Clinical trial NCT02529254: Video Coaching as an Efficient Teaching Method for Surgical Residents
Official title: Video Coaching as an Efficient Teaching Method for Surgical Residents A Randomized Control Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Healthy
Keywords: post graduate surgical education
video coaching
Surgical education
coaching
Lead sponsor: Maisonneuve-Rosemont Hospital
Sponsor class: OTHER
First posted: 2015-08-20
Enrollment: 28
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL

Brief 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.

Detailed 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.

Eligibility criteria: 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

Primary outcomes:
measure: Change in (Objective structured assessment of technical skills) OSATS score at baseline and after the coaching session.
timeFrame: assessed at both first and second filmed anastomosis for both groups with about 1 month apart.
Secondary outcomes:
measure: Resident satisfaction questionnaire
timeFrame: Once every resident has completed his coaching session about two weeks after the first anastomosis.
Other outcomes:
Locations:
city: Montreal
country: Canada
facility: Hopital Maisonneuve-Rosemont
state: Quebec
Study officials:
name: Mikael L Soucisse, MD
role: PRINCIPAL_INVESTIGATOR
References:
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.
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. doi: 10.1046/j.1365-2168.1997.02502.x.
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. No abstract available.
citation: 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.