Authors studied the correlation between facilitation coaching, skill acquisition and physiologic stress in a simulation setting, controlling for self-monitoring ability. Of 24 medical students randomized, 12 received real-time coaching by a general surgery resident coach during a 30-min practice on the simulator. Results suggest that trainees who experienced more coaching demonstrate greater improvements in suturing skills yet increased heart rate variability. Students’ self-monitoring ability did not correlate with skill development.
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