Clinical trial NCT03230552: Effect of Pre-operative Training Using Surgical Videos on Resident Performance of Unilateral Salpigo-oophrectomy
Official title: Effect of Pre-operative Training Using Surgical Videos on Resident Performance of Unilateral Salpigo-oophrectomy
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Surgical Videos
Pre-operative Training
Lead sponsor: Unity Health Toronto
Sponsor class: OTHER
First posted: 2017-07-26
Enrollment: 24
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized control trial
Primary purpose: OTHER

Brief summary: 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: 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Objective Structure Assessment of Technical Skills Tool (OSAT)
timeFrame: Intraoperative (Beginning of surgery to end of surgery)
Secondary outcomes:
measure: Pre-operative knowledge survey
timeFrame: baseline
Other outcomes:
Locations:
city: Toronto
country: Canada
facility: St. Michael's Hospital
state: Ontario
Study officials:
affiliation: Unity Health Toronto
name: Eliane Shore, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Norris S, Papillon-Smith J, Gagnon LH, Jacobson M, Sobel M, Shore EM. Effect of a Surgical Teaching Video on Resident Performance of a Laparoscopic Salpingo-oophorectomy: A Randomized Controlled Trial. J Minim Invasive Gynecol. 2020 Nov-Dec;27(7):1545-1551. doi: 10.1016/j.jmig.2020.01.010. Epub 2020 Jan 23.