ProfessorRogerKneebone

Arora S, Aggarwal R, Sevdalis N, Moran A, Sirimanna P, Kneebone R, Darzi Aet al., 2010, Development and validation of mental practice as a training strategy for laparoscopic surgery, SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol: 24, Pages: 179-187, ISSN: 0930-2794

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• Citations: 70

Arora S, Hull L, Sevdalis N, Tierney T, Nestel D, Woloshynowych M, Darzi A, Kneebone Ret al., 2010, Factors compromising safety in surgery: stressful events in the operating room, AMERICAN JOURNAL OF SURGERY, Vol: 199, Pages: 60-65, ISSN: 0002-9610

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• Citations: 117

Wetzel CM, Black SA, Hanna GB, Athanasiou T, Kneebone RL, Nestel D, Wolfe JHN, Woloshynowych Met al., 2010, The effects of stress and coping on surgical performance during simulations., Ann Surg, Vol: 251, Pages: 171-176

OBJECTIVE: This study investigates the effects of surgeons' stress levels and coping strategies on surgical performance during simulated operations. METHODS: Thirty surgeons carried out each a non-crisis and a crisis scenario of a simulated operation. Surgeons' stress levels were assessed by several measures: self-assessments and observer ratings of stress, heart rate, heart rate variability, and salivary cortisol. Coping strategies were explored qualitatively and quantified to a coping score. Experience in surgery was included as an additional predictor. Outcome measures consisted of technical surgical skills using Objective Structured Assessment of Technical Skill (OSATS), nontechnical surgical skills using Observational Teamwork Assessment for Surgery (OTAS), and the quality of the operative end product using End Product Assessment (EPA). Uni- and multivariate linear regression were used to assess the independent effects of predictor variables on each performance measure. RESULTS: During the non-crisis simulation, a high coping score and experience significantly enhanced EPA (beta1, 0.279; 0.009-0.460; P= 0.04; beta2, 0.571; 4.328-12.669, P< 0.001; respectively). During the crisis simulation, a significant beneficial effect of the interaction of high experience and low stress on all performance measures was found (EPA: beta, 0.537; 2.079-8.543; OSATS: beta, 0.707; 8.708-17.860; OTAS: beta, 0.654; 13.090-30.483; P< 0.01). Coping significantly enhanced nontechnical skills (beta, 0.302; 0.117-1.624, P= 0.03). CONCLUSIONS: Clinicians' stress and coping influenced surgical performance during simulated operations. Hence, these are critical factors for the quality of health care.

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Kassab ES, King D, Hull LM, Arora S, Sevdalis N, Kneebone RL, Nestel Det al., 2010, Actor training for surgical team simulations, MEDICAL TEACHER, Vol: 32, Pages: 256-258, ISSN: 0142-159X

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• Citations: 17

Satpathy A, Kneebone R, 2010, Work place based surgical assessments: assessment for learning or assessment of learning? Surgeons' perceptions of learning benefits of assessments in surgical training, Electronic Poster of Distinction in Association-of-Surgeons-of-Great-Britain-and-Ireland-International-Surgical-Congress, Publisher: WILEY-BLACKWELL, Pages: 115-115, ISSN: 0007-1323

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Arora S, Aggarwal R, Sirimanna P, Kneebone R, Sevdalis Net al., 2010, Mental practice reduces stress in novice laparoscopic surgeons, Electronic Poster of Distinction in Association-of-Surgeons-of-Great-Britain-and-Ireland-International-Surgical-Congress, Publisher: WILEY-BLACKWELL, Pages: 120-120, ISSN: 0007-1323

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Bezemer J, Murtagh G, Cope A, Kress G, kneebone Ret al., 2010, "Scissors, Please": Shared understanding in surgical activity., Symbolic Interaction, Vol: 3, Pages: 398-414

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King D, Lee H, Lewis T, Di Marco A, Kneebone R, Darzi Aet al., 2010, New horizons in simulation training for endoscopic surgery., Asian Journal of Endoscopic Surgery, Pages: 1-7

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Kneebone R, Nestel D, 2010, Learning and teaching clinical procedures., Medical Education: Theory and Practice, Editors: Dornan, Mann, Scherpbier, Spencer, Edinburgh, Publisher: Churchill LIvinston Elsevier, Pages: 171-192, ISBN: 978-0702035227

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Kneebone R, Fry H, 2010, Principles and methods in qualitative research, Key Topics in Surgical Research and Methodology, Editors: Athanasiou, Debas, Darzi, Heidelberg, Publisher: Springer, Pages: 243-253

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Kneebone R, Arora S, King D, Bello F, Sevdalis N, Kassab E, Aggarwal R, Darzi A, Nestel Det al., 2010, Distributed simulation - Accessible immersive training, MEDICAL TEACHER, Vol: 32, Pages: 65-70, ISSN: 0142-159X

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• Citations: 84

Arora S, Sevdalis N, Suliman I, Athanasiou T, Kneebone R, Darzi Aet al., 2009, What makes a competent surgeon?: Experts' and trainees' perceptions of the roles of a surgeon, AMERICAN JOURNAL OF SURGERY, Vol: 198, Pages: 726-732, ISSN: 0002-9610

