Shaken and stirred: emotional state, cognitive load, and performance of junior residents in simulated resuscitation

Background: Patient resuscitation can be overwhelming for junior postgraduate medical residents due to its inherent complexity and high-stakes environment. Emotional states of unpleasant hyperarousal burden cognitive resources, contributing to cognitive overload and performance decline. Our objecti...

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Autores principales:	Shyan Van Heer, Nicholas Cofie, Gilmar Gutiérrez, Chandak Upagupta, Adam Szulewski, Timothy Chaplin
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2021
Materias:	Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/0ebb19007b6b453084f352f5022be2bf
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spelling	oai:doaj.org-article:0ebb19007b6b453084f352f5022be2bf2021-12-01T22:35:21ZShaken and stirred: emotional state, cognitive load, and performance of junior residents in simulated resuscitation10.36834/cmej.717601923-1202https://doaj.org/article/0ebb19007b6b453084f352f5022be2bf2021-11-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/71760https://doaj.org/toc/1923-1202 Background: Patient resuscitation can be overwhelming for junior postgraduate medical residents due to its inherent complexity and high-stakes environment. Emotional states of unpleasant hyperarousal burden cognitive resources, contributing to cognitive overload and performance decline. Our objective is to characterize the associations between pre-scenario emotional state and junior residents’ cognitive load and performance in a simulated-resuscitation, to provide evidence for informed curricular development. Methods: PGY-1 residents self-rated their emotional state before four simulated-resuscitation scenarios, and their cognitive load after. Faculty assessed performance with entrustment scores. Factor analysis identified the principal components of emotional state data. Linear regression models examined the relationship between pre-scenario emotional components, cognitive load, and performance scores. Results: 47/47 medical and surgical residents (100%) participated and completed Emotional State (99.5%) and Cognitive Load (98.9%) surveys. Positive invigoration and negative tranquility were the principal components. Pre-scenario tranquility was negatively associated with cognitive load (b= -0.23, p < 0.0001), and cognitive load was negatively associated with performance scores (b= -0.27, p < 0.0001). Pre-scenario invigoration was negatively associated with cognitive load (b=-0.18,p = 0.0001), and positively associated with performance scores (b= 0.08, p = 0.0193). Conclusion: Amongst junior residents participating in simulated resuscitation scenarios, pre-scenario agitation (negative tranquility) is associated with increased cognitive load, which itself is associated with lower performance scores. These findings suggest residency programs should consider developing curriculum aimed at modulating residents’ emotional agitation and reducing residents’ cognitive burden to improve resuscitation performance. Shyan Van HeerNicholas CofieGilmar GutiérrezChandak UpaguptaAdam SzulewskiTimothy ChaplinCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 12, Iss 5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Education (General) L7-991 Medicine (General) R5-920
spellingShingle	Education (General) L7-991 Medicine (General) R5-920 Shyan Van Heer Nicholas Cofie Gilmar Gutiérrez Chandak Upagupta Adam Szulewski Timothy Chaplin Shaken and stirred: emotional state, cognitive load, and performance of junior residents in simulated resuscitation
description	Background: Patient resuscitation can be overwhelming for junior postgraduate medical residents due to its inherent complexity and high-stakes environment. Emotional states of unpleasant hyperarousal burden cognitive resources, contributing to cognitive overload and performance decline. Our objective is to characterize the associations between pre-scenario emotional state and junior residents’ cognitive load and performance in a simulated-resuscitation, to provide evidence for informed curricular development. Methods: PGY-1 residents self-rated their emotional state before four simulated-resuscitation scenarios, and their cognitive load after. Faculty assessed performance with entrustment scores. Factor analysis identified the principal components of emotional state data. Linear regression models examined the relationship between pre-scenario emotional components, cognitive load, and performance scores. Results: 47/47 medical and surgical residents (100%) participated and completed Emotional State (99.5%) and Cognitive Load (98.9%) surveys. Positive invigoration and negative tranquility were the principal components. Pre-scenario tranquility was negatively associated with cognitive load (b= -0.23, p < 0.0001), and cognitive load was negatively associated with performance scores (b= -0.27, p < 0.0001). Pre-scenario invigoration was negatively associated with cognitive load (b=-0.18,p = 0.0001), and positively associated with performance scores (b= 0.08, p = 0.0193). Conclusion: Amongst junior residents participating in simulated resuscitation scenarios, pre-scenario agitation (negative tranquility) is associated with increased cognitive load, which itself is associated with lower performance scores. These findings suggest residency programs should consider developing curriculum aimed at modulating residents’ emotional agitation and reducing residents’ cognitive burden to improve resuscitation performance.
format	article
author	Shyan Van Heer Nicholas Cofie Gilmar Gutiérrez Chandak Upagupta Adam Szulewski Timothy Chaplin
author_facet	Shyan Van Heer Nicholas Cofie Gilmar Gutiérrez Chandak Upagupta Adam Szulewski Timothy Chaplin
author_sort	Shyan Van Heer
title	Shaken and stirred: emotional state, cognitive load, and performance of junior residents in simulated resuscitation
title_short	Shaken and stirred: emotional state, cognitive load, and performance of junior residents in simulated resuscitation
title_full	Shaken and stirred: emotional state, cognitive load, and performance of junior residents in simulated resuscitation
title_fullStr	Shaken and stirred: emotional state, cognitive load, and performance of junior residents in simulated resuscitation
title_full_unstemmed	Shaken and stirred: emotional state, cognitive load, and performance of junior residents in simulated resuscitation
title_sort	shaken and stirred: emotional state, cognitive load, and performance of junior residents in simulated resuscitation
publisher	Canadian Medical Education Journal
publishDate	2021
url	https://doaj.org/article/0ebb19007b6b453084f352f5022be2bf
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Shaken and stirred: emotional state, cognitive load, and performance of junior residents in simulated resuscitation

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