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[Video-based Analysis of Practical Skills - a Suitable Tool to Develop Surgical Training?]
Claudia Schindler1, Philipp Felgendreff1,2, Utz Settmacher2
1Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Experimentelle Transplantationschirurgie, Universitätsklinikum Jena, Deutschland.
Zentralblatt Fur Chirurgie
|December 12, 2019
Summary
Video analysis of surgical skills effectively identifies common errors, enabling targeted training development. This approach significantly improves the quality of practical surgical tasks and enhances surgical training programs.
Area of Science:
- Medical Education
- Surgical Training
- Skill Assessment
Background:
- Video-based analysis is increasingly used in medical education for performance feedback.
- Current applications primarily focus on individual candidate assessment.
- This study investigates video analysis for surgical training development.
Purpose of the Study:
- To explore the utility of video-based analysis for enhancing surgical training.
- To identify typical errors in surgical practical skills through video analysis.
- To develop targeted error prevention exercises based on video analysis findings.
Main Methods:
- Video-documentation of 38 medical students performing a 3-minute surgical suture exercise.
- Analysis of video material using 10 specific criteria to identify errors.
- Development of error prevention exercises based on identified errors and a pilot study with two-group comparison.
Main Results:
- Independent expert review identified typical errors in instrument handling, suture material manipulation, and motion sequences.
- Additional teaching units focused on identified error areas were developed.
- The intervention demonstrated a medium effect size (Cohen's d = 0.73) on suture exercise quality.
Conclusions:
- Video analysis of practical surgical skills is a viable method for developing surgical training.
- It facilitates the identification of error types and frequencies.
- Targeted preventive exercises derived from video analysis positively impact practical task performance quality.

