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A Multicenter, Randomized Controlled Trial to Assess Video-Based Surgical Coaching in Gynecology.

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Summary

Video-based surgical coaching significantly reduced operative time for laparoscopic vaginal vault closure in residents. This method enhances surgical skill development, with residents valuing structured feedback and positive coach relationships.

Keywords:
Laparoscopic suturingLaparoscopyResident educationSurgical coachingSurgical training

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Area of Science:

  • Medical Education
  • Surgical Training
  • Gastrointestinal Surgery

Background:

  • Technical skill acquisition is crucial in surgical education.
  • Traditional surgical training may not adequately address individual skill refinement.
  • Novel coaching methods are needed to optimize surgical competency.

Purpose of the Study:

  • To assess the impact of video-based coaching on surgical technical skill development.
  • To evaluate the effectiveness of a structured coaching framework in improving surgical performance.
  • To explore resident perspectives on video-based surgical coaching.

Main Methods:

  • A randomized controlled trial was conducted involving senior Obstetrics and Gynecology residents.
  • Participants were randomized to receive video-based coaching or standard surgical curriculum alone.
  • Technical skills were assessed via video recordings using standardized metrics (OSATS, GOALS) before and after the intervention.

Main Results:

  • The video-based coaching group demonstrated a significant reduction in operative time (32.8%) compared to the control group (7.2%).
  • No significant differences were observed in overall surgical assessment scores between the groups.
  • Qualitative interviews revealed resident emphasis on focused skill development, coach feedback, and structured programs.

Conclusions:

  • Video-based surgical coaching effectively reduces operative time, indicating enhanced technical proficiency.
  • The findings support the integration of video-based coaching into surgical curricula.
  • Resident feedback highlights key components for successful surgical coaching programs, including deliberate practice and faculty development.