Description of the Dunning-Kruger effect in general surgery residents during laparoscopic cholecystectomy: a blinded prospective study.

Acta cirurgica brasileira Pub Date : 2024-07-01 eCollection Date: 2024-01-01 DOI:10.1590/acb393224
Breno Cordeiro Porto, Rodrigo Marcus Cunha Frati, Rafael Guisalberte Maltez, Amanda Ferreira da Silva Lima, Tatiane Alves Ferreira, Larissa Cunha Baron, Carlo Camargo Passerotti, Everson Luiz Artifon, José Pinhata Otoch, Jose Arnaldo Shiomi da Cruz
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Abstract

Purpose: The purpose of this study is to assess whether the Dunning-Kruger effect occurs in surgical residents when performing laparoscopic cholecystectomy in a porcine model.

Methods: Prospective blinded study, which counted with forty PGY-1 general surgery residents who agreed to participate in the study were blindly recruited to perform a laparoscopic cholecystectomy in a porcine model. At the end of the procedure, the participants assigned a score of 0-10 for their own performance and the video of the operation was independently assessed by 2 experienced laparoscopic surgeons using a validated tool.

Results: Participants were divided into groups of 10 individuals according to objective performance and compared. The group with the worst objective result was inferior to the group with the best objective result (3.77 ± 0.44 vs. 8.1 ± 0.44, p < 0.001), but they were similar in self-perception of performance (5.11 ± 1.69 vs. 6.1 ± 1.79, p = 0.999).

Conclusions: In the studied sample, it was possible to demonstrate the presence of the Dunning-Kruger effect.

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腹腔镜胆囊切除术中普外科住院医师邓宁-克鲁格效应的描述:一项盲法前瞻性研究。
目的:本研究旨在评估外科住院医师在猪模型中进行腹腔镜胆囊切除术时是否会出现邓宁-克鲁格效应:方法:前瞻性盲法研究,招募40名同意参与研究的普外科PGY-1住院医师在猪模型上进行腹腔镜胆囊切除术。手术结束后,参与者为自己的表现打0-10分,手术视频由两名经验丰富的腹腔镜外科医生使用有效工具独立评估:根据客观表现将参与者分为 10 人一组,并进行比较。客观结果最差的一组不如客观结果最好的一组(3.77 ± 0.44 vs. 8.1 ± 0.44,p < 0.001),但他们的自我感觉表现相似(5.11 ± 1.69 vs. 6.1 ± 1.79,p = 0.999):结论:在所研究的样本中,存在邓宁-克鲁格效应。
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