Published in:
01-08-2020 | Gastric Fundoplication | SAGES Position Statement
SAGES Video-Based Assessment (VBA) program: a vision for life-long learning for surgeons
Authors:
Liane S. Feldman, Aurora D. Pryor, Aimee K. Gardner, Brian J. Dunkin, Linda Schultz, Michael M. Awad, E. Matthew Ritter
Published in:
Surgical Endoscopy
|
Issue 8/2020
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Excerpt
Performing operations is what differentiates surgeons from other physicians. While conventional wisdom assumes a strong relationship between what happens in the operating room and patient outcomes, this has been difficult to measure [
1,
2]. For surgeons in practice, quality improvement efforts have focused more on adherence with processes of care, risk adjustment and measurement of complications, largely ignoring performance of the operation itself, or relying on proxy measures, such as procedural volume [
1]. However, an emerging body of evidence is confirming the strong association between intraoperative technical performance assessed by video analysis and patient complications. This relationship has been demonstrated for a variety of minimally invasive gastrointestinal procedures including gastric bypass [
3], sleeve gastrectomy [
4], colectomy [
5], gastrectomy [
6], and pancreaticoduodenectomy [
7,
8]. …