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Surgical Innovation, Vol. 15, No. 2, 143-147 (2008)
DOI: 10.1177/1553350608318452

Verbal Communication Improves Laparoscopic Team Performance

Shiliang Chang, MD

Department of Surgery, Maricopa Integrated Health System, Phoenix, Arizona

Erin Waid, BS

Minimally Invasive Surgery Program, Legacy Health System, Portland, Oregon

Danny V. Martinec, BS

Minimally Invasive Surgery Program, Legacy Health System, Portland, Oregon

Bin Zheng, MD, PhD

Minimally Invasive Surgery Program, Legacy Health System, Portland, Oregon, bzhengbc{at}hotmail.com

Lee L. Swanstrom, MD

Minimally Invasive Surgery Program, Legacy Health System, Portland, Oregon

The impact of verbal communication on laparoscopic team performance was examined. A total of 24 dyad teams, comprisied of residents, medical students, and office staff, underwent 2 team tasks using a previously validated bench model. Twelve teams (feedback groups) received instant verbal instruction and feedback on their performance from an instructor which was compared with 12 teams (control groups) with minimal or no verbal feedback. Their performances were both video and audio taped for analysis. Surgical backgrounds were similar between feedback and control groups. Teams with more verbal feedback achieved significantly better task performance (P = .002) compared with the control group with less feedback. Impact of verbal feedback was more pronounced for tasks requiring team cooperation (aiming and navigation) than tasks depending on individual skills (knotting). Verbal communication, especially the instructions and feedback from an experienced instructor, improved team efficiency and performance.

Key Words: Surgical training • team performance • communication • simulation • assessment


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