Effect of Pre-operative Training Using Surgical Videos on Resident Performance of Unilateral Salpigo-oophrectomy

Study Overview
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Brief Summary
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There is a need for the development and validation of new teaching strategies and resources for surgical training that can occur outside of the operating room. The use of surgical videos is not novel however it has not been validated as an effective approach for gynecologic surgical training. The goals of our study are to (1) develop an educational surgical video for laparoscopic salpingo-oophrectomy (LSO) and (2) to evaluate and test the effectiveness of this tool in preparing residents for performance in the operating room.

Detailed Description
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In the rapidly changing face of surgical education and with a pressure to adopt competency-based training and assessment nationwide, obstetrics and gynecology residency programs will be forced to implement effective strategies to ensure that learners acquire the skill set required to become competent gynecologists. However, very few instructional tools have been validated in gynecologic surgery. The use of surgical videos as a teaching strategy may be one piece to this puzzle. Surgical videos are becoming increasingly popular, however, their value as an effective instructional technique has yet to be validated. Should surgical videos prove to be of benefit in surgical training it would offer an alternate modality to optimize operating room experiences and learning for gynecology residents. Obstetrics and gynecology residents in years one and two of their training (junior residents), will view a teaching video about LSO (intervention group) compared to not watching a video (control group) to assess if our intervention results in better performance in the operating room for this procedure as rated by an objective structured assessment of technical skills tool (OSAT) (primary outcome). Secondary outcome measures will include a self-administered questionnaire grading knowledge and confidence, and a 5-point Likert scale grading resident satisfaction with the video.

Official Title
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Effect of Pre-operative Training Using Surgical Videos on Resident Performance of Unilateral Salpigo-oophrectomy

Conditions
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Surgical Videos, Pre-operative Training

Intervention / Treatment
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* Other: Instructional surgical video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Novice OBGYN residents who have performed <10 LSO surgeries as the primary surgeon Exclusion Criteria: OBGYN residents who have performed > 10 LSO surgeries as the primary surgeon.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized control trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Video group<br>Residents assigned to this group will watch an instructional surgical video prior to LSO surgery. | Other: Instructional surgical video<br>* An instructional surgical video shown to residents before they perform LSO surgery.<br>|
| No Intervention: No video group<br>Residents assigned to this group will not watch an instructional surgical video prior to LSO surgery. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Objective Structure Assessment of Technical Skills Tool (OSAT) | Surgeries performed by the residents will be video recorded. Resident performance during surgery will be rated using the OSAT tool. | Intraoperative (Beginning of surgery to end of surgery) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pre-operative knowledge survey | Residents will complete a survey prior surgery which will measure their pre-operative knowledge of performing LSO procedure. | baseline |