Video feedback with error-focused or correct-focused examples in surgical skills distance learning: A randomized
Sarah Lund1, David A Cook2, Nizamuddin Shaikh1
1Department of Surgery, Mayo Clinic College of Medicine and Science, Rochester, MN.
Surgery
|August 21, 2022
Summary
Error-focused video feedback significantly improved surgical skill learning in trainees compared to correct-performance videos. This finding suggests that highlighting errors enhances procedural learning more effectively than demonstrating correct techniques.
Area of Science:
- Medical Education
- Surgical Training
- Skill Acquisition
Background:
- Traditional surgical training often relies on demonstrating correct procedures.
- However, evidence suggests error-focused examples may enhance skill learning and error detection.
- This study investigated the efficacy of error-focused versus correct-focused video feedback in surgical education.
Purpose of the Study:
- To compare the effectiveness of error-focused video feedback versus correct-focused video feedback on surgical procedural learning.
- To determine if error-focused feedback improves procedural task performance more than correct-focused feedback.
Main Methods:
- A randomized controlled trial was conducted with general surgery residency program interviewees.
- Participants performed baseline suturing and knot-tying tasks, receiving either error-focused or correct-focused video feedback based on identified errors.
- Post-intervention performances were assessed by blinded raters.
Main Results:
- The error-focused feedback group showed significantly higher post-intervention performance scores in both suturing and knot-tying tasks compared to the correct-focused group.
- No significant differences in performance time were observed between the groups.
- Participant satisfaction with the feedback was similar across both groups.
Conclusions:
- Feedback emphasizing errors leads to better learning of surgical skills than feedback demonstrating correct performance.
- Error-focused feedback is a more effective pedagogical tool for improving procedural learning in surgical trainees.
- These findings support the hypothesis that error-focused examples enhance skill acquisition in surgical education.
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