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Advancing excellence: a national peer-coaching program for advanced laparoscopic HPB techniques.
Alice Zhu1, Marisa Louridas2, Sean P Cleary3
1Division of General Surgery, University of Toronto, Toronto, Canada.
Summary
A national surgical coaching program for hepatopancreaticobiliary (HPB) surgeons significantly improved laparoscopic skills and comfort. The program demonstrated practicality for lasting clinical practice change despite implementation barriers.
Area of Science:
- Surgical education and training
- Minimally invasive surgery
- Hepatopancreaticobiliary (HPB) surgery
Background:
- Surgical coaching enhances surgeon knowledge, skills, and professional development.
- Advanced laparoscopic techniques are crucial for HPB surgery.
- Continuous professional development is vital for practicing surgeons.
Purpose of the Study:
- To implement a national coaching program for Canadian HPB surgeons focused on advanced laparoscopic techniques.
- To assess the adoption and impact of the coaching program.
- To evaluate surgeon perceptions, barriers, and experiences with surgical coaching.
Main Methods:
- Mid-to-late career HPB surgeons participated in peer surgical coaching for advanced laparoscopic skills.
- The program involved didactic sessions, simulation labs, and real-time operating room coaching.
- Lead surgeons from participating centers were interviewed post-program.
Main Results:
- Surgeons reported increased self-perceived comfort in laparoscopic HPB surgeries (34.9%).
- Significant increases were observed in laparoscopic liver (24.2%) and pancreas (56.7%) resections.
- Barriers to implementation included surgeon and societal factors, requiring mutual respect and collaboration to overcome.
Conclusions:
- A nationwide surgical coaching program is practical and effective for implementing change in HPB surgery.
- The program facilitated substantial and long-term changes in clinical practice.
- Sustained change requires team collaboration and long-term coach relationships.
