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Related Experiment Video

Updated: Mar 11, 2026

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Can residents detect errors in technique while observing central line insertions?

Kevin Pei1, Jonathan Merola1, Kimberly A Davis1

  • 1Department of Surgery, Yale School of Medicine, New Haven, CT, USA.

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PubMed
Summary
This summary is machine-generated.

Instructional videos significantly enhance surgical residents' ability to detect procedural errors, improving error identification by 72.6%. Clinical experience and confidence did not correlate with this skill, highlighting the value of targeted training in surgical education.

Keywords:
Central lineErrorResidentSimulationSurgery

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Area of Science:

  • Medical Education
  • Surgical Training
  • Procedural Skills

Background:

  • Effective surgical education requires proficiency in procedural teaching and error detection.
  • Current methods may not adequately equip residents to identify procedural errors.
  • The relationship between clinical experience, confidence, and error detection ability is unclear.

Purpose of the Study:

  • To evaluate the impact of instructional video review on surgical residents' error detection capabilities.
  • To determine if clinical experience or confidence correlates with the ability to identify procedural errors.
  • To test the hypothesis that experience and confidence do not predict error detection accuracy.

Main Methods:

  • Forty general surgery residents were randomized into two groups.
  • The study group viewed an instructional video on correct technique for ultrasound-guided right internal jugular vein catheterization.
  • The control group did not view the video. Error identification was assessed pre- and post-randomization.

Main Results:

  • Residents who viewed the instructional video demonstrated a 72.6% improvement in error identification rates (P < .001).
  • No significant correlation was found between postgraduate year and error detection ability (r = .17).
  • Confidence in error detection also did not correlate with actual performance (r = .14).

Conclusions:

  • Procedural experience and seniority alone may be insufficient for accurate error recognition during central line insertion.
  • Instructional videos are an effective tool for improving residents' ability to recognize procedural errors.
  • Targeted educational interventions, such as video review, can enhance critical skills in surgical training.