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Towards Supporting Intraoperative Coordination and Entrustment in Surgical Faculty-Resident Dyads: Looking Together ≠ Seeing the Same Thing

Published: 28 April 2022 Publication History

Abstract

Laparoscopic surgeries require a high degree of visuo-spatial coordination between attending and resident surgeons. The challenge is intensified when surgeons communicate verbally using visual cues. Most prior work in the space supports attending surgeons to give clearer instructions to residents. However, in order to achieve intraoperative success, shared understanding, coordination and trust between faculty-resident dyads is essential. Our work focuses on unpacking both attending and resident surgeons’ experiences during intraoperative operations. We perform an interview study with 6 attending and 3 resident surgeons, in which we ask participants to share their thoughts on the utility and feasibility of capturing surgical dyads’ joint visual attention (JVA) during live surgeries. We find that attending and resident surgeons have contrasting and complementary views about autonomy, communication and coordination during surgeries. We also see positive attitudes towards capturing surgeons’ visual attention during live surgeries and using the data to support communication, coordination and instruction.

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References

[1]
Michele Aresta, Angela Dibenedetto, and Eugenio Quaranta. 2016. State of the art and perspectives in catalytic processes for CO2 conversion into chemicals and fuels: The distinctive contribution of chemical catalysis and biotechnology. Journal of Catalysis 343(2016), 2–45.
[2]
Hajra Ashraf, Mikael H Sodergren, Nabeel Merali, George Mylonas, Harsimrat Singh, and Ara Darzi. 2018. Eye-tracking technology in medical education: A systematic review. Medical teacher 40, 1 (2018), 62–69.
[3]
Virginia Braun and Victoria Clarke. 2012. Thematic analysis.(2012).
[4]
Andrew SA Chetwood, Ka-Wai Kwok, Loi-Wah Sun, George P Mylonas, James Clark, Ara Darzi, and Guang-Zhong Yang. 2012. Collaborative eye tracking: a potential training tool in laparoscopic surgery. Surgical endoscopy 26, 7 (2012), 2003–2009.
[5]
Keane Evans-Harvey, Simon Erridge, Urvi Karamchandani, Sala Abdalla, Jasmine Winter Beatty, Ara Darzi, Sanjay Purkayastha, and Mikael H Sodergren. 2020. Comparison of surgeon gaze behaviour against objective skill assessment in laparoscopic cholecystectomy-a prospective cohort study. International Journal of Surgery 82 (2020), 149–155.
[6]
Yuanyuan Feng, Hannah McGowan, Azin Semsar, Hamid R Zahiri, Ivan M George, Adrian Park, Andrea Kleinsmith, and Helena Mentis. 2020. Virtual pointer for gaze guidance in laparoscopic surgery. Surgical endoscopy 34, 8 (2020), 3533–3539.
[7]
Nishan Gunawardena, Matscheko Michael, Anzengruber Bernhard, Ferscha Alois, Schobesberger Martin, Shamiyeh Andreas, Klugsberger Bettina, and Solleder Peter. 2019. Assessing surgeons’ skill level in laparoscopic cholecystectomy using eye metrics. In Proceedings of the 11th ACM Symposium on Eye Tracking Research & Applications. ACM, 1–8.
[8]
Florian Heinrich, Florentine Huettl, Gerd Schmidt, Markus Paschold, Werner Kneist, Tobias Huber, and Christian Hansen. 2021. HoloPointer: a virtual augmented reality pointer for laparoscopic surgery training. International Journal of Computer Assisted Radiology and Surgery 16, 1(2021), 161–168.
[9]
Rana SA Khan, Geoffrey Tien, M Stella Atkins, Bin Zheng, Ormond NM Panton, and Adam T Meneghetti. 2012. Analysis of eye gaze: Do novice surgeons look at the same location as expert surgeons during a laparoscopic operation?Surgical endoscopy 26, 12 (2012), 3536–3540.
[10]
Ka-Wai Kwok, Loi-Wah Sun, George P Mylonas, David RC James, Felipe Orihuela-Espina, and Guang-Zhong Yang. 2012. Collaborative gaze channelling for improved cooperation during robotic assisted surgery. Annals of biomedical engineering 40, 10 (2012), 2156–2167.
[11]
Nicole B Lyons, Karla Bernardi, Lillian Huang, Julie L Holihan, Deepa Cherla, Alexander C Martin, Alexis Milton, Michele Loor, Tien C Ko, Mike K Liang, 2019. Gender disparity in surgery: an evaluation of surgical societies. Surgical infections 20, 5 (2019), 406–410.
[12]
Ester Marín-Conesa, Francisco Sánchez-Ferrer, María Dolores Grima-Murcia, and María Luisa Sánchez-Ferrer. 2021. The Application of a System of Eye Tracking in Laparoscopic Surgery: A New Didactic Tool to Visual Instructions. Frontiers in surgery 8(2021).
[13]
Lee Richstone, Michael J Schwartz, Casey Seideman, Jeffrey Cadeddu, Sandra Marshall, and Louis R Kavoussi. 2010. Eye metrics as an objective assessment of surgical skill. Annals of surgery 252, 1 (2010), 177–182.
[14]
Gurjit Sandhu, Vahagn C Nikolian, Christopher P Magas, Robert B Stansfield, Danielle C Sutzko, Kaustubh Prabhu, Niki Matusko, and Rebecca M Minter. 2018. OpTrust: validity of a tool assessing intraoperative entrustment behaviors. Annals of surgery 267, 4 (2018), 670–676.
[15]
Lawrence W Way, Lygia Stewart, Walter Gantert, Kingsway Liu, Crystine M Lee, Karen Whang, and John G Hunter. 2003. Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective. Annals of surgery 237, 4 (2003), 460.
[16]
Mark Wilson, McGrath John, Vine Samuel, Brewer James, Defriend David, and Masters Richard. 2010. Psychomotor control in a virtual laparoscopic surgery training environment: gaze control parameters differentiate novices from experts. Surgical endoscopy 24, 10 (2010), 2458–2464.

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cover image ACM Conferences
CHI EA '22: Extended Abstracts of the 2022 CHI Conference on Human Factors in Computing Systems
April 2022
3066 pages
ISBN:9781450391566
DOI:10.1145/3491101
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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New York, NY, United States

Publication History

Published: 28 April 2022

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Author Tags

  1. Intraoperation Coordination
  2. Joint Visual Attention
  3. Surgical education
  4. Surgical training

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  • Poster
  • Research
  • Refereed limited

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CHI '22
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CHI '22: CHI Conference on Human Factors in Computing Systems
April 29 - May 5, 2022
LA, New Orleans, USA

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Overall Acceptance Rate 6,164 of 23,696 submissions, 26%

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