Synchronized Video-Review as a Tool to Enhance Reflection and Feedback: A Design-Based Feasibility Study

Area of Science:

• Medical Education
• Surgical Training
• Health Professions Education

Background:

• UK surgical training faces reduced opportunities for skill development.
• Effective feedback is crucial for enhancing surgical skills and performance.
• Current feedback methods may be limited by real-time constraints and memory fading.

Purpose of the Study:

• To test the feasibility of synchronized video-review as a reflective tool in surgical training.
• To enhance the understanding of intraoperative feedback mechanisms.
• To evaluate the impact of video-review on trainee learning and skill acquisition.

Main Methods:

• Ten laparoscopic cholecystectomies were video-recorded using a split-screen format.
• Trainees and supervisors jointly reviewed recordings, with sessions audio-recorded.
• Thematic analysis of recordings and comparison of Procedure-Based Assessment forms before and after review were conducted.

Main Results:

• Trainee and supervisor feedback on video-review was positive, highlighting its value for reflection-on-action.
• Video-review reduced real-time stress, improved feedback focus, and enhanced understanding of feedback targets.
• Trainees identified new learning objectives and appraised trainer effectiveness through audio-visual review.

Conclusions:

• Synchronized video-review is a feasible tool for enhancing surgical training and feedback.
• Trainees struggle to process intraoperative feedback due to mental overload.
• Limitations of current verbal feedback and assessment forms in capturing technical and nontechnical skills were identified.