Operative Curriculum Gallbladder Surgery

Not Applicable

Completed

• Conditions: Surgical Education
• Interventions: Other: briefing objectives, intraoperative teaching, and debriefing feedback

• Registration Number: NCT04691206
• Lead Sponsor: Mayo Clinic

Brief Summary

The goal of this study is to implement and evaluate the need, feasibility and effectiveness of a resident-initiated, step-wise, graduated operative curriculum designed to enhance resident autonomy for laparoscopic cholecystectomy for general surgery residents.

Detailed Description

The goal of this study is to improve resident autonomy and confidence through detailed and stepwise feedback and to also assess resident and attending perceptions regarding resident skill and autonomy.

Study Timeline

• Study Start: 2020-10-07
• Study First Submitted: 2020-10-17
• Study First Submitted QC: 2020-12-28
• Study First Posted: 2020-12-31
• Primary Completion: 2022-06-30
• Study Completion: 2022-06-30
• Status Verified: 2023-11
• Last Update Submitted: 2023-11-22
• Last Update Posted: 2023-11-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 23

Inclusion Criteria

• All Mayo Clinic general surgery residents and attendings across all campuses

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Exclusion Criteria

• None

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
standardized step-wise operative curriculum	briefing objectives, intraoperative teaching, and debriefing feedback	General surgery residents at Mayo Clinic will complete surveys measuring resident autonomy, performance, confidence and case complexity at baseline and postoperatively following laparoscopic cholecystectomy to serve as a pre-intervention baseline. A standardized step-wise operative curriculum will then be implemented Residents will follow and graduate through this curriculum by initiating a perioperative model of briefing objectives, intraoperative teaching, and debriefing feedback (BID). The effectiveness of the intervention will then be measured by comparing survey results pre and post intervention.

Primary Outcome Measures

Name	Time	Method
Change in Surgical Resident's Confidence	Baseline, postoperatively approximately one day	Measured using a validated Zwisch based survey to compare the rate of progression of surgical resident reported confidence performing laparoscopic cholecystectomy pre and post implementation of standardized step-wise operative curriculum
Change in Surgical Resident's Autonomy	Baseline, postoperatively approximately one day	Measured using a validated Zwisch based survey to compare the rate of progression of surgical resident autonomy performing laparoscopic cholecystectomy pre and post implementation of standardized step-wise operative curriculum
Change is Surgical Resident's Operative Skills	Baseline, postoperatively approximately one day	Measured using a validated Zwisch based survey to compare the rate of progression of surgical resident operative skills performing laparoscopic cholecystectomy pre and post implementation of standardized step-wise operative curriculum

Secondary Outcome Measures

Name	Time	Method
Difference in Surgical Resident and Attending Physician Perceptions	Baseline, postoperatively approximately one day	Difference between surgical resident and attending physician's perceptions of progression of resident operative skills performing laparoscopic cholecystectomy pre and post implementation of standardized step-wise operative curriculum using a validated Zwisch based survey.

Trial Locations

Locations (3)

Mayo Clinic Florida; 🇺🇸 Jacksonville, Florida, United States

Mayo Clinic in Arizona; 🇺🇸 Scottsdale, Arizona, United States

Mayo Clinic in Rochester; 🇺🇸 Rochester, Minnesota, United States