Skip to main content
Top
Published in: Surgical Endoscopy 8/2020

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

Login to get access

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]. …
Literature
1.
go back to reference Grenda T, Pradarelli JC, Dimick JB (2016) Using surgical video to improve technique and skill. Ann Surg 264(1):32–33CrossRef Grenda T, Pradarelli JC, Dimick JB (2016) Using surgical video to improve technique and skill. Ann Surg 264(1):32–33CrossRef
2.
go back to reference Tam V, Zeh HJ 3rd, Hogg ME (2017) Incorporating metrics of surgical proficiency into credentialing and privileging pathways. JAMA Surg 152(5):494–495CrossRef Tam V, Zeh HJ 3rd, Hogg ME (2017) Incorporating metrics of surgical proficiency into credentialing and privileging pathways. JAMA Surg 152(5):494–495CrossRef
3.
go back to reference Birkmeyer JD, Finks JF, O'Reilly A, Oerline M, Carlin AM, Nunn AR, Dimick J, Banerjee M, Birkmeyer NJ, Michigan Bariatric Surgery Collaborative (2013) Surgical skill and complication rates after bariatric surgery. N Engl J Med 369(15):1434–1442CrossRef Birkmeyer JD, Finks JF, O'Reilly A, Oerline M, Carlin AM, Nunn AR, Dimick J, Banerjee M, Birkmeyer NJ, Michigan Bariatric Surgery Collaborative (2013) Surgical skill and complication rates after bariatric surgery. N Engl J Med 369(15):1434–1442CrossRef
5.
go back to reference Mackenzie H, Ni M, Miskovic D, Motson RW, Gudgeon M, Khan Z, Longman R, Coleman MG, Hanna GB (2015) Clinical validity of consultant technical skills assessment in the English National Training Programme for Laparoscopic Colorectal Surgery. Br J Surg 102(8):991–997CrossRef Mackenzie H, Ni M, Miskovic D, Motson RW, Gudgeon M, Khan Z, Longman R, Coleman MG, Hanna GB (2015) Clinical validity of consultant technical skills assessment in the English National Training Programme for Laparoscopic Colorectal Surgery. Br J Surg 102(8):991–997CrossRef
6.
go back to reference Fecso AB, Bhatti JA, Stotland PK, Quereshy FA, Grantcharov TP (2019) Technical performance as a predictor of clinical outcomes in laparoscopic gastric cancer surgery. Ann Surg 270(1):115–120CrossRef Fecso AB, Bhatti JA, Stotland PK, Quereshy FA, Grantcharov TP (2019) Technical performance as a predictor of clinical outcomes in laparoscopic gastric cancer surgery. Ann Surg 270(1):115–120CrossRef
7.
go back to reference Jung JP, Zenati MS, Dhir M, Zureikat AH, Zeh HJ, Simmons RL, Hogg ME (2018) Use of video review to investigate technical factors that may be associated with delayed gastric emptying after pancreaticoduodenectomy. JAMA Surg 153(10):918–927CrossRef Jung JP, Zenati MS, Dhir M, Zureikat AH, Zeh HJ, Simmons RL, Hogg ME (2018) Use of video review to investigate technical factors that may be associated with delayed gastric emptying after pancreaticoduodenectomy. JAMA Surg 153(10):918–927CrossRef
8.
go back to reference Hogg ME, Zenati M, Novak S, Chen Y, Jun Y, Steve J, Kowalsky SJ, Bartlett DL, Zureikat AH, Zeh HJ 3rd (2016) Grading of surgeon technical performance predicts postoperative pancreatic fistula for pancreaticoduodenectomy independent of patient-related variables. Ann Surg 264(3):482–491CrossRef Hogg ME, Zenati M, Novak S, Chen Y, Jun Y, Steve J, Kowalsky SJ, Bartlett DL, Zureikat AH, Zeh HJ 3rd (2016) Grading of surgeon technical performance predicts postoperative pancreatic fistula for pancreaticoduodenectomy independent of patient-related variables. Ann Surg 264(3):482–491CrossRef
9.
