Impact of Video Coaching on Gynecologic Resident Laparoscopic Suturing: A Randomized Controlled Trial

Rindos, N.; Wroble-Biglan, Minhnoi; Ecker, Amanda M.; Lee, Ted T.; Donnellan, Nicole

doi:10.1016/j.jmig.2016.12.020

Cited by 31 publications

(21 citation statements)

References 11 publications

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“…The previous meta-analysis by Augestad et al demonstrated significant improvements in objective surgical scoring scales in trainees receiving VBC [37]. In RCTs evaluating the use of VBC for surgical residents either improvements or no change in technical skill but increased confidence and knowledge of intraoperative tasks and anatomy were noted [13,15,18,30]. For example, Soucisse et al demonstrated a significant improvement in OSATS scores in residents undergoing VBC for a simulated bowel anastomosis task compared to residents without VBC [13].…”

Section: Discussionmentioning

confidence: 99%

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Video-based coaching for surgical residents: a systematic review and meta-analysis

et al. 2022

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Background Video-based coaching (VBC) is used to supplement current teaching methods in surgical education and may be useful in competency-based frameworks. Whether VBC can effectively improve surgical skill in surgical residents has yet to be fully elucidated. The objective of this study is to compare surgical residents receiving and not receiving VBC in terms of technical surgical skill. Methods The following databases were searched from database inception to October 2021: Medline, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), and PubMed. Articles were included if they were randomized controlled trials (RCTs) comparing surgical residents receiving and not receiving VBC. The primary outcome, as defined prior to data collection, was change in objective measures of technical surgical skill following implementation of either VBC or control. A pairwise meta-analyses using inverse variance random effects was performed. Standardized mean differences (SMD) were used as the primary outcome measure to account for differences in objective surgical skill evaluation tools. Results From 2734 citations, 11 RCTs with 157 residents receiving VBC and 141 residents receiving standard surgical teaching without VBC were included. There was no significant difference in post-coaching scores on objective surgical skill evaluation tools between groups (SMD 0.53, 95% CI 0.00 to 1.01, p = 0.05, I 2 = 74%). The improvement in scores pre-and post-intervention was significantly greater in residents receiving VBC compared to those not receiving VBC (SMD 1.62, 95% CI 0.62 to 2.63, p = 0.002, I 2 = 85%). These results were unchanged with leave-one-out sensitivity analysis and subgroup analysis according to operative setting. Conclusion VBC can improve objective surgical skills in surgical residents of various levels. The benefit may be most substantial for trainees with lower baseline levels of objective skill. Further studies are required to determine the impact of VBC on competency-based frameworks.

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Section: Discussionmentioning

confidence: 99%

“…From 2734 relevant citations, 11 RCTs with 157 residents receiving VBC and 141 residents receiving standard surgical teaching without VBC were included [13][14][15][16][30][31][32][33][34][35][36]. A PRISMA flow diagram of the study selection is illustrated in Fig.…”

Section: Study Characteristicsmentioning

confidence: 99%

Video-based coaching for surgical residents: a systematic review and meta-analysis

et al. 2022

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“…A simple initial step would be to develop a solid grasp of surgical anatomy through textbooks or focused workshops [22]; indeed, a recent survey of Australian O&G trainees revealed a clear dearth of structured anatomy curricula in the training program [23]. Further, regular review of laparoscopic videos, either open-source or those manually recorded, has also been shown to be useful for skill acquisition amongst gynaecologic residents, particularly in junior learners [24]. However, caution should be exercised in the choice of videos, as there is a clear absence of peer-review process and quality control on most open-source video streaming sites [25].…”

Section: Will Prepare and Someday My Chance Will Comementioning

confidence: 99%

Cultivating the Apprentice-Mentor Model for Minimally Invasive Gynaecology in the Era of Surgically Scarce Training: A Case Report of Laparoscopic Cornuostomy for Interstitial Ectopic Pregnancy by a Trainee

