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Video-Based Coaching for Laparoscopic Salpingectomy: A Randomized Controlled Trial.

Teale M Muir¹, Jessica Pruszynski, Kimberly A Kho

¹Department of Obstetrics & Gynecology, University of Texas Southwestern Medical Center, Dallas, and the Department of Gynecologic Surgery and Obstetrics, Brooke Army Medical Center, Fort Sam Houston, Texas; the Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and the Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.

Obstetrics and Gynecology

|July 25, 2024

Summary

This summary is machine-generated.

Video-based coaching significantly improved gynecology resident performance in laparoscopic salpingectomy, enhancing skills and confidence. This method serves as a valuable adjunct to surgical training programs.

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Area of Science:

Surgical Education
Minimally Invasive Surgery
Gynecology

Background:

Laparoscopic salpingectomy is a key gynecologic procedure.
Resident surgical skill acquisition requires effective training methods.
Video-based coaching (VBC) offers a novel approach to surgical skill development.

Purpose of the Study:

To assess the impact of video-based coaching on gynecology resident proficiency in laparoscopic salpingectomy.
To compare the effectiveness of VBC against standard surgical curricula.

Main Methods:

PGY-1 and PGY-2 residents were randomized into a control group (standard curriculum) or a video-based coaching group.
The VBC group received two coaching sessions from an expert minimally invasive gynecologic surgeon.
Resident performance was evaluated using intraoperative video recordings and scored with modified Global Operative Assessment of Laparoscopic Skills (GOALS) and Objective Structured Assessment of Laparoscopic Salpingectomy (OSA-LS) metrics.

Main Results:

Residents in the VBC group showed significant improvements in modified GOALS scores (3.0-3.2 points) and OSA-LS scores (6.1 points).
The control group demonstrated non-significant improvements in these metrics.
Video-based coaching also positively impacted resident self-reported comfort and confidence levels.

Conclusions:

Video-based coaching is an effective tool for enhancing resident surgical performance in laparoscopic salpingectomy.
VBC can be successfully integrated as a supplementary method in surgical residency training.