Effectiveness of Telementoring in Surgery Compared With On-site Mentoring: A Systematic Review

Bilgiç, Elif; Turkdogan, Sena; Watanabe, Yusuke; Madani, Amin; Landry, Tara; Lavigne, Daniel A.; Feldman, Liane S.; Vassiliou, Melina C.

doi:10.1177/1553350617708725

Cited by 66 publications

(48 citation statements)

References 37 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although it cannot replace formal learning opportunities, mentoring can help individuals pinpoint specific topics for further study amongst the vast reams of information or to refine clinical skills through interaction with more experienced practitioners, either in person or through virtual networks. 13 Mentorship has been incorporated into novel quality improvement initiatives, while a combination of structured and informal mentorship opportunities within interprofessional teams has the potential to improve coordination of care, the patient experience, and clinical outcomes. 14,15…”

Section: Mentorship Across Missionsmentioning

confidence: 99%

Developing a Culture of Mentorship to Strengthen Academic Medical Centers

et al. 2019

View full text Add to dashboard Cite

Mentorship is central to academic medicine and its missions, and it has long played a critical role in the training and career development of physicians and scientists. A growing body of literature has documented the positive impact of mentorship on various outcomes, including research productivity, academic promotion, faculty retention, and career satisfaction. These benefits span academic medical centers’ missions and have the potential to enhance biomedical research, patient care, education, and faculty diversity and leadership. In this Invited Commentary, the authors argue that a dynamic culture of mentorship is essential to the success of academic medical centers and should be elevated to the level of a major strategic priority. This culture of mentorship would capitalize on an institution’s intellectual resources and seek to develop leaders in biomedical discovery, patient care, and education. The bidirectional transmission of knowledge between mentors and mentees, through both formal programs and informal relationships, can foster the growth of faculty members needed to meet the complex challenges currently confronting medical schools and teaching hospitals. Developing a culture of mentorship requires a strong commitment by leaders at all levels to nurture the next generation of physicians and scientists as well as grassroots efforts by trainees and faculty to seek out and create mentorship opportunities. The authors conclude by outlining possible mechanisms and incentives for elevating mentorship to the level of a strategic priority to strengthen academic medical centers across their missions.

show abstract

Section: Mentorship Across Missionsmentioning

confidence: 99%

Developing a Culture of Mentorship to Strengthen Academic Medical Centers

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The previous review of this topic compared telementoring against on-site mentoring. 5 This identified that across the included studies there is no significant difference in outcomes, either clinically or educationally, for those trainees who receive telementoring or on-site mentoring. The results of this systematic review are similar, showing that 58% of included studies found no significant difference between outcomes, while 9% found telementoring to be superior.…”

Section: Discussionmentioning

confidence: 99%

“…4 Previous studies have demonstrated that telementoring can be used effectively and reliably in a variety of settings. 5 The studies describing these have a large amount of heterogeneity in the technology used, as well as setting, and outcomes described.…”

Section: Introductionmentioning

confidence: 99%

Telementoring of Surgeons: A Systematic Review

et al. 2018

View full text Add to dashboard Cite

Background. Telementoring is a technique that has shown potential as a surgical training aid. Previous studies have suggested that telementoring is a safe training modality. This review aimed to review both the technological capabilities of reported telementoring systems as well as its potential benefits as a mentoring modality. Methods. A systematic review of the literature, up to July 2017, was carried out in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Study quality was assessed using the Oxford Levels of Evidence proforma. Data were extracted regarding technical capabilities, bandwidth, latency, and costs. Additionally, the primary aim and key results were extracted from each study and analyzed. Results. A total of 66 studies were identified for inclusion. In all, 48% of studies were conducted in general surgery; 22 (33%), 24 (36%), and 20 (30%) of studies reported telementoring that occurred within the same hospital, outside the hospital, and outside the country, respectively. Sixty-four (98%) of studies employed video and audio and 38 (58%) used telestration. Twelve separate studies directly compared telementoring against on-site mentoring. Seven (58%) showed no difference in outcomes between telementoring and on-site mentoring. No study found telementoring to result in poorer postoperative outcomes. Conclusions. The results of this review suggest that telementoring has a similar safety and efficacy profile as on-site mentoring. Future analysis to determine the potential benefits and pitfalls to surgical education through telementoring are required to determine the exact role it shall play in the future. Technological advances to improve remote connectivity would also aid the uptake of telementoring on a larger scale.

show abstract

“…Andersen et al reported that a similar set-up (STAR: System for Telementoring with Augmented Reality) decreases operator focus shifts and improves accuracy when performing port placement and abdominal incisions on a surgical simulator 23. Telementoring of trained surgeons learning new procedures appears to yield similar complication rates and surgical duration compared with on-site mentoring 24. This may not be applicable to operators with more rudimentary surgical skills.…”

Section: Discussionmentioning

confidence: 99%