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Randomized Controlled Pilot Study of Video Self-assessment for Resident Mastoidectomy Training.

Ashok R Jethwa1, Christopher J Perdoni2, Elizabeth A Kelly3

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.

OTO Open
|November 28, 2018
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Summary

Video self-assessment did not improve surgical skills in mastoidectomy for residents. Experts and residents showed fair agreement, but residents overestimated their own competency.

Keywords:
mastoidectomyneurotologyotologyresident educationself-assessmentsimulationtechnologyvideo

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Area of Science:

  • Otolaryngology
  • Surgical Education
  • Medical Simulation

Background:

  • Surgical training relies on developing technical skills.
  • Objective assessment of surgical competency is crucial for patient safety.
  • Video self-assessment is a potential tool for surgical skill enhancement.

Purpose of the Study:

  • To evaluate if video self-assessment improves competency in mastoidectomy.
  • To assess interrater agreement between expert and resident evaluations of recorded mastoidectomies.

Main Methods:

  • A prospective randomized controlled pilot study involving 16 otolaryngology residents.
  • Residents performed two cadaveric mastoidectomies, with the first group utilizing video self-assessment.
  • Performance was evaluated by blinded experts using a validated assessment scale.

Main Results:

  • Video self-assessment did not significantly improve skill competency between the first and second mastoidectomies.
  • Interrater agreement was fair to substantial among experts and between resident self-evaluations.
  • Agreement between experts and residents was slight to fair, with residents rating themselves higher (P < .05).

Conclusions:

  • One session of video self-review did not enhance mastoidectomy competence compared to standard practice.
  • While experts demonstrate consensus in assessment, residents may overestimate their surgical abilities.
  • Further research into effective video-based feedback methods for surgical training is warranted.