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Peer video review and feedback improve performance in basic surgical skills.

Carolyn J Vaughn¹, Edward Kim¹, Patricia O'Sullivan²

¹Department of Surgery, University of California San Francisco, 505 Parnassus Ave, M-593 San Francisco, CA, USA.

American Journal of Surgery

|December 23, 2015

Summary

Peer feedback (PF) on surgical skills home-video assessments improved intern performance more than faculty feedback (FF). Peers, guided by checklists, provided ratings comparable to faculty, offering a time-efficient alternative.

Keywords:

Peer feedback Peer-assisted learning Residency training Surgical education Surgical skills Video-based learning

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Published on: October 28, 2021

Area of Science:

Medical Education
Surgical Training
Skills Assessment

Background:

Home-video assessments offer flexible feedback in surgical training but demand significant faculty time.
Peer feedback (PF) presents a potential solution to enhance feedback delivery while mitigating faculty time constraints.

Purpose of the Study:

To compare the effectiveness of peer feedback (PF) versus faculty feedback (FF) on surgical skills acquisition using home-video assessments.
To evaluate if peer raters can provide feedback comparable to faculty when utilizing structured checklists.

Main Methods:

A 12-week surgical skills curriculum utilized home-video assignments for knot tying and suturing for 24 interns.
Interns were randomized into PF and FF groups, receiving feedback via checklists, global ratings, and comments.
Learner skills were assessed at baseline, mid-curriculum, and post-curriculum, with expert-rated performance compared between groups.

Main Results:

Both groups demonstrated improvement, with home-video assessments yielding the highest scores.
The PF group showed superior performance on the final assessment compared to the FF group (effect size = 0.84).
Checklist-guided peer and faculty ratings were not significantly different.

Conclusions:

Peer feedback may enhance surgical skill development, potentially through improved self-awareness gained from analyzing others' performance.
Peers can function as effective raters, comparable to faculty, when provided with clear checklist guidance, offering a scalable feedback model.