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• Citations: 65

Kneebone RL, 2009, Practice, Rehearsal, and Performance An Approach for Simulation-Based Surgical and Procedure Training, JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, Vol: 302, Pages: 1336-1338, ISSN: 0098-7484

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• Citations: 68

Kneebone R, 2009, Perspective: Simulation and Transformational Change: The Paradox of Expertise, ACADEMIC MEDICINE, Vol: 84, Pages: 954-957, ISSN: 1040-2446

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• Citations: 57

Kneebone R, Aggarwal R, 2009, Surgical training using simulation, BRITISH MEDICAL JOURNAL, Vol: 338, ISSN: 0959-8146

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• Citations: 41

Black SA, Nestel D, Tierney T, Amygdalos I, Kneebone R, Wolfe JHNet al., 2009, Gaining Consent for Carotid Surgery: A Simulation-Based Study of Vascular Surgeons, EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, Vol: 37, Pages: 134-139, ISSN: 1078-5884

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• Citations: 14

Pockney P, Primrose J, George S, Jayatilleke N, Leppard B, Smith H, Little P, Kneebone R, Lowy Aet al., 2009, Recognition of skin malignancy by general practitioners: observational study using data from a population-based randomised controlled trial, BRITISH JOURNAL OF CANCER, Vol: 100, Pages: 24-27, ISSN: 0007-0920

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• Citations: 17

LeBlanc VR, Tabak D, Kneebone R, Nestel D, MacRae H, Moulton C-Aet al., 2009, Psychometric properties of an integrated assessment of technical and communication skills, AMERICAN JOURNAL OF SURGERY, Vol: 197, Pages: 96-101, ISSN: 0002-9610

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• Citations: 55

Moulton C-A, Tabak D, Kneebone R, Nestel D, MacRae H, LeBlanc VRet al., 2009, Teaching communication skills using the integrated procedural performance instrument (IPPI): A randomized controlled trial, AMERICAN JOURNAL OF SURGERY, Vol: 197, Pages: 113-118, ISSN: 0002-9610

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• Citations: 43

Arora S, Undre S, Kneebone R, 2009, Simulation and MIS training, Simulation Training for Laparoscopic and Robotic Urologic Surgery, Editors: Patel, Joseph, Publisher: Springer

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Ellaway RH, Kneebone R, Lachapelle K, Topps Det al., 2009, Practica continua: Connecting and combining simulation modalities for integrated teaching, learning and assessment, MEDICAL TEACHER, Vol: 31, Pages: 725-731, ISSN: 0142-159X

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• Citations: 16

Kneebone R, Baillie S, 2008, Contextualized Simulation and Procedural Skills: A View from Medical Education, JOURNAL OF VETERINARY MEDICAL EDUCATION, Vol: 35, Pages: 595-598, ISSN: 0748-321X

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• Citations: 31

Kneebone R, Bello F, 2008, Surgical Simulation, Manual of simulation in healthcare, Editors: Riley, Oxford, UK, Publisher: Oxford University Press, Pages: 1-352, ISBN: 978-0-19-920585-1

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Nestel D, Bello F, Kneebone R, Akhtar K, Darzi Aet al., 2008, Remote assessment and learner-centred feedback on procedural skills, Clinical Teacher, Vol: 5, Pages: 88-92, ISSN: 1743-4971

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• Citations: 6

George S, Pockney P, Primrose J, Smith H, Little P, Kinley H, Kneebone R, Lowy A, Leppard B, Jayatilleke N, McCabe Cet al., 2008, A prospective randomised comparison of minor surgery in primary and secondary care. The MiSTIC trial, HEALTH TECHNOLOGY ASSESSMENT, Vol: 12, Pages: III-+, ISSN: 1366-5278

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• Citations: 29

Kneebone R, Nestel D, Bello F, Darzi Aet al., 2008, An integrated procedural performance instrument (IPPI) for learning and assessing procedural skills, Clinical Teacher, Vol: 5, Pages: 45-48, ISSN: 1743-4971

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• Citations: 14

Nestel DF, Black SA, Kneebone RL, Wetzel CM, Thomas P, Wolfe JHN, Darzi AWet al., 2008, Simulated anaesthetists in high fidelity simulations for surgical training: feasibility of a training programme for actors, MEDICAL TEACHER, Vol: 30, Pages: 407-413, ISSN: 0142-159X

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• Citations: 22

Kneebone R, Bello F, Nestel D, Mooney N, Codling A, Yadollahi F, Tierney T, Wilcockson D, Darzi Aet al., 2008, Learner-centred feedback using remote assessment of clinical procedures, MEDICAL TEACHER, Vol: 30, Pages: 795-801, ISSN: 0142-159X

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• Citations: 19

Nestel D, Cecchini M, Calandrini M, Chang L, Dutta R, Tierney T, Brown R, Kneebone Ret al., 2008, Real patient involvement in role development: evaluating patient focused resources for clinical procedural skills, MEDICAL TEACHER, Vol: 30, Pages: 534-536, ISSN: 0142-159X

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• Citations: 15

Kneebone R, Nestel D, Bello F, Darzi Aet al., 2008, An Integrated Procedural Performance Instrument (IPPI) for learning and assessing procedural skills, The Clinical Teacher, Vol: 1, Pages: 45-48

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