Implementing an Advanced Laparoscopic Procedure by Monitoring with a Visiting Surgeon

Systematic review of coaching to enhance surgeons' operative performance

“…Four studies 22,26,27,32 were randomized controlled trials (RCTs) that compared the intervention group with a control group. Eighteen studies 6,[17][18][19][20][21][23][24][25][28][29][30][31][33][34][35][36][37] were observational studies using a single group prepost design, and one study was a descriptive study analyzing audio-recorded video coaching. 9 The different types of reported outcomes were categorized largely based on Kirkpatrick's model of training evaluation.…”

“…19,20,22,27,29-32,34,35,37 Thirteen of the studies deployed an experienced surgeon as coach either on his or her own or in combination with a nonsurgeon. 9,[17][18][19][24][25][26]29,[32][33][34]36,37 Only 4 studies conducted a follow-up after coaching intervention. 6,25,27,32 Overall, coaching was considered to be effective in 15 of the 23 studies.…”

“…6,25,27,32 Overall, coaching was considered to be effective in 15 of the 23 studies. 6,[17][18][19][22][23][24][25][27][28][29]32,[35][36][37] Perception, attitudes, and opinions. The first level of the Kirkpatrick model of training evaluation consists of the learner's reaction to the intervention.…”

Operating room of the future

“…Traditionally, surgeons learn to perform new techniques through courses, videos, expert visitors, buddy systems and feedback. 61,62 These have the attending problems of time, cost and a limited degree of guidance. As a result, skills and knowledge that might benefit both the patient and the healthcare system do not disseminate at a desirable pace.…”

The Generic Error Rating Tool: A Novel Approach to Assessment of Performance and Surgical Education in Gynecologic Laparoscopy

“…25,26 Furthermore, this cutoff has previously been used as a competency benchmark in laparoscopic hysterectomies. 27 In addition to analyzing the entire procedures, we also analyzed operative substeps to assess whether GERT analysis allows the detection of procedure steps that are more prone to technical errors. We found that error frequencies vary throughout the procedure and that the operative step "vault closure" was the most error prone.…”