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Validation of the NASA-TLX Score in Ongoing Assessment of Mental Workload During a Laparoscopic Learning Curve in Bariatric Surgery

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Temporal Stress in the Operating Room

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Evaluating Mental Workload of Two-Dimensional and Three-Dimensional Visualization for Anatomical Structure Localization

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Laparoscopic cholecystectomy poses physical injury risk to surgeons: analysis of hand technique and standing position

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Plastic Surgeon???s Life: Marvelous for Mind, Exhausting for Body

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Physical and Mental Workload in Single-Incision Laparoscopic Surgery and Conventional Laparoscopy

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Training improves laparoscopic tasks performance and decreases operator workload

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Retention of Mastoidectomy Skills After Virtual Reality Simulation Training

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Disparity in Frontal Lobe Connectivity on a Complex Bimanual Motor Task Aids in Classification of Operator Skill Level

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Mastering Instruments Before Operating on a Patient

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First Reported Use of Team Cognitive Workload for Root Cause Analysis in Cardiac Surgery

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Development of an Interactive Dashboard to Analyze Cognitive Workload of Surgical Teams During Complex Procedural Care

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Surgical Sabermetrics

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High-Fidelity Simulation to Assess Task Load Index and Performance: A Prospective Observational Study

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Surgical Video Summarization

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Sensors for Continuous Monitoring of Surgeon’s Cognitive Workload in the Cardiac Operating Room

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Ergonomic Assessment of Surgeon Characteristics and Laparoscopic Device Strain in Gynecologic Surgery

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Combined Gaze Metrics as Stress-Sensitive Indicators of Microsurgical Proficiency

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Evaluating the Mental Workload During Robot-Assisted Surgery Utilizing Network Flexibility of Human Brain

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Plastic Surgery Lockdown Learning during Coronavirus Disease 2019: Are Adaptations in Education Here to Stay?

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Simulation training with haptic feedback of instrument vibrations reduces resident workload during live robot-assisted sleeve gastrectomy

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Episodes of strain experienced in the operating room: impact of the type of surgery, the profession and the phase of the operation

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STUDY ON THE IMPACT OF COGNITIVE LOAD ON PERFORMANCE IN ENGINEERING DESIGN

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Pilot Study Using Neurofeedback as a Tool to Reduce Surgical Resident Burnout

Kratzke, I. M., Campbell, A., Yefimov, M. N., Mosaly, P. R., Adapa, K., Meltzer-Brody, S. E., Farrell, T. M., & Mazur, L. M. (2020) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2020.08.762 · Cited by 18 · see citing works

Crew Autonomy During Simulated Medical Event Management on Long Duration Space Exploration Missions

Yule, S., Robertson, J. M., Mormann, B., Smink, D. S., Lipsitz, S. R., Abahuje, E. A. E., Kennedy-Metz, L. R., Park, S., Miccile, C., Pozner, C. N., et al. (2022) · Human Factors The Journal of the Human Factors and Ergonomics Society · doi:10.1177/00187208211067575 · Cited by 17 · see citing works

Simulated skill complexity and perceived cognitive load during preclinical dental training

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Accelerated Skills Acquisition Protocol (ASAP) in optimizing robotic surgical simulation training: a prospective randomized study

Gurung, P. M. S., Campbell, T., Wang, B., Joseph, J., & Ghazi, A. (2019) · World Journal of Urology · doi:10.1007/s00345-019-02858-9 · Cited by 17 · see citing works

Use of eye tracking in medical education

Specian, F. C., Litchfield, D., Sandars, J. E., & Cecílio‐Fernandes, D. (2024) · Medical Teacher · doi:10.1080/0142159x.2024.2316863 · Cited by 15 · see citing works

Fundamentals of Microsurgery: A Novel Simulation Curriculum Based on Validated Laparoscopic Education Approaches

Chauhan, R., Ingersol, C. A., Wooden, W. A., Gordillo, G. M., Stefanidis, D., Hassanein, A. H., & Lester, M. E. (2022) · Journal of Reconstructive Microsurgery · doi:10.1055/a-2003-7425 · Cited by 15 · see citing works

Learning theories and principles in surgical education and technical learning

Tseng, J. (2020) · Journal of Surgical Oncology · doi:10.1002/jso.25936 · Cited by 15 · see citing works

Intelligent Interruption Management System to Enhance Safety and Performance in Complex Surgical and Robotic Procedures

