Surgical Technical Skill Clinical Trial
Official title:
Surgical Coaching -Using Error Debriefing, Behavioral Modeling and Error Recognition to Enhance Surgical Skill
Simulation in surgical skills training is widely accepted as a necessary step to improve
surgical training outside the operating room. Simulation predominately focuses on teaching a
specific task or procedure. Once this task is acquired ongoing optimization of technique is
desirable. Commonly ongoing skills assessment occurs in the form of peer feedback throughout
training rotations. This feedback is frequently subjective and of variable educational use.
Identifying ongoing technical training needs and enabling personalized objective feedback
represents an important training concept that has not yet been formally used in resident
training.
The specific goal of this study is to prove the effect of a comprehensive surgical coaching
(CSC) approach which combines concepts of behavior modeling training, task debriefing and
error recognition to improve overall surgical technique without additional technical skills
training.
Design The study design is a randomized, controlled trial involving evaluation of a study
and a conventionally trained group at pretest and posttest.
Participants The study and control groups will consist of senior surgical residents (PGY
3-5) and surgical fellows involved in minimally invasive surgery (MIS).
Inclusion: Since concurrent operative training in the operating room (OR) in the technique
of MIS is a prerequisite for this study, only residents and fellows on rotations with a
practice focus on MIS during the time period of the study will be eligible for
participation.
Exclusion: Individuals with severe illnesses precluding performance in the OR will not be
included.
Outcome measures: Surgical performance will be assessed using a global rating scale as well
as through tabulation of observed intraoperative technical errors. Primary outcome measure
is surgical skill level before and after targeted training.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator)