruptions have a negative impact on CWL. Intraoperative CWL can be measured subjectively post hoc with the use of self-reported instruments or objectively with real-time physiological response metrics. Cognitive training can play a crucial role in the process of skill acquisition during the three stages of motor learning: from cognitive to integrative and then to autonomous. Mentorship, technical practice and watching videos are the most common traditional cognitive training methods in surgery. Cognitive training can also occur with computer-based cognitive simulation, mental rehearsal, and cognitive task analysis. Assessment of cognitive skills may offer a more effective way to differentiate robotic expertise level than automated performance (tool-based) metrics.</description><identifier>ISSN: 1863-2491</identifier><identifier>ISSN: 1863-2483</identifier><identifier>EISSN: 1863-2491</identifier><identifier>DOI: 10.1007/s11701-024-01852-7</identifier><identifier>PMID: 38441814</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Benchmarking ; Cognition & reasoning ; Cognitive ability ; Cognitive load ; Cognitive tasks ; Communication ; Decision making ; Electromyography ; Ergonomics ; Fatigue ; Heart rate ; Human performance ; Humans ; Laparoscopy ; Learning ; Medicine ; Medicine & Public Health ; Memory ; Minimally Invasive Surgery ; Physiology ; Review ; Robotic surgery ; Robotic Surgical Procedures - methods ; Robotics ; Simulation ; Situational awareness ; Surgeons ; Surgery ; Task complexity ; Training ; Urology ; Workflow ; Workloads</subject><ispartof>Journal of robotic surgery, 2024-03, Vol.18 (1), p.110-110, Article 110</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Cognitive workload (CWL) involves use of working memory (mental strain and effort) to complete a task. The three types of cognitive loads have been divided into intrinsic (dependent on complexity and expertise), extraneous (the presentation of tasks) and germane (the learning process) components. The effect of robotic surgery on CWL is complex because the postural, visualisation, and manipulation ergonomic benefits for the surgeon may be offset by the disadvantages associated with team separation and reduced situation awareness. Physical fatigue and workflow disruptions have a negative impact on CWL. Intraoperative CWL can be measured subjectively post hoc with the use of self-reported instruments or objectively with real-time physiological response metrics. Cognitive training can play a crucial role in the process of skill acquisition during the three stages of motor learning: from cognitive to integrative and then to autonomous. Mentorship, technical practice and watching videos are the most common traditional cognitive training methods in surgery. Cognitive training can also occur with computer-based cognitive simulation, mental rehearsal, and cognitive task analysis. 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Crowe, Philip</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-9e17b017050cb0e1698245223b179a5b2a764afefc082f711dcd77c5526a770e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Benchmarking</topic><topic>Cognition & reasoning</topic><topic>Cognitive ability</topic><topic>Cognitive load</topic><topic>Cognitive tasks</topic><topic>Communication</topic><topic>Decision making</topic><topic>Electromyography</topic><topic>Ergonomics</topic><topic>Fatigue</topic><topic>Heart rate</topic><topic>Human performance</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Learning</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Memory</topic><topic>Minimally Invasive Surgery</topic><topic>Physiology</topic><topic>Review</topic><topic>Robotic surgery</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Robotics</topic><topic>Simulation</topic><topic>Situational awareness</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Task complexity</topic><topic>Training</topic><topic>Urology</topic><topic>Workflow</topic><topic>Workloads</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Shing Wai</creatorcontrib><creatorcontrib>Crowe, Philip</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of robotic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Shing Wai</au><au>Crowe, Philip</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitive ergonomics and robotic surgery</atitle><jtitle>Journal of robotic surgery</jtitle><stitle>J Robotic Surg</stitle><addtitle>J Robot Surg</addtitle><date>2024-03-05</date><risdate>2024</risdate><volume>18</volume><issue>1</issue><spage>110</spage><epage>110</epage><pages>110-110</pages><artnum>110</artnum><issn>1863-2491</issn><issn>1863-2483</issn><eissn>1863-2491</eissn><abstract>Cognitive ergonomics refer to mental resources and is associated with memory, sensory motor response, and perception. Cognitive workload (CWL) involves use of working memory (mental strain and effort) to complete a task. The three types of cognitive loads have been divided into intrinsic (dependent on complexity and expertise), extraneous (the presentation of tasks) and germane (the learning process) components. The effect of robotic surgery on CWL is complex because the postural, visualisation, and manipulation ergonomic benefits for the surgeon may be offset by the disadvantages associated with team separation and reduced situation awareness. Physical fatigue and workflow disruptions have a negative impact on CWL. Intraoperative CWL can be measured subjectively post hoc with the use of self-reported instruments or objectively with real-time physiological response metrics. Cognitive training can play a crucial role in the process of skill acquisition during the three stages of motor learning: from cognitive to integrative and then to autonomous. 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subjects | Benchmarking Cognition & reasoning Cognitive ability Cognitive load Cognitive tasks Communication Decision making Electromyography Ergonomics Fatigue Heart rate Human performance Humans Laparoscopy Learning Medicine Medicine & Public Health Memory Minimally Invasive Surgery Physiology Review Robotic surgery Robotic Surgical Procedures - methods Robotics Simulation Situational awareness Surgeons Surgery Task complexity Training Urology Workflow Workloads |
title | Cognitive ergonomics and robotic surgery |
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