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The Next Upgrade for Surgical Procedure-Based Assessments: Clinical Video Footage.

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Video recordings can improve surgical training assessments. Intraoperative videos aid orthopaedic trainees in skill evaluation and feedback, addressing limitations in current procedure-based assessments (PBAs).

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Area of Science:

  • Medical Education
  • Surgical Training
  • Assessment Methods

Background:

  • Procedure-based assessments (PBAs) are standard for evaluating surgical trainees' competencies.
  • Current PBAs may not fully capture trainee performance or provide adequate feedback.
  • Intraoperative video recording is a potential tool to enhance training and assessment.

Purpose of the Study:

  • To quantify timing and consultant involvement in orthopaedic trainees' PBAs.
  • To explore trainees' perceptions of intraoperative video for reflection and PBA completion.
  • To summarize medico-legal and ethical considerations for intraoperative recording in the UK.

Main Methods:

  • A pilot survey was distributed to orthopaedic trainees in the East of England Deanery.
  • The six-item questionnaire assessed current PBA practices and the utility of video recordings.
  • Responses were collected via online and paper formats.

Main Results:

  • 75% of trainees responded to the survey.
  • 60% felt current PBAs don't highlight strengths/weaknesses.
  • 87% believed video aids reflective practice, and 71% felt it would assist PBA completion.
  • 49% reported not completing PBAs with a consultant.

Conclusions:

  • Existing assessment methods have limitations in providing effective feedback.
  • Intraoperative video recording shows promise for enhancing surgical skill evaluation and reflective practice in PBAs.
  • Further research is needed to address practical, legal, and educational implications before widespread adoption.