go back to reference Greenberg CC, Dombrowski J, Dimick JB (2016) Video-based surgical coaching: an emerging approach to performance improvement. JAMA Surg 151(3):282–283CrossRef Greenberg CC, Dombrowski J, Dimick JB (2016) Video-based surgical coaching: an emerging approach to performance improvement. JAMA Surg 151(3):282–283CrossRef
10.
go back to reference Ahmed K, Miskovic D, Darzi A, Athanasiou T, Hanna GB (2011) Observational tools for assessment of procedural skills: a systematic review. Am J Surg 202(4):469–480CrossRef Ahmed K, Miskovic D, Darzi A, Athanasiou T, Hanna GB (2011) Observational tools for assessment of procedural skills: a systematic review. Am J Surg 202(4):469–480CrossRef
11.
go back to reference Bilgic E, AlMahroos M, Landry T, Fried GM, Vassiliou MC, Feldman LS (2019) Assessing surgical performance of laparoscopic benign hiatal surgery: a systematic review. Surg Endosc 33(11):3798–3805CrossRef Bilgic E, AlMahroos M, Landry T, Fried GM, Vassiliou MC, Feldman LS (2019) Assessing surgical performance of laparoscopic benign hiatal surgery: a systematic review. Surg Endosc 33(11):3798–3805CrossRef
13.
go back to reference Martin JA, Regehr G, Reznick R, MacRae H, Murnaghan J, Hutchison C, Brown M (1997) Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg 84(2):273–278CrossRef Martin JA, Regehr G, Reznick R, MacRae H, Murnaghan J, Hutchison C, Brown M (1997) Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg 84(2):273–278CrossRef
14.
go back to reference Madani A, Vassilou MC, Watanabe Y, Al-Halabi B, Al-Rowais MS, Grunwalkd T, Deckelbaum DLE, Fried GM, Feldman LS (2017) What are the principles that guide behaviors in the operating room? Creating a framework to define and measure performance. Ann Surg 265(2):255–267CrossRef Madani A, Vassilou MC, Watanabe Y, Al-Halabi B, Al-Rowais MS, Grunwalkd T, Deckelbaum DLE, Fried GM, Feldman LS (2017) What are the principles that guide behaviors in the operating room? Creating a framework to define and measure performance. Ann Surg 265(2):255–267CrossRef
16.
go back to reference Jones DB, Stefanidis D, Korndorffer JR Jr, Dimick JB, Jacob BP, Schultz L, Scott DJ (2017) SAGES University MASTERS Program: a structured curriculum for deliberate, lifelong learning. Surg Endosc 31(8):3061–3071CrossRef Jones DB, Stefanidis D, Korndorffer JR Jr, Dimick JB, Jacob BP, Schultz L, Scott DJ (2017) SAGES University MASTERS Program: a structured curriculum for deliberate, lifelong learning. Surg Endosc 31(8):3061–3071CrossRef
17.
go back to reference Downing SM, Haladyna TM (2004) Validity threats: overcoming interference with proposed interpretations of assessment data. Med Educ 38:327–333CrossRef Downing SM, Haladyna TM (2004) Validity threats: overcoming interference with proposed interpretations of assessment data. Med Educ 38:327–333CrossRef
18.
go back to reference Dort J, Trickey A, Paige J, Schwarz E, Cecil T, Coleman M, Dunkin B (2018) All in: expansion of the acquisition of data for outcomes and procedure transfer (ADOPT) program to an entire SAGES annual meeting hands-on hernia course. Surg Endosc 32(11):4491–4497CrossRef Dort J, Trickey A, Paige J, Schwarz E, Cecil T, Coleman M, Dunkin B (2018) All in: expansion of the acquisition of data for outcomes and procedure transfer (ADOPT) program to an entire SAGES annual meeting hands-on hernia course. Surg Endosc 32(11):4491–4497CrossRef
Metadata
Title
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
Publication date
01-08-2020
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 8/2020
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-020-07628-y

Other articles of this Issue 8/2020

Surgical Endoscopy 8/2020 Go to the issue