Cultivating self-assessment and reflection on intra-operative decision making by group surgical coaching for surgical trainees
EAES Academy. Yeh C. 07/05/22; 363123; P168
Dr. Chi-Chuan Yeh
Contributions
Contributions
Abstract
Purpose:
Surgeon's skills will directly affect the safety of patients. Poor non-technical skills are increasingly considered to be an important factor causing adverse events. Intraoperative decision making (IODM) deeply affects the patient's surgical outcome. How to make surgeons have the abilities of lifelong self-assessment and reflection for continuous improvement in IODM and surgical skills is an important issue. Video-based surgical coaching has the potential to improve the quality and safety of surgical care.
The aims of this study are establishing a framework of group surgical coaching (GSC) and evaluating the immediate effect of cultivating self-assessment and reflection on intra-operative decision making by using group surgical coaching for surgical trainees.
Materials and Methods:
This study adopted a mixed method research design and recruited surgical residents and PGY trainees. The participants attended group surgical coaching sessions for six months. In each session, edited videos of participants’ clinical performance in the operating theatre were presented. The participants and the surgical coach focused on assessing the technical skills and IODM comments. The coaching session was facilitated by a surgical coach served by senior attending physicians for training participants to obtain the abilities of observation, reflection and self-assessment. Participants’ reflections were collected in the end of coaching section. The immediate benefits of the course was evaluated with the assessment tools of technical surgical skills and IODM and reflection recording. self-assessment, peer assessment and expert assessment were compared.
Results:
Twelve surgical residents and PGY trainees participated in this study. 1/3 attended more than two sessions of GSC. Most credited the GSC allowed them to reflect on their surgical skills and IODM by editing and presenting the surgical videos. The feedback from the coach and peers motivated the participants to improve their surgical skills and IODM, especially among the junior trainees. The results of self-assessment were significantly lower than the assessments from peers and experts.
Conclusion:
We have established a framework of group surgical coaching, cultivating surgical trainees’ abilities of self-assessment and reflection on intraoperative decision-making, which could be part of surgical training for trainees in order to improve their trainees’ self-learning and lifelong improvement.
Surgeon's skills will directly affect the safety of patients. Poor non-technical skills are increasingly considered to be an important factor causing adverse events. Intraoperative decision making (IODM) deeply affects the patient's surgical outcome. How to make surgeons have the abilities of lifelong self-assessment and reflection for continuous improvement in IODM and surgical skills is an important issue. Video-based surgical coaching has the potential to improve the quality and safety of surgical care.
The aims of this study are establishing a framework of group surgical coaching (GSC) and evaluating the immediate effect of cultivating self-assessment and reflection on intra-operative decision making by using group surgical coaching for surgical trainees.
Materials and Methods:
This study adopted a mixed method research design and recruited surgical residents and PGY trainees. The participants attended group surgical coaching sessions for six months. In each session, edited videos of participants’ clinical performance in the operating theatre were presented. The participants and the surgical coach focused on assessing the technical skills and IODM comments. The coaching session was facilitated by a surgical coach served by senior attending physicians for training participants to obtain the abilities of observation, reflection and self-assessment. Participants’ reflections were collected in the end of coaching section. The immediate benefits of the course was evaluated with the assessment tools of technical surgical skills and IODM and reflection recording. self-assessment, peer assessment and expert assessment were compared.
Results:
Twelve surgical residents and PGY trainees participated in this study. 1/3 attended more than two sessions of GSC. Most credited the GSC allowed them to reflect on their surgical skills and IODM by editing and presenting the surgical videos. The feedback from the coach and peers motivated the participants to improve their surgical skills and IODM, especially among the junior trainees. The results of self-assessment were significantly lower than the assessments from peers and experts.
Conclusion:
We have established a framework of group surgical coaching, cultivating surgical trainees’ abilities of self-assessment and reflection on intraoperative decision-making, which could be part of surgical training for trainees in order to improve their trainees’ self-learning and lifelong improvement.
Purpose:
Surgeon's skills will directly affect the safety of patients. Poor non-technical skills are increasingly considered to be an important factor causing adverse events. Intraoperative decision making (IODM) deeply affects the patient's surgical outcome. How to make surgeons have the abilities of lifelong self-assessment and reflection for continuous improvement in IODM and surgical skills is an important issue. Video-based surgical coaching has the potential to improve the quality and safety of surgical care.
The aims of this study are establishing a framework of group surgical coaching (GSC) and evaluating the immediate effect of cultivating self-assessment and reflection on intra-operative decision making by using group surgical coaching for surgical trainees.
Materials and Methods:
This study adopted a mixed method research design and recruited surgical residents and PGY trainees. The participants attended group surgical coaching sessions for six months. In each session, edited videos of participants’ clinical performance in the operating theatre were presented. The participants and the surgical coach focused on assessing the technical skills and IODM comments. The coaching session was facilitated by a surgical coach served by senior attending physicians for training participants to obtain the abilities of observation, reflection and self-assessment. Participants’ reflections were collected in the end of coaching section. The immediate benefits of the course was evaluated with the assessment tools of technical surgical skills and IODM and reflection recording. self-assessment, peer assessment and expert assessment were compared.
Results:
Twelve surgical residents and PGY trainees participated in this study. 1/3 attended more than two sessions of GSC. Most credited the GSC allowed them to reflect on their surgical skills and IODM by editing and presenting the surgical videos. The feedback from the coach and peers motivated the participants to improve their surgical skills and IODM, especially among the junior trainees. The results of self-assessment were significantly lower than the assessments from peers and experts.
Conclusion:
We have established a framework of group surgical coaching, cultivating surgical trainees’ abilities of self-assessment and reflection on intraoperative decision-making, which could be part of surgical training for trainees in order to improve their trainees’ self-learning and lifelong improvement.
Surgeon's skills will directly affect the safety of patients. Poor non-technical skills are increasingly considered to be an important factor causing adverse events. Intraoperative decision making (IODM) deeply affects the patient's surgical outcome. How to make surgeons have the abilities of lifelong self-assessment and reflection for continuous improvement in IODM and surgical skills is an important issue. Video-based surgical coaching has the potential to improve the quality and safety of surgical care.
The aims of this study are establishing a framework of group surgical coaching (GSC) and evaluating the immediate effect of cultivating self-assessment and reflection on intra-operative decision making by using group surgical coaching for surgical trainees.
Materials and Methods:
This study adopted a mixed method research design and recruited surgical residents and PGY trainees. The participants attended group surgical coaching sessions for six months. In each session, edited videos of participants’ clinical performance in the operating theatre were presented. The participants and the surgical coach focused on assessing the technical skills and IODM comments. The coaching session was facilitated by a surgical coach served by senior attending physicians for training participants to obtain the abilities of observation, reflection and self-assessment. Participants’ reflections were collected in the end of coaching section. The immediate benefits of the course was evaluated with the assessment tools of technical surgical skills and IODM and reflection recording. self-assessment, peer assessment and expert assessment were compared.
Results:
Twelve surgical residents and PGY trainees participated in this study. 1/3 attended more than two sessions of GSC. Most credited the GSC allowed them to reflect on their surgical skills and IODM by editing and presenting the surgical videos. The feedback from the coach and peers motivated the participants to improve their surgical skills and IODM, especially among the junior trainees. The results of self-assessment were significantly lower than the assessments from peers and experts.
Conclusion:
We have established a framework of group surgical coaching, cultivating surgical trainees’ abilities of self-assessment and reflection on intraoperative decision-making, which could be part of surgical training for trainees in order to improve their trainees’ self-learning and lifelong improvement.
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