Listijono¹,

Rosen²,

Choi³

et al. 2021

Case Reports in Obstetrics and Gynecology

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Over the last few years, there is an apparent growing concern amongst O&G trainees of the inadequacy in exposure to minimally invasive gynaecology surgical training, which has been inadvertently compounded by the more stringent working hour regulations and disproportionately increasing number of trainees relative to surgical volume. Therefore, it is vitally important for trainees to maximise opportunities in the operating theatre and develop autonomy in carrying out more complex surgical procedures. This case report outlines the step-by-step approach of laparoscopic excision of a cornual ectopic pregnancy performed by a trainee under the supervision of a surgical mentor. This manuscript highlights key characteristic traits of a trainee that serve to foster surgical trust and simple but effective steps to foster surgical preparedness.

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“…Real time digital recording of procedures for teaching purposes is believed to ultimately lead to a better advanced surgical training experience [21], greater skill acquisition [22] and a reduction in the potential for surgical errors [23].…”

Section: The Potential Benefits Of Drdmentioning

confidence: 99%

Digital recording and documentation of endoscopic procedures: physicians’ practice and perspectives

Peled-Raz

Willner

Shteinberg

et al. 2019

Isr J Health Policy Res

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Background In recent years, it has become increasingly prevalent internationally to record and archive digital recordings of endoscopic procedures. This emerging documentation tool raises weighty educational, ethical and legal issues – which are viewed as both deterrents and incentives to its adoption. We conducted a survey study aimed at evaluating the use of DRD in endoscopic procedures, to examine physicians’ support of this practice and to map the considerations weighed by physicians when deciding whether or not to support a more extensive use of DRD. Methods Israeli physicians from specialties that employ endoscopic technics were surveyed anonymously for demographic background, existence and use of recording equipment, existence of institutional guidelines regarding DRD, and self-ranking (on a scale from 1 to 7) of personal attitudes regarding DRD. Results 322 physicians were surveyed. 84% reported performing routine endoscopic procedures, 78% had the required equipment for digital recording, and 64% of them stated that they never or only rarely actually recorded the procedure. General surgeons had the second highest rate of DRD equipment (96.5%) but the lowest rates of DRD practice (17.5%). The average ranking of support of DRD by all participants was 5.07 ± 1.9, indicating a moderately high level of support. Significant positive correlation exists between actual DRD rates and average support of DRD ( p < 0.001). Based on mediation models, for all specialties and with no exceptions, having routine recording guidelines and positive support of DRD were found to increase the probability of actual recording. Being a surgeon or an urologist negatively correlated with support of DRD, and decreased actual recording rates. The argument “Recording might cause more lawsuits” was ranked significantly higher than all other arguments against DRD ( p < 0.001), and “Recording could aid teaching of interns” was ranked higher than all other arguments in favor of DRD ( p < 0.001). Conclusions While DRD facilities and equipment are fairly widespread in Israel, the actual recording rate is generally low and varies among specialties. Having institutional guidelines requiring routine recording and a positive personal support of DRD correlated with actual DRD rates, with general surgeons being markedly less supportive of DRD and having the lowest actual recording rates. Physicians in all specialties were very much concerned about DRD’s potential to enhance lawsuits, and this greatly influenced their use of DRD. These findings should be addressed by educational efforts, centering on professionals from reluctant specialties, as well as by the issuing of both professional and institutional guidelines endorsing DRD as well as requiring it where applicable. Electronic supplementary material The online version of...

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Impact of Video Coaching on Gynecologic Resident Laparoscopic Suturing: A Randomized Controlled Trial

Cited by 31 publications

References 11 publications

Video-based coaching for surgical residents: a systematic review and meta-analysis

Video-based coaching for surgical residents: a systematic review and meta-analysis

Cultivating the Apprentice-Mentor Model for Minimally Invasive Gynaecology in the Era of Surgically Scarce Training: A Case Report of Laparoscopic Cornuostomy for Interstitial Ectopic Pregnancy by a Trainee

Digital recording and documentation of endoscopic procedures: physicians’ practice and perspectives

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