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

Not Applicable

• Conditions: Pre-operative Training; Surgical Videos
• Interventions: Other: Instructional surgical video

• Registration Number: NCT03230552
• Lead Sponsor: Unity Health Toronto

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.

Study Timeline

• Study First Submitted: 2017-07-24
• Study First Submitted QC: 2017-07-25
• Study First Posted: 2017-07-26
• Study Start: 2017-08-01
• Status Verified: 2019-02
• Last Update Submitted: 2019-02-19
• Last Update Posted: 2019-02-20
• Primary Completion: 2019-08-01
• Study Completion: 2019-08-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

• Novice OBGYN residents who have performed <10 LSO surgeries as the primary surgeon

Read More

Exclusion Criteria

• OBGYN residents who have performed > 10 LSO surgeries as the primary surgeon.

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Video group	Instructional surgical video	Residents assigned to this group will watch an instructional surgical video prior to LSO surgery.

Primary Outcome Measures

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

Secondary Outcome Measures

Name	Time	Method
Pre-operative knowledge survey	baseline	Residents will complete a survey prior surgery which will measure their pre-operative knowledge of performing LSO procedure.

Trial Locations

Locations (1)

St. Michael's Hospital; 🇨🇦 Toronto, Ontario, Canada