Video Review Curriculum for Common Laparoscopic General Surgery Cases

Video review, post hoc analysis of a prior recorded operation, has gained traction as a novel way to educate residents and improve intraoperative skills. Despite this, there are currently no widely known curricula surrounding video review.

An initial needs assessment drove the creation of a video review curriculum for common laparoscopic general surgery cases. The curriculum was tested and assessed via pre- and post-surveys. Learners were assessed via pre- and post-assessments. Results from the laparoscopic cholecystectomy course alone were analyzed. This study was approved by our institutional IRB.

The needs assessment confirmed both staff and resident interest in video review and also demonstrated a gap in current formal academics regarding simulated intraoperative experience and short-interval repetition. After implementation, there was a significant increase in learners' confidence on the post-survey in visually recognizing intraoperative errors or complications. The lower trainees were on the Zwisch scale, the greater their confidence postintervention. Pre- and post-assessments of knowledge demonstrated no significant pre- and post-test score differences (81.43% vs. 81.43%, respectively).

With video review, it is possible to take the intraoperative environment outside of the operating room to create a learning climate more suitable to retention, discussion, and feedback.