A structured, extended training program to facilitate adoption of new techniques for practicing surgeons

Greenberg, Jacob A.; Jolles, Sally; Sullivan, Sarah; Quamme, Sudha Pavuluri; Funk, Luke M.; Lidor, Anne O.; Greenberg, Caprice; Pugh, Carla M.

doi:10.1007/s00464-017-5662-2

Cited by 21 publications

(15 citation statements)

References 24 publications

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“…29 Targeted training interventions involving simulation or expert coaching, especially for busy surgeons already in practice, may increase adoption and have shown success in laparoscopic ventral hernia repair, as well as in inguinal hernia on a smaller scale. 30,31 In contrast, recommending training and education for all surgeons not currently performing MIS is not feasible and is unlikely to result in the desired practice change. For patients with bilateral or recurrent inguinal hernias, healthcare delivery system reform may be the preferred intervention to improve access and increase guideline-concordant practice.…”

Section: Discussionmentioning

confidence: 99%

Surgeon utilization of minimally invasive techniques for inguinal hernia repair: a population-based study

Gunaseelan

Krapohl

et al. 2018

Surg Endosc

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Section: Discussionmentioning

confidence: 99%

Surgeon utilization of minimally invasive techniques for inguinal hernia repair: a population-based study

Gunaseelan

Krapohl

et al. 2018

Surg Endosc

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“…Full length videos were used in the Wisconsin Surgical Coaching Program. 9 However, despite being a small group of dedicated volunteer coaches (n ¼ 8) and a small group of eager individuals desiring to be coached (n ¼ 12), none of the groups completed the program as planned with 4 full video reviews over the year. Participants cited workload and time constraints as one of the primary reasons for not completing the program as planned.…”

Section: Use Of Full Videomentioning

confidence: 99%

“…6e8 In addition, surgical videos have also been used to facilitate surgical coaching. 9 It is notable that when surgical video is used in these capacities, there is significant variability in the implementation procedures. Moreover, despite the growing use of surgical videos, there is still a notable gap in the use of video for formative and summative assessment.…”

Section: Introductionmentioning

confidence: 99%

The what? How? And Who? Of video based assessment

Pugh

Hashimoto

Korndorffer

2021

The American Journal of Surgery

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Background: Currently, there is significant variability in the development, implementation and overarching goals of video review for assessment of surgical performance. Methods: This paper evaluates the current methods in which video review is used for evaluation of surgical performance and identifies which processes are critical for successful, widespread implementation of video-based assessment. Results: Despite the advances in video capture technology and growing interest in video-based assessment, there is a notable gap in the implementation and longitudinal use of formative and summative assessment using video. Conclusion: Validity, scalability and discoverability are current but removable barriers to video-based assessment.

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“…In healthcare, data to support coaching have been generated primarily in the context of clinical quality and patient safety. 45,51,52 Coaching has been shown to improve clinicians' adherence to evidence-based practice guidelines, 53,54 to support expansion of surgeons' breadth of practice, 55 and to improve surgeons' technical skills in simulation settings. 17 Evidence is emerging to support coaching in surgery.…”

Section: Surgical Coachingmentioning

confidence: 99%

Surgical coaching to achieve the ABMS vision for the future of continuing board certification

Pradarelli

Quamme

Yee

et al. 2021

The American Journal of Surgery

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In February 2019, the American Board of Medical Specialties (ABMS) released the final report of the Continuing Board Certification: Vision for the Future initiative, issuing strong recommendations to replace ineffective, traditional mechanisms for physicians' maintenance of certification with meaningful strategies that strengthen professional self-regulation and simultaneously engender public trust. The Vision report charges ABMS Member Boards, including the American Board of Surgery (ABS), to develop and implement a more formative, less summative approach to continuing certification. To realize the ABMS's Vision in surgery, new programs must support the assessment of surgeons' performance in practice, identification of individualized performance gaps, tailored goals to address those gaps, and execution of personalized action plans with accountability and longitudinal support. Peer surgical coaching, especially when paired with video-based assessment, provides a structured approach that can meet this need. Surgical coaching was one of the approaches to continuing professional development that was discussed at an ABS-sponsored retreat in January 2020; this commentary review provides an overview of that discussion. The professional surgical societies, in partnership with the ABS, are uniquely positioned to implement surgical coaching programs to support the continuing certification of their membership. In this article, we provide historical context for board certification in surgery, interpret how the ABMS's Vision applies to surgical performance, and highlight recent developments in video-based assessment and peer surgical coaching. We propose surgical coaching as a foundational strategy for accomplishing the ABMS's Vision for continuing board certification in surgery.

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A structured, extended training program to facilitate adoption of new techniques for practicing surgeons

Abstract: Our comprehensive educational program led to full and sustained adoption of TEP for those who completed the course. Time constraints, travel costs, and case volume are major considerations for successful completion; however, the program is feasible, acceptable, and affordable.

Cited by 21 publications

References 24 publications

Surgeon utilization of minimally invasive techniques for inguinal hernia repair: a population-based study

Surgeon utilization of minimally invasive techniques for inguinal hernia repair: a population-based study

The what? How? And Who? Of video based assessment

Surgical coaching to achieve the ABMS vision for the future of continuing board certification

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