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Impact of surgical non-technical skills on clinical outcomes: systematic review

Norton, J., Janda, A. M., Howie, E. E., Pohl, N., Abahuje, E. A. E., Harrington, S. D., Popov, V., Bauer, T., Borges, P., Roca, G. Q., et al. (2025) · British journal of surgery · doi:10.1093/bjs/znaf271 · Cited by 14 · see citing works

Cognitive Ergonomics: A Review of Interventions for Outpatient Practice

Li-Wang, J., Townsley, A., & Katta, R. (2023) · Cureus · doi:10.7759/cureus.44258 · Cited by 14 · see citing works

Dynamic Cognitive Load Assessment in Virtual Reality

Elkin, R. L., Beaubien, J., Damaghi, N., Chang, T. P., & Kessler, D. O. (2024) · Simulation & Gaming · doi:10.1177/10468781241248821 · Cited by 14 · see citing works

Cognitive Load Assessment Scales in Simulation

Greer, S. K., Jeffe, D. B., Manga, A., Murray, D. J., & Emke, A. R. (2022) · Simulation in Healthcare The Journal of the Society for Simulation in Healthcare · doi:10.1097/sih.0000000000000665 · Cited by 14 · see citing works

The Relationship Between Technical Skills, Cognitive Workload, and Errors During Robotic Surgical Exercises

Roberts, S. I., Cen, S., Nguyen, J. H., Perez, L. C., Medina, L. G., Ma, R., Marshall, S. P., Kocielnik, R., Anandkumar, A., & Hung, A. J. (2021) · Journal of Endourology · doi:10.1089/end.2021.0790 · Cited by 13 · see citing works

Association Between Operating Room Noise and Team Cognitive Workload in Cardiac Surgery

Kennedy-Metz, L. R., Arshanskiy, M., Keller, S., Arney, D. E., DIAS, R. D., & Zenati, M. A. (2022) · IEEE Conference on Cognitive and Computational Aspects of Situation Management (CogSIMA) · doi:10.1109/cogsima54611.2022.9830675 · Cited by 13 · see citing works

Revision Total Joint Arthroplasty Places a Disproportionate Burden on Surgeons: A Comparison Using the National Aeronautics and Space Administration Task Load Index (NASA TLX)

Panwar, K. S., Huish, E. G., Law, J. L., Deans, J. T., Staples, J. R., Eisemon, E. O., & Lum, Z. C. (2024) · The Journal of Arthroplasty · doi:10.1016/j.arth.2024.01.002 · Cited by 13 · see citing works

Mental workload evaluation using weighted phase lag index and coherence features extracted from EEG data

Shafiei, S. B., Shadpour, S., & Shafqat, A. (2024) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2024.110992 · Cited by 13 · see citing works

Feasibility of Wearable Sensors to Assess Cognitive Load During Clinical Performance: Lessons Learned and Blueprint for Success

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The Use of Augmented Reality as an Educational Tool in Minimally Invasive Transforaminal Lumbar Interbody Fusion

Schmidt, F. A., Hussain, I., Boadi, B. I., Sommer, F. J., Thomé, C., & Härtl, R. (2024) · Operative Neurosurgery · doi:10.1227/ons.0000000000001317 · Cited by 13 · see citing works

Factors Predicting Operative Difficulty of Laparoscopic Total Mesorectal Excision

Curtis, N. J., Thomas, C., Dennison, G., Ockrim, J. B., Conti, J. A., Dalton, R., Allison, A. S., & Francis, N. K. (2019) · Diseases of the Colon & Rectum · doi:10.1097/dcr.0000000000001490 · Cited by 13 · see citing works

Operative teaching takes “GUTS”: Impact of Educational Time Out on trainee's cognitive load

Han, A., Naples, R. F., French, J. C., Dragomirescu, C., Tu, C., & Lipman, J. M. (2022) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2022.03.037 · Cited by 12 · see citing works

Impact of minimally invasive surgery on surgeon health (ISSUE) study: protocol of a single-arm observational study conducted in the live surgery setting

Amirthanayagam, A., Zecca, M., Barber, S. R., Singh, B., & Moss, E. L. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-066765 · Cited by 12 · see citing works

Pupil Response in Visual Tracking Tasks: The Impacts of Task Load, Familiarity, and Gaze Position

Wu, Y., Zhang, Z., Zhang, Y., Zheng, B., & Aghazadeh, F. (2024) · Sensors · doi:10.3390/s24082545 · Cited by 12 · see citing works

Resolution of remitting seronegative symmetrical synovitis with pitting edema (RS3PE) during Nivolumab therapy for non-small cell lung cancer: a case report.

