Video Coaching as an Efficient Teaching Method for Surgical Residents

Healthy Clinical Trial

Official title:

Video Coaching as an Efficient Teaching Method for Surgical Residents A Randomized Control Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02529254
• Other study ID #: Surgery video coaching 15006
• Status: Completed
• Phase: N/A
• First received: July 29, 2015
• Last updated: February 6, 2016
• Start date: May 2015
• Est. completion date: July 2015

Study information

• Verified date: February 2016
• Source: Maisonneuve-Rosemont Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Ministère santé et services sociaux du Québec
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine if video coaching is an efficient way of teaching surgical skills outside of the operating room for surgical residents.

Description:

Coaching relates to a cooperative process between a coach and a coachee, which includes "providing objective and constructive feedback to help a [coachee] recognize what works and what can be improved.

In our study the investigators will be filming general surgery residents while making a side to side anastomosis on a dog's cadaveric small bowel. Half of the participants will be randomized in the intervention group and will take part in a half hour coaching session with a surgeon. In this coaching session both resident and surgeon will watch the resident's filmed anastomosis and constructive feedback will be given by the surgeon. An inanimate model of bowel anastomosis will be available at the moment of the coaching to allow the surgeon to demonstrate the desired improvements.

Once all the residents in the intervention group will have completed their coaching session, both control and intervention group will be filmed making a second side to side anastomosis.

All the video taken will then be pooled in a random order. A blinded surgeon will then analyse each video taken with the objective structured assessment of technical skills (OSATS) tool.

The hypothesis is that the residents who received an half-hour coaching session will have significantly improved their OSATS score compared to the control group between the first and second anastomosis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 28
• Est. completion date: July 2015
• Est. primary completion date: July 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Residents from PGY-1 to PGY-4 in general surgery at Université de Montreal

Exclusion Criteria:

• PGY-5 in general surgery at université de Montreal ( because they are studying for their Board exams )

• Did no sing consent form

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor)

Related Conditions & MeSH terms

• Healthy

Intervention

Behavioral:
• Video coaching session
A 30 minute video coaching session with a surgeon in witch the residaent and coach visualise the filmed anastomosis and where the surgeon gives constructive feedback.

Locations

Country	Name	City	State
Canada	Hopital Maisonneuve-Rosemont	Montreal	Quebec

Sponsors (1)

Lead Sponsor	Collaborator
Maisonneuve-Rosemont Hospital

Country where clinical trial is conducted

Canada, 

References & Publications (4)

Bonrath EM, Dedy NJ, Gordon LE, Grantcharov TP. Comprehensive Surgical Coaching Enhances Surgical Skill in the Operating Room: A Randomized Controlled Trial. Ann Surg. 2015 Aug;262(2):205-12. doi: 10.1097/SLA.0000000000001214. — View Citation

Greenberg CC, Ghousseini HN, Pavuluri Quamme SR, Beasley HL, Wiegmann DA. Surgical coaching for individual performance improvement. Ann Surg. 2015 Jan;261(1):32-4. doi: 10.1097/SLA.0000000000000776. — View Citation

Martin JA, Regehr G, Reznick R, MacRae H, Murnaghan J, Hutchison C, Brown M. Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997 Feb;84(2):273-8. — View Citation

Singh P, Aggarwal R, Tahir M, Pucher PH, Darzi A. A randomized controlled study to evaluate the role of video-based coaching in training laparoscopic skills. Ann Surg. 2015 May;261(5):862-9. doi: 10.1097/SLA.0000000000000857. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in (Objective structured assessment of technical skills) OSATS score at baseline and after the coaching session.		assessed at both first and second filmed anastomosis for both groups with about 1 month apart.	No
Secondary	Resident satisfaction questionnaire	Questionnaire aiming to know if video coaching is something the participants think is useful.	Once every resident has completed his coaching session about two weeks after the first anastomosis.	No