Effect of Video-Based Coaching on Resident Laparoscopic Surgical Skills
- Conditions
- Laparoscopic Salpingectomy
- Interventions
- Other: Video Coaching
- Registration Number
- NCT05103449
- Lead Sponsor
- University of Texas Southwestern Medical Center
- Brief Summary
Randomized controlled trial to evaluate the effect of video-based coaching on Obstetrics and Gynecology residents' efficiency, proficiency, and confidence in performing laparoscopic salpingectomy.
- Detailed Description
University of Texas Southwestern PGY-1 and PGY-2 Obstetrics and Gynecology residents will be scheduled to complete a 4-week gynecology rotation at Parkland Memorial Hospital. After completing the pre-survey, trainees will be randomized into either the control or experimental group (video coached group) stratified by PGY (Post-Graduate Year) level. Minimum group sample sizes of 9 and 9 to achieve 90% power to detect a difference of 5.0 in a design with 3 repeated measurements having a Simple covariance structure when the standard deviation is 5.4 and the alpha level is 0.05. The control group will be video recorded performing three laparoscopic salpingectomy procedures as scheduled during the 4-week block. The control group will not participate in video coaching sessions. The experimental group will be video recorded performing three laparoscopic salpingectomy procedures as scheduled during the block. After the first and second laparoscopic salpingectomy, the experimental group of residents will review their video recording and receive a video coaching session by a minimally invasive gynecologic surgery (MIGS) attending physician prior to the next surgery. All three video recordings for each participant (control and experimental group) will be graded using Global Operative Assessment of Laparoscopic Skills (GOALS) and Objective Structured Assessment of Laparoscopic Salpingectomy (OSA-LS) criteria by two attending physicians not involved in the surgeries or coaching. Each surgery will be blinded to the group allocation and the week definition. Participants will not be given the assessment score and the score will not affect evaluations. After the third laparoscopic salpingectomy, trainees will fill out a post-course survey to determine if the video-based coaching course improved their proficiency and confidence in laparoscopic gynecologic surgery. They will also watch their own laparoscopic salpingectomy video recording and self-grade their skills using the GOALS and OSA-LS criteria that will be provided in the post-survey.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 28
- PGY-1 and PGY-2 UTSW OB/GYN Residents during their Gynecology Block
- Residents who have previously participated in the study
- PGY-3 or PGY-4 residents
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Experimental Group (Video Coaching) Video Coaching Video-based coaching group
- Primary Outcome Measures
Name Time Method GOALS scores on participants' last salpingectomy video From Week 1 to Week 4 Global Operative Assessment of Laparoscopic Skills (GOALS) is a validated assessment scale for laparoscopic surgery. GOALS has maximum of 5 points in each of 5 categories, highest score = 25.
OSA-LS scores on participants' last salpingectomy video From Week 1 to Week 4 Objective Structured Assessment of Laparoscopic Salpingectomy (OSA-LS) is a validated assessment scale for laparoscopic salpingectomy. OSA-LS has maximum of 5 points in each of 10 categories, highest score = 50.
- Secondary Outcome Measures
Name Time Method Time to complete salpingectomy From Week 1 to Week 4 Time to complete salpingectomy from start of procedure (instruments inserted to begin salpingectomy) to end of procedure (removal of fallopian tube from trocar)
Trial Locations
- Locations (1)
Parkland Memorial Hospital
🇺🇸Dallas, Texas, United States