Video Playback as an Educational Tool for Improving Resident Laparoscopic Performance: A Randomized Controlled Trial
In this single-masked randomized controlled study, we evaluate whether watching video recordings of oneself performing Fundamentals of Laparoscopic Skills (FLS) exercises results in an improvement on the 30-point Global Operative Assessment of Laparoscopic Skills (GOALS) assessment among Obstetrics...
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Veröffentlicht in: | Journal of minimally invasive gynecology 2023-01, Vol.30 (1), p.39-44 |
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creator | Warehime, Jenna M. Lenger, Stacy M. Feng, Xiang Yu Cope, Zebulun Feroz, Rehan Gaskins, Jeremy Gupta, Ankita Francis, Sean Hamm, Jennifer |
description | In this single-masked randomized controlled study, we evaluate whether watching video recordings of oneself performing Fundamentals of Laparoscopic Skills (FLS) exercises results in an improvement on the 30-point Global Operative Assessment of Laparoscopic Skills (GOALS) assessment among Obstetrics and Gynecology (Ob/Gyn) residents.
Twenty-three Ob/Gyn residents in the 2020–2021 academic year completed the FLS exercises while being timed, video recorded, and receiving real-time feedback from an Ob/Gyn faculty member. Baseline GOALS assessment was completed by participants and faculty. After the intervention, all participants then repeated the FLS exercises while being timed and were again scored using the GOALS assessment. Each participant completed the study in a single session. In addition, all participants completed a pre- and post-test survey.
University of Louisville Laparoscopic Skills Labortaory.
University of Louisville Ob/Gyn residents in the 2020–2021 academic year.
Twelve participants were randomized to the intervention and were allowed to watch their video recording in addition to receiving verbal feedback whereas the remaining 11 received verbal feedback only.
There were significant improvements in faculty (p |
doi_str_mv | 10.1016/j.jmig.2022.10.002 |
format | Article |
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Twenty-three Ob/Gyn residents in the 2020–2021 academic year completed the FLS exercises while being timed, video recorded, and receiving real-time feedback from an Ob/Gyn faculty member. Baseline GOALS assessment was completed by participants and faculty. After the intervention, all participants then repeated the FLS exercises while being timed and were again scored using the GOALS assessment. Each participant completed the study in a single session. In addition, all participants completed a pre- and post-test survey.
University of Louisville Laparoscopic Skills Labortaory.
University of Louisville Ob/Gyn residents in the 2020–2021 academic year.
Twelve participants were randomized to the intervention and were allowed to watch their video recording in addition to receiving verbal feedback whereas the remaining 11 received verbal feedback only.
There were significant improvements in faculty (p <.01) and self-reported GOALS scores (p <.01) when comparing both the intervention and control group with baseline scores. The intervention group improved by 3.2 points more than that of the control group based on masked faculty evaluation (95% confidence interval, 1.4–5.0 points; p <.01). The difference was not significant in resident self-scores. Overall time improved for all participants (15:54 ± 0.21 minutes before and 13:13 ± 0.14 minutes after), but this difference was not significant between the 2 groups. Higher postgraduate year (PGY) residents reported significantly more comfort performing laparoscopic tasks, earned higher GOALS score (faculty and self-scores), and completed the first set of exercises in less time. A significant interaction between PGY and intervention was detected with improvement in GOALS score most strongly associated with PGY4 residents (p <.01).
Although all learners objectively benefit from watching recordings of themselves performing surgical tasks, advanced learners may benefit the most when video recordings are used as an educational tool.</description><identifier>ISSN: 1553-4650</identifier><identifier>EISSN: 1553-4669</identifier><identifier>DOI: 10.1016/j.jmig.2022.10.002</identifier><identifier>PMID: 36223862</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Clinical Competence ; Education ; Gynecology - education ; Humans ; Internship and Residency ; Laparoscopic ; Laparoscopy ; Obstetrics - education ; Residency ; Video</subject><ispartof>Journal of minimally invasive gynecology, 2023-01, Vol.30 (1), p.39-44</ispartof><rights>2022 AAGL</rights><rights>Copyright © 2022 AAGL. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c307t-1aae853c977d9bbf6c244201ddcd03a6504d8ca0d4d01fd7f937a346361bf7393</cites><orcidid>0000-0002-2112-2678</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jmig.2022.10.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36223862$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Warehime, Jenna M.</creatorcontrib><creatorcontrib>Lenger, Stacy M.</creatorcontrib><creatorcontrib>Feng, Xiang Yu</creatorcontrib><creatorcontrib>Cope, Zebulun</creatorcontrib><creatorcontrib>Feroz, Rehan</creatorcontrib><creatorcontrib>Gaskins, Jeremy</creatorcontrib><creatorcontrib>Gupta, Ankita</creatorcontrib><creatorcontrib>Francis, Sean</creatorcontrib><creatorcontrib>Hamm, Jennifer</creatorcontrib><title>Video Playback as an Educational Tool for Improving Resident Laparoscopic Performance: A Randomized Controlled Trial</title><title>Journal of minimally invasive gynecology</title><addtitle>J Minim Invasive Gynecol</addtitle><description>In this single-masked randomized controlled study, we evaluate whether watching video recordings of oneself performing Fundamentals of Laparoscopic Skills (FLS) exercises results in an improvement on the 30-point Global Operative Assessment of Laparoscopic Skills (GOALS) assessment among Obstetrics and Gynecology (Ob/Gyn) residents.
