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Surgical Endoscopy

Published in:

05-09-2023 | 2023 SAGES Oral

Training for excellence: using a multimodal videoconferencing platform to coach surgeons and improve intraoperative performance

Authors: Golsa Shafa, Parmiss Kiani, Caterina Masino, Allan Okrainec, Jesse D. Pasternak, Adnan Alseidi, Amin Madani

Published in: Surgical Endoscopy | Issue 12/2023

Abstract

Introduction

Continuing Professional Development opportunities for lifelong learning are fundamental to the acquisition of surgical expertise. However, few opportunities exist for longitudinal and structured learning to support the educational needs of surgeons in practice. While peer-to-peer coaching has been proposed as a potential solution, there remains significant logistical constraints and a lack of evidence to support its effectiveness. The purpose of this study is to determine whether the use of remote videoconferencing for video-based coaching improves operative performance.

Methods

Early career surgeon mentees participated in a remote coaching intervention with a surgeon coach of their choice and using a virtual telestration platform (Zoom Video Communications, San Jose, CA). Feedback was articulated through annotating videos. The coach evaluated mentee performance using a modified Intraoperative Performance Assessment Tool (IPAT). Participants completed a 5-point Likert scale on the educational value of the coaching program.

Results

Eight surgeons were enrolled in the study, six of whom completed a total of two coaching sessions (baseline, 6-month). Subspecialties included endocrine, hepatopancreatobiliary, and surgical oncology. Mean age of participants was 39 (SD 3.3), with mean 5 (SD 4.1) years in independent practice. Total IPAT scores increased significantly from the first session (mean 47.0, SD 1.9) to the second session (mean 51.8, SD 2.1), p = 0.03. Sub-category analysis showed a significant improvement in the Advanced Cognitive Skills domain with a mean of 33.2 (SD 2.5) versus a mean of 37.0 (SD 2.4), p < 0.01. There was no improvement in the psychomotor skills category. Participants agreed or strongly agreed that the coaching programs can improve surgical performance and decision-making (coaches 85%; mentees 100%).

Conclusion

Remote surgical coaching is feasible and has educational value using ubiquitous commercially available virtual platforms. Logistical issues with scheduling and finding cases aligned with learning objectives continue to challenge program adoption and widespread dissemination.

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Title: Training for excellence: using a multimodal videoconferencing platform to coach surgeons and improve intraoperative performance
Authors: Golsa Shafa
Parmiss Kiani
Caterina Masino
Allan Okrainec
Jesse D. Pasternak
Adnan Alseidi
Amin Madani
Publication date: 05-09-2023
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 12/2023
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-023-10374-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Training for excellence: using a multimodal videoconferencing platform to coach surgeons and improve intraoperative performance

Abstract

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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