Impact of the Recorded Audio and Video Feedback on Simulated Surgical Performance: A Randomized Controlled Trial

Area of Science:

• Medical Education
• Surgical Simulation
• Laparoscopic Surgery

Background:

• Simulation and coaching are vital for acquiring laparoscopic skills.
• This study investigated the impact of recorded feedback on surgical skill acquisition.

Purpose of the Study:

• To evaluate if recorded audio and video feedback enhances laparoscopic suturing skills in OB/GYN residents after a proctored session.
• To compare the effectiveness of video-only versus audio and video feedback.

Main Methods:

• Twenty OB/GYN residents underwent a proctored laparoscopic vaginal cuff closure simulation.
• Residents were randomized to receive either video-only or audio and video feedback.
• Global Operative Assessment of Laparoscopic Skills plus Vaginal Cuff Metrics (GOALS+) scores were used to assess skill improvement.

Main Results:

• Only 30% of residents accessed their recorded sessions, with junior residents showing higher engagement.
• All residents improved significantly after the proctored session (p<.001).
• Senior residents consistently scored higher than junior residents post-intervention (p=.01).

Conclusions:

• Low uptake of recorded feedback prevented assessment of its specific impact.
• A single proctored simulation session demonstrably improved laparoscopic vaginal cuff closure skills.
• Further research is needed to understand barriers to feedback utilization in surgical training.