Education Clinical Trial
Official title:
Structured Remote Surgical Coaching to Improve Operative Performance in Laparoscopic Cholecystectomy: A Multicenter Randomized Control Trial
Surgical coaching, defined as a constructive relationship that provides objective feedback to individuals about a broad range of factors influencing operative performance, is a key strategy for integrating adult learning theory into the traditionally didactic arena of surgical education. It is gaining momentum as an area of potential growth and innovation, and may become a more meaningful method of ongoing professional development for practicing surgeons. Effective coaching interactions encourage discussion, provide feedback, affirm positive beliefs and challenge pre-existing assumptions. The effectiveness and uptake of coaching interventions in surgery can be influenced by the identity of the coach, and cultural or individual surgeon attitudes. Surgical coaching has been linked to improvements in technical and procedural skills in both simulated and clinical environments. In 2015, a systematic review of surgical coaching showed a positive impact of surgical coaching interventions on learners' perceptions and attitudes, their technical and nontechnical skills, and their performance measures. The investigators propose to conduct a multicenter randomized controlled trial of structured remote surgical coaching (SRSC) versus conventional surgical training for laparoscopic cholecystectomy performed by surgery residents at three institutions, in Canada and Australia, to not only provide additional evidence in support of validity and generalizability of a structured surgical coaching intervention for surgery trainees, but also to demonstrate improvement in accuracy of self-assessment of operative performance and the feasibility of remote coaching.
Status | Recruiting |
Enrollment | 24 |
Est. completion date | August 30, 2024 |
Est. primary completion date | June 30, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - General surgery residents (PGY 1-5) who routinely perform components of laparoscopic cholecystectomy as a primary surgeon (under supervision). Exclusion Criteria: - Individuals with injuries that preclude performance in the operating room will be excluded. |
Country | Name | City | State |
---|---|---|---|
Canada | Queen's University | Kingston | Ontario |
Lead Sponsor | Collaborator |
---|---|
Dr. Boris Zevin |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Skill set during performance of a laparoscopic cholecystectomy in the operating room | Technical skills during a laparoscopic cholecystectomy in the operating room will be one of the primary outcomes for this study. The Global Operative Assessment of Laparoscopic Skills (GOALS) scale will be used to measure this outcome. | 90 days | |
Primary | Technical errors made during a laparoscopic cholecystectomy in the operating room | Technical errors during a laparoscopic cholecystectomy in the operating room will be one of the primary outcomes for this study. The Generic Error Rating Tool (GERT) will be used to measure this outcome. | 90 days | |
Secondary | Subjective assessment of the usefulness of SRSC program | A post-study questionnaire will be administered to participants in the intervention group to assess their subjective perception of the usefulness of the SRSC program and challenges that they encountered with remote coaching.
A scale for Perception of Usefulness will be used in this post-study questionnaire with a minimum value of 1 indicating not useful at all and a maximum value of 10 indicating very useful. |
90 days | |
Secondary | Accuracy of self-assessment | Participants' self-assessment scores for technical skill will be compared to the scores assigned by a trained, blinded rater to determine if SRSC improves accuracy of self-assessment | 90 days |
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