Details

Autor(en) / Beteiligte

• Daniel, Ryan
• Kruse, Colin C
• McKechnie, Tyler
• Eskicioglu, Cagla

Titel

Video-based coaching for surgical residents: a systematic review and meta-analysis

Ist Teil von

• Canadian Journal of Surgery, 2021-11, Vol.64, p.S74-S74

Ort / Verlag

Ottawa: CMA Impact, Inc

Erscheinungsjahr

2021

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• Background: Video-based coaching (VBC) is used to supplement current teaching methods in surgical education and may be useful in competency-based frameworks. The objective of this systematic review and meta-analysis was to pool previously published data and provide an update on the evidence for preoperative and postoperative VBC in postgraduate surgical education. Methods: Medline, Embase, and CENTRAL were systematically searched. Articles were included if they were randomized controlled trials comparing surgical residents receiving and not receiving VBC. A pairwise meta-analysis using inverse variance random effects was performed. Standardized mean differences (SMDs) were used as the primary outcome measure to account for differences in objective surgical skill evaluation tools. Results: From 2727 citations, 12 studies involving 179 residents receiving VBC and 159 residents receiving standard surgical teaching without VBC were included. There was no significant difference in post-coaching scores on objective surgical skill evaluation tools between groups (SMD 0.53, 95% confidence interval [CI] -0.05 to 1.11, p = 0.07, I2 = 77%). However, residents receiving VBC were significantly more likely to improve upon their precoaching scores (SMD 1.96, 95% CI 0.74 to 3.19, p = 0.002, I2 = 85%). Results were unchanged with leave-one-out sensitivity analysis and subgroup analysis according to operative setting (i.e., simulation, operating room). Conclusion: VBC is effective at improving objective surgical skills in postgraduate surgical trainees of various levels across both simulation and live-operative settings. The benefit may be most substantial for trainees with lower baseline levels of objective skill. Further study is required to determine the long-term benefits of this intervention as well as its impact on patient outcomes.