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A neurotechnological aid for semi-autonomous suction in robotic-assisted surgery

Barragan, J. A., Yang, J., Yu, D., & Wachs, J. P. (2022) · Scientific Reports · doi:10.1038/s41598-022-08063-w · Cited by 11 · see citing works

Augmented Cognition in the Operating Room

DIAS, R. D., Yule, S., & Zenati, M. A. (2020) · Springer eBooks · doi:10.1007/978-3-030-49100-0_19 · Cited by 11 · see citing works

Development of performance and learning rate evaluation models in robot-assisted surgery using electroencephalography and eye-tracking

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Handedness did not affect motor skill acquisition by the dominant hand or interlimb transfer to the non-dominant hand regardless of task complexity level

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Workload and influencing factors in non-emergency medical transfers: a multiple linear regression analysis of a cross-sectional questionnaire study

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The Haemostasis Traffic Light, a user‐centred coagulation management tool for acute bleeding situations: a simulation‐based randomised dual‐centre trial

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Effects of Team Size and a Decision Support Tool on Healthcare Providers' Workloads in Simulated Neonatal Resuscitation

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Objective Measurement of Learners’ Cognitive Load During Simulation-Based Trauma Team Training: A Pilot Study

Park, S. H., Goldberg, S. A., Al-Ballaa, A., Tayeb, B. O., Basurrah, M. A., Abahuje, E. A. E., Miccile, C., Pozner, C. N., Yule, S., & DIAS, R. D. (2022) · Journal of Surgical Research · doi:10.1016/j.jss.2022.06.023 · Cited by 9 · see citing works

Dynamic hierarchical learning of temporal-spatial-spectral EEG features with transformers for cognitive workload estimation

Zhang, J., Hua, Y., Gu, J., Chen, Y., & Yin, Z. (2022) · Chinese Control Conference (CCC) · doi:10.23919/ccc55666.2022.9902053 · Cited by 9 · see citing works

Training and proficiency level in endoscopic sinus surgery change residents’ eye movements

Niederhauser, L., Gunser, S., Waser, M., Mast, F. W., Caversaccio, M. D., & Anschuetz, L. (2023) · Scientific Reports · doi:10.1038/s41598-022-25518-2 · Cited by 9 · see citing works

Robotic-assisted versus laparoscopic bowel anastomoses: randomized crossover in vivo experimental study

Haney, C. M., Kowalewski, K., Schmidt, M. W., Lang, F., Bintintan, V. V., Fan, C., Wehrtmann, F. S., Studier‐Fischer, A., Felińska, E. A., Müller-Stich, B. P., et al. (2023) · Surgical Endoscopy · doi:10.1007/s00464-023-10044-7 · Cited by 9 · see citing works

Learning Intracorporeal Suture on Pelvitrainer Using a Robotized Versus Conventional Needle Holder

Siri, E., Crochet, P., Charavil, A., Netter, A., Resseguier, N., & Agostini, A. (2020) · Journal of Surgical Research · doi:10.1016/j.jss.2020.01.016 · Cited by 9 · see citing works

Tendencias y características de la realidad virtual

Vásquez‐Carbonell, M., & Ortega, J. I. S. (2020) · Computer and Electronic Sciences Theory and Applications · doi:10.17981/cesta.01.01.2020.04 · Cited by 9 · see citing works

Postprocedural Cognitive Load Measurement With Immediate Feedback to Guide Curriculum Development

Huckaby, L. V., Cyr, A. R., Handzel, R. M., Littleton, E. B., Crist, L. R., Luketich, J. D., Lee, K. K. W., & Dhupar, R. (2021) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2021.05.086 · Cited by 9 · see citing works

Perception of Physical Demand, Mental Demand, and Performance: A Comparison of Two Voice Interventions for Parkinson's Disease

Richardson, K., Huber, J. E., Kiefer, B., & Snyder, S. (2022) · American Journal of Speech-Language Pathology · doi:10.1044/2022_ajslp-22-00026 · Cited by 9 · see citing works

