Evaluating how residents talk and what it means for surgical performance in the simulation lab

We hypothesized that qualitative discourse analysis can distinguish procedural outcomes during a simulated procedure. Senior residents (N = 11) were recorded while performing a simulated laparoscopic ventral hernia (LVH) repair and discourse elements were created through an iterative process. Using epistemic network analysis, we modeled the structure of weighted connections among the discourse elements to generate dimensions of performance. Participants with more complete hernia repairs engaged in more operative management communication during the simulated procedure.

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