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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05103449
Other study ID # STU-2021-0805
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date October 3, 2021
Est. completion date December 31, 2022

Study information

Verified date August 2023
Source University of Texas Southwestern Medical Center
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Randomized controlled trial to evaluate the effect of video-based coaching on Obstetrics and Gynecology residents' efficiency, proficiency, and confidence in performing laparoscopic salpingectomy.


Description:

University of Texas Southwestern PGY-1 and PGY-2 Obstetrics and Gynecology residents will be scheduled to complete a 4-week gynecology rotation at Parkland Memorial Hospital. After completing the pre-survey, trainees will be randomized into either the control or experimental group (video coached group) stratified by PGY (Post-Graduate Year) level. Minimum group sample sizes of 9 and 9 to achieve 90% power to detect a difference of 5.0 in a design with 3 repeated measurements having a Simple covariance structure when the standard deviation is 5.4 and the alpha level is 0.05. The control group will be video recorded performing three laparoscopic salpingectomy procedures as scheduled during the 4-week block. The control group will not participate in video coaching sessions. The experimental group will be video recorded performing three laparoscopic salpingectomy procedures as scheduled during the block. After the first and second laparoscopic salpingectomy, the experimental group of residents will review their video recording and receive a video coaching session by a minimally invasive gynecologic surgery (MIGS) attending physician prior to the next surgery. All three video recordings for each participant (control and experimental group) will be graded using Global Operative Assessment of Laparoscopic Skills (GOALS) and Objective Structured Assessment of Laparoscopic Salpingectomy (OSA-LS) criteria by two attending physicians not involved in the surgeries or coaching. Each surgery will be blinded to the group allocation and the week definition. Participants will not be given the assessment score and the score will not affect evaluations. After the third laparoscopic salpingectomy, trainees will fill out a post-course survey to determine if the video-based coaching course improved their proficiency and confidence in laparoscopic gynecologic surgery. They will also watch their own laparoscopic salpingectomy video recording and self-grade their skills using the GOALS and OSA-LS criteria that will be provided in the post-survey.


Recruitment information / eligibility

Status Completed
Enrollment 28
Est. completion date December 31, 2022
Est. primary completion date December 31, 2022
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 99 Years
Eligibility Inclusion Criteria: - PGY-1 and PGY-2 UTSW OB/GYN Residents during their Gynecology Block Exclusion Criteria: - Residents who have previously participated in the study - PGY-3 or PGY-4 residents

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Video Coaching
Video-based coaching sessions after salpingectomy 1 and 2

Locations

Country Name City State
United States Parkland Memorial Hospital Dallas Texas

Sponsors (1)

Lead Sponsor Collaborator
University of Texas Southwestern Medical Center

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary GOALS scores on participants' last salpingectomy video Global Operative Assessment of Laparoscopic Skills (GOALS) is a validated assessment scale for laparoscopic surgery. GOALS has maximum of 5 points in each of 5 categories, highest score = 25. From Week 1 to Week 4
Primary OSA-LS scores on participants' last salpingectomy video Objective Structured Assessment of Laparoscopic Salpingectomy (OSA-LS) is a validated assessment scale for laparoscopic salpingectomy. OSA-LS has maximum of 5 points in each of 10 categories, highest score = 50. From Week 1 to Week 4
Secondary Time to complete salpingectomy Time to complete salpingectomy from start of procedure (instruments inserted to begin salpingectomy) to end of procedure (removal of fallopian tube from trocar) From Week 1 to Week 4
See also
  Status Clinical Trial Phase
Completed NCT02284711 - Impact of Salpingectomy on Ovarian Reserve N/A