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Can We Define or Measure Manual Skills in Surgical Training?

  • G. Neil-Dwyer
  • D. A. Lang
Conference paper
Part of the Acta Neurochirurgica Supplements book series (NEUROCHIRURGICA, volume 69)

Summary

Neurosurgery requires manual dexterity. But should tests be devised to assess manual skills as part of a selection process for training or used as a means of determining surgical competence?

The paper debates this fundamental question and proposes that manual skills for neurosurgical tasks need to be defined within the overall context of a recognised and fully assessed training programme. The importance of training as a means of transferring competence, part of which is manual skills, is emphasised. In conclusion the paper points out the inadequacy of solely measuring manual skills, were it possible, in assessing neurosurgical competence.

Keywords

Manual skills skill assessment manual dexterity 

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References

  1. 1.
    Annett M, Kilshaw D (1983) Estimating the parameters of the distribution of L-R differences in male and females. Br J Psychol 74:253–268PubMedCrossRefGoogle Scholar
  2. 2.
    Elliott M, Waldron JR, Anton BS (1995) Effects of exercise on dexterity. Percept Mot Skills 80:883–889CrossRefGoogle Scholar
  3. 3.
    Graham JW (1972) Substitution of perceptional motor ability test for chalk carving in Dental Admission Testing Program. J Dent Educ 36:9–14PubMedGoogle Scholar
  4. 4.
    Hancock PT, Hockley HF (1984) The effects of stress on hu-man performance. Fearon Pitman, Belmont CAGoogle Scholar
  5. 5.
    Neiss R (1988) Reconceptualying arousal: psychological states in motor performance. Psychol Bull 103:345–366PubMedCrossRefGoogle Scholar
  6. 6.
    Patkin M (1965) The hand has two grips: an aspect of surgical dexterity. Lancet i:1384Google Scholar
  7. 7.
    Peterson S (1974) The ADA chalk Carving test. J Dent Educ 38:11–15PubMedGoogle Scholar
  8. 8.
    Salcman M (1992) The education of a neurosurgery: the two cultures revisited. Neurosurgery 31:686–692PubMedCrossRefGoogle Scholar
  9. 9.
    Schueneman AL, Pickleman J, Hesslein R, et al (1984) Neuropyscholoigcal predictors of operative skill among gen-eral surgery residents. Surgery 96:288–295PubMedGoogle Scholar
  10. 10.
    Smith BG (1976) The value of tests of spatial and psychomotor ability in selecting dental students. Br Dent J 141:150–154PubMedCrossRefGoogle Scholar
  11. 11.
    Squire D, Giachind AA, Profitt AW, et al (1989) Objective comparison of manual dexterity in physicians and surgeons. Can J Surg 32:467–470PubMedGoogle Scholar
  12. 12.
    Thompson GW, Ahlawat K, Buie R (1979) Evaluation of the dental aptitude test components as predictors for dental school performance. Can Dent Assoc J 45:407–409Google Scholar
  13. 13.
    Ulmer FC (1976) The wax carving test. Quintessence Dent Technol 1:71–74PubMedGoogle Scholar
  14. 14.
    Wood Jones F (1949) Principles of anatomy as seen in the hand. Balliere, Tindall & Cox, LondonGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1997

Authors and Affiliations

  • G. Neil-Dwyer
    • 1
  • D. A. Lang
    • 1
  1. 1.Wessex Neurological CentreSouthampton University HospitalsSouthampton, HantsUK

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