Effect of Video-based Guided Self-reflection on Intraoperative Skills: a Pilot Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Laparoscopy
- Sponsor
- McGill University Health Centre/Research Institute of the McGill University Health Centre
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Feasibility: Adherence to intervention
- Last Updated
- 5 years ago
Overview
Brief Summary
While video-assisted structured feedback by expert surgeons significantly improves laparoscopic skill acquisition in surgical trainees, this method is resource intensive and may have limited feasibility outside of research settings. Self-assessment and reflection are integral parts of medical experiential learning; however the value of video-based self-reflection in enhancing surgical skill acquisition remains to be determined.
The objective of the proposed pilot study is to investigate the feasibility of conducting a full-scale randomized controlled trial (RCT) aimed to evaluate the effectiveness of coached video-based self-reflection approach on surgical trainee performance of laparoscopic cholecystectomy.
Detailed Description
The study will be a parallel, two-groups, assessor-blind, single-center, pilot randomized controlled trial with participants (surgical trainees) individually allocated on a 1:1 ratio to intervention group (guided video-based self-evaluation in addition to traditional intraoperative teaching by faculty surgeons) and a control group (traditional intraoperative teaching alone). All the trainees participating in this trial will be asked to submit intra-operative video-recordings of 5 consecutive laparoscopic cholecystectomies performed by them as the primary operator. In this trial the intervention group participants will be asked to perform a guided self-assessment of their intra-operative skills by watching their operative video-recording. The trainee's self-assessment will be guided by validated intra-operative performance assessment tools. The control group will not have access to their recorded video submissions during the duration of this study. Outcomes assessed will include trainee's intra-operative performance and time to completion of surgical procedure, Information generated from the pilot study will help inform a full-scale RCT by testing the study procedures. Feasibility outcomes will include number of trainees and surgeons approached, consented and randomized and adherence with intervention(surgeons: intra-operative assessments; trainees: video-based assessments). Data from this pilot study will inform the calculation of sample size requirements for the full-scale RCT.
Investigators
Dr. Liane S. Feldman
Professor of Surgery and Chief of the Division of General Surgery at McGill University
McGill University Health Centre/Research Institute of the McGill University Health Centre
Eligibility Criteria
Inclusion Criteria
- •All residents involved at the McGill General Surgery Program (total of 35 residents on clinical rotations)
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Feasibility: Adherence to intervention
Time Frame: 1 year
% of adherence with intervention (surgeons: intra-operative assessments; trainees: video-based assessments)
Feasibility: Rate of missing assessment data
Time Frame: 1 year
% of missing responses
Feasibility: Rate of recruitment (acceptability of the trial by trainees)
Time Frame: 1 year
% of eligible residents who agree to participate in the study
Feasibility: Rate of recruitment (acceptability of the trial by attending surgeons)
Time Frame: 1 year
% of eligible attending surgeons who agree to participate in the study
Secondary Outcomes
- Procedural times(1 year)
- Perceived usefulness(through study completion, an average of 1 year)
- Intraoperative performance- In-person: attending surgeon(1 year)
- Mindset(through study completion, an average of 1 year)
- Intraoperative performance-Video-based: blinded expert assessor(1 year)