Granular estimation of user cognitive workload using multi-modal physiological sensors

Wang, J., Stevens, C., Bennett, W. R., & Yu, D. (2024) · Frontiers in Neuroergonomics · doi:10.3389/fnrgo.2024.1292627 · Cited by 8 · see citing works

Using Digital Biomarkers for Objective Assessment of Perfusionists’ Workload and Acute Stress During Cardiac Surgery

DIAS, R. D., Kennedy-Metz, L. R., Srey, R., Rance, G. C., Harari, R. E., Arney, D. E., Gombolay, M., & Zenati, M. A. (2023) · Lecture notes in computer science · doi:10.1007/978-3-031-34953-9_35 · Cited by 8 · see citing works

Emerging Applications for Computer Vision and Artificial Intelligence in Management of the Cardiovascular Patient

Osztrogonacz, P. J., Chinnadurai, P., & Lumsden, A. B. (2023) · Methodist DeBakey Cardiovascular Journal · doi:10.14797/mdcvj.1263 · Cited by 8 · see citing works

Analysis of Dynamic Changes in Cognitive Workload During Cardiac Surgery Perfusionists′ Interactions With the Cardiopulmonary Bypass Pump

Kennedy-Metz, L. R., DIAS, R. D., Srey, R., Rance, G. C., Conboy, H. M., Haime, M. E., Quin, J. A., Yule, S., & Zenati, M. A. (2020) · Human Factors The Journal of the Human Factors and Ergonomics Society · doi:10.1177/0018720820976297 · Cited by 8 · see citing works

Cognitive workload, complications and visual outcomes of phacoemulsification cataract surgery: Three-dimensional versus conventional microscope

Kelkar, A. S., Kelkar, J. A., Chougule, Y., Bolisetty, M., & Singhvi, P. (2021) · European Journal of Ophthalmology · doi:10.1177/11206721211062034 · Cited by 8 · see citing works

Online training module for micro suturing incorporating motor imagery and mental practice: a design and development research study

Rajaratnam, V., Ng, H. J. H., Rahman, N. A., & Dong, C. (2022) · ANZ Journal of Surgery · doi:10.1111/ans.17772 · Cited by 8 · see citing works

Assessing and evaluating the impact of operative vision compromise (OViC) on surgeons’ practice: a qualitative study

Nabeel, A., Al-Sabah, S. K., AlGhanim, K., Al-Roumi, D., Al-Basri, D., Ziyab, A. H., & Ashrafian, H. (2024) · International Journal of Surgery · doi:10.1097/js9.0000000000001958 · Cited by 7 · see citing works

Real-time cognitive workload assessment using non-intrusive methods: a systematic review

Basnet, N., & Zahabi, M. (2025) · Ergonomics · doi:10.1080/00140139.2025.2606779 · Cited by 7 · see citing works

Enhancing surgical training through cognitive load assessment

Wu, Y. H., Zhu, Y., & Zheng, B. (2025) · Laparoscopic Endoscopic and Robotic Surgery · doi:10.1016/j.lers.2025.06.001 · Cited by 5 · see citing works

Objective Assessment of Cognitive Workload in Surgery

Almukhtar, A., Caddick, V., Naik, R., Goble, M., Mylonas, G. P., Darzi, A. W., Orihuela‐Espina, F., & Leff, D. R. (2024) · Annals of Surgery · doi:10.1097/sla.0000000000006370 · Cited by 42 · see citing works

Méthodes d’évaluation de la charge cognitive et des facteurs inducteurs de stress des chirurgiens et anesthésistes au bloc opératoire

Sidhoum, L., Dormegny, L., Neumann, N., Rouby, A.-F., Sauer, A., Gaucher, D., Lejay, A., Chakfé, N., & Bourcier, T. (2023) · Journal Français d Ophtalmologie · doi:10.1016/j.jfo.2022.11.021 · Cited by 1 · see citing works

O160: Novel Monitoring of General Surgeons' Intraoperative Cognitive Load following Surgical Sabermetrics Principles

Howie, E. E., DIAS, R. D., Wigmore, S. J., Skipworth, R. J. E., & Yule, S. (2024) · British journal of surgery · doi:10.1093/bjs/znae046.064

Modelling techniques to assess surgeons' cognitive workload: a systematic review

Chen, B., Majumdar, A., Boyce, N., & Escribano, J. (2025) · Spiral (Imperial College London)