Intraoperative Feedback: A Video-BasedAnalysis of Faculty and Resident Perceptions

Dedhia, Priya H.; Barrett, Meredith; Ives, Graham; Magas, Christopher P.; Varban, Oliver A.; Wong, Sandra L.; Sandhu, Gurjit

doi:10.1016/j.jsurg.2019.02.003

Cited by 8 publications

(4 citation statements)

References 39 publications

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“…This was evident in consultants' comments on their training style. It has been echoed in the literature by discrepancies in what was perceived as feedback, while watching a video-recording, with trainers reporting more interactions as feedback compared to trainees (17). The majority of trainers' intraoperative guidance was also reported to be instructions rather than feedback (23).…”

Section: Discussionmentioning

confidence: 99%

“…The majority of the current studies were carried using simple simulation tasks (16) rather than checking the improvement in the theatre environment with normal surgical procedures training. Furthermore, emerging evidence suggests a difference in feedback perception between trainees and trainers (17) highlighting the need to further investigate the benefit of surgical feedback within complex surgical practice.…”

Section: New Video-recording and Synchronization Systems Such As The Scotia Medical Observation And Trainingmentioning

confidence: 99%

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Synchronized Video-Review as a Tool to Enhance Reflection and Feedback: A Design-Based Feasibility Study

Isreb¹,

Hesselgreaves²,

McLachlan³

et al. 2021

Journal of Surgical Education

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IntroductionUK Surgical training currently faces the challenge of expanding surgical skills in a context of reduced training opportunities. Video-review in theatre offers the potential to gain more from each learning opportunity and to enhance feedback. AimThis was a designed-based study to test the feasibility of using synchronised video-review as a reflective tool to enhance surgical training and to gain a deeper understanding of intraoperative feedback. MethodTen supervised laparoscopic cholecystectomy operations were video-recorded using a synchronised splitscreen, to show trainees' actions, instrument manipulation and interactions with other theatre staff.This was followed up by joint review of the operation-recording by both the trainee and supervisor. Videoreview sessions were audio-recorded along with the consultant and SPR interviews after the review-session.Audio-recordings were thematically analysed. Supervisors completed the Procedure Based Assessments (PBA) forms, twice: post-operation and post-video-review. Forms were analysed to note any changes and to triangulate the findings. ResultsOverall trainee and supervisor feedback was positive. Trainees and supervisors reported the video-review added value in terms of reflection-on-action. It removed the stress of conducting/supervising the operation in real time and focussed the attention on feedback. Satisfaction was reported across trainee levels and with close and distant supervision style. Audio-visual review allowed trainees to understand the feedback better and to identify new targets beyond those gained from the verbal feedback during the procedure. It also facilitated appraisal of the trainer's teaching. DiscussionThis study established the feasibility of using synchronised video-review as a reflection-on-action tool to potentially enhance surgical training by improving feedback and enhancing each training opportunity. It identified trainees' difficulty in processing intraoperative feedback due to mental overload from the operation. It showed the limitations of current verbal feedback practice, using PBA forms, with regard to enhancing technical and non-technical skills due to denial and memory fading.

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Section: Discussionmentioning

confidence: 99%

Section: New Video-recording and Synchronization Systems Such As The Scotia Medical Observation And Trainingmentioning

confidence: 99%

Synchronized Video-Review as a Tool to Enhance Reflection and Feedback: A Design-Based Feasibility Study

Isreb¹,

Hesselgreaves²,

McLachlan³

et al. 2021

Journal of Surgical Education

View full text Add to dashboard Cite

show abstract

“…Experts queried which elements were applicable, not applicable, or missing to effectively use the tool to evaluate US EPs. After viewing a video of an EP managing multiple simulated patients, each focus group member was asked to list all the NTS observed in the video 24,25 . This exercise was used to understand whether US EPs could identify with and apply the appropriate information from the tool.…”

Section: Methodsmentioning

confidence: 99%

“…After viewing a video of an EP managing multiple simulated patients, each focus group member was asked to list all the NTS observed in the video. 24,25 This exercise was used to understand whether US EPs could identify with and apply the appropriate information from the tool. It also served to instigate a discussion among the focus group members around specific strengths, challenges, and themes that they identified from the tool.…”

Section: Study Protocolmentioning

confidence: 99%

Evaluating Nontechnical Skills in US Emergency Departments Using Simulation

Meguerdichian¹,

Huancahuari²,

Pozner³

et al. 2021

Sim Healthcare

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Introduction: Nontechnical skills (NTS) in medicine are the "cognitive, social, and personal resource skills that complement technical skills contributing to safe and efficient care." We aimed to (1) evaluate the validity and reliability of a 12-element United Kingdom emergency medicine (EM) NTS assessment tool in the context of United States (US) EM practice and (2) identify behaviors unique to US clinical practice. Methods: This was a mixed methods study conducted in 2 phases, following Kane's validity framework. The intended use of the NTS tool is to provide formative assessment of US EM physicians (EPs) from a video of simulated clinical encounters. In phase I, a focus group assessed the appropriateness of each aspect of the tool in the context of US EM practice by reviewing and identifying the NTS of an EP in a simulated clinical scenario. In phase II, EPs (N = 208) attending a national EM conference evaluated an EP's behaviors in 1 of 2 video simulations. Reliability in the form of internal consistency was calculated using Cronbach α. All participants suggested exemplar behaviors for the 12 elements in the context of their own clinical practice and generated new assessment elements. Results: Internal consistency was acceptable (α > 0.7) for all categories, except teamwork and cooperation. Participants proposed 4 novel behavioral elements and suggested US exemplar behaviors for all 12 original elements. Conclusions: This tool can be used to assess US EP's NTS for the purpose of formative assessment. Refinement of exemplar behaviors and inclusion of novel US-specific elements may optimize usability.

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Developing Surgical Skills

Crutcher

Bevilacqua²

2023

General Surgery Residency Survival Guide

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Intraoperative Feedback: A Video-BasedAnalysis of Faculty and Resident Perceptions

Cited by 8 publications

References 39 publications

Synchronized Video-Review as a Tool to Enhance Reflection and Feedback: A Design-Based Feasibility Study

Synchronized Video-Review as a Tool to Enhance Reflection and Feedback: A Design-Based Feasibility Study

Evaluating Nontechnical Skills in US Emergency Departments Using Simulation

Developing Surgical Skills

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