Coniotomie et analyse cognitive de taches

L’analyse cognitive de tâches est une « famille de techniques de recueil de connaissances qui ont démontrées leur efficacité pour extraire les processus cognitifs, décisionnels et de jugements inobservables impliqués lors d’une performance d’expert» (Yates 2007). L’intérêt de ce groupe de techniques est de rendre accessible à la conscience l’ensemble des étapes réalisées de façon automatiques par des experts.

Cette méthode moderne d'enseignement est très certainement d'un apport capital pour l'enseignement du sauvetage au combat. Ainsi il semble qu'elle peut s'appliquer à la coniotomie. C'est du moins ce que laisse supposer l'article suivant. 

 

The effectiveness of a cognitive task analysis informed curriculum to increase self-efficacy and improve performance for an open cricothyrotomy.

Campbell J.. et all J Surg Educ. 2011 Sep-Oct;68(5):403-7

Abstract

OBJECTIVE:

This study explored the effects of a cognitive task analysis (CTA)-informed curriculum to increase surgical skills performance and self-efficacy beliefs for medical students and postgraduate surgical residents learning how to perform an open cricothyrotomy.

METHODS:

Third-year medical students and postgraduate year 2 and 3 surgery residents were assigned randomly to either the CTA group (n = 12) or the control group (n = 14). The CTA group learned the open cricothyrotomy procedure using the CTA curriculum. The control group received the traditional curriculum.

RESULTS:

The CTA group outperformed the control group significantly based on a 19-point checklist score (CTA mean score: 17.75, standard deviation [SD] = 2.34; control mean score: 15.14, SD = 2.48; p = 0.006). The CTA group also reported significantly higher self-efficacy scores based on a 140-point self-appraisal inventory (CTA mean score: 126.10, SD = 16.90; control: 110.67, SD = 16.8; p = 0.029).

 

CONCLUSIONS:

The CTA curriculum was effective in increasing the performance and self-efficacy scores for postgraduate surgical residents and medical students performing an open cricothyrotomy.

 

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