Helping the Surgeon Recover: Peer-to-Peer Coaching after Bile Duct Injury

Area of Science:

• Surgical Education
• Minimally Invasive Surgery
• Patient Safety

Background:

• Bile duct injury during laparoscopic cholecystectomy is a severe complication with significant morbidity and mortality.
• A novel individualized surgical coaching program was developed for surgeons experiencing such injuries.

Purpose of the Study:

• To explore surgeons' perceptions of a new coaching program.
• To assess surgeons' experiences within this coaching initiative.

Main Methods:

• Six general surgeons participated in one-on-one coaching sessions with a hepatopancreatobiliary surgeon.
• Sessions included debriefing the index case with video feedback and discussing strategies for safe laparoscopic cholecystectomy.
• Exit interviews were conducted to gather qualitative data on perceptions and experiences.

Main Results:

• Surgeons were receptive to the coaching program, particularly when it addressed their specific developmental needs.
• One-on-one sessions with expert feedback and video analysis were perceived as valuable and interactive.
• Peer coaching was crucial for restoring surgeon confidence and well-being post-injury.

Conclusions:

• Individualized surgical coaching offers a unique avenue for professional growth in surgery.
• This program has the potential to enhance the safety and outcomes of laparoscopic cholecystectomy.