Twenty-three Ob/Gyn residents in the 2020–2021 academic year completed the FLS exercises while being timed, video recorded, and receiving real-time feedback from an Ob/Gyn faculty member. Baseline GOALS assessment was completed by participants and faculty. After the intervention, all participants then repeated the FLS exercises while being timed and were again scored using the GOALS assessment. Each participant completed the study in a single session. In addition, all participants completed a pre- and post-test survey.
University of Louisville Laparoscopic Skills Labortaory.
University of Louisville Ob/Gyn residents in the 2020–2021 academic year.
Twelve participants were randomized to the intervention and were allowed to watch their video recording in addition to receiving verbal feedback whereas the remaining 11 received verbal feedback only.
There were significant improvements in faculty (p <.01) and self-reported GOALS scores (p <.01) when comparing both the intervention and control group with baseline scores. The intervention group improved by 3.2 points more than that of the control group based on masked faculty evaluation (95% confidence interval, 1.4–5.0 points; p <.01). The difference was not significant in resident self-scores. Overall time improved for all participants (15:54 ± 0.21 minutes before and 13:13 ± 0.14 minutes after), but this difference was not significant between the 2 groups. Higher postgraduate year (PGY) residents reported significantly more comfort performing laparoscopic tasks, earned higher GOALS score (faculty and self-scores), and completed the first set of exercises in less time. A significant interaction between PGY and intervention was detected with improvement in GOALS score most strongly associated with PGY4 residents (p <.01).
Although all learners objectively benefit from watching recordings of themselves performing surgical tasks, advanced learners may benefit the most when video recordings are used as an educational tool.</description><subject>Clinical Competence</subject><subject>Education</subject><subject>Gynecology - education</subject><subject>Humans</subject><subject>Internship and Residency</subject><subject>Laparoscopic</subject><subject>Laparoscopy</subject><subject>Obstetrics - education</subject><subject>Residency</subject><subject>Video</subject><issn>1553-4650</issn><issn>1553-4669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEUhYMotj7-gAvJ0k1rHjOZjrgppWqhoEh1G-4kmZKamdRkKtRfb0q1S1f3cjnncM-H0BUlQ0qouF0NV41dDhlhLB2GhLAj1Kd5zgeZEOXxYc9JD53FuCKEF4SIU9TjgjE-EqyPunerjccvDrYVqA8MEUOLp3qjoLO-BYcX3jtc-4BnzTr4L9su8auJydV2eA5rCD4qv7YKv5iQZA20ytzhMX6FVvvGfhuNJ77tgncurYtgwV2gkxpcNJe_8xy9PUwXk6fB_PlxNhnPB4qTohtQADPKuSqLQpdVVQvFsowRqrXShEPqlemRAqIzTWiti7rkBfBMcEGruuAlP0c3-9z0-OfGxE42NirjHLTGb6JkBcvyUVayPEnZXqpSnxhMLdfBNhC2khK5oy1Xckdb7mjvbol2Ml3_5m-qxuiD5Q9vEtzvBSa1_LImyKisSYC0DUZ1Unv7X_4PjBWRiw</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Warehime, Jenna M.</creator><creator>Lenger, Stacy M.</creator><creator>Feng, Xiang Yu</creator><creator>Cope, Zebulun</creator><creator>Feroz, Rehan</creator><creator>Gaskins, Jeremy</creator><creator>Gupta, Ankita</creator><creator>Francis, Sean</creator><creator>Hamm, Jennifer</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2112-2678</orcidid></search><sort><creationdate>202301</creationdate><title>Video Playback as an Educational Tool for Improving Resident Laparoscopic Performance: A Randomized Controlled Trial</title><author>Warehime, Jenna M. ; Lenger, Stacy M. ; Feng, Xiang Yu ; Cope, Zebulun ; Feroz, Rehan ; Gaskins, Jeremy ; Gupta, Ankita ; Francis, Sean ; Hamm, Jennifer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-1aae853c977d9bbf6c244201ddcd03a6504d8ca0d4d01fd7f937a346361bf7393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Clinical Competence</topic><topic>Education</topic><topic>Gynecology - education</topic><topic>Humans</topic><topic>Internship and Residency</topic><topic>Laparoscopic</topic><topic>Laparoscopy</topic><topic>Obstetrics - education</topic><topic>Residency</topic><topic>Video</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Warehime, Jenna M.</creatorcontrib><creatorcontrib>Lenger, Stacy M.</creatorcontrib><creatorcontrib>Feng, Xiang Yu</creatorcontrib><creatorcontrib>Cope, Zebulun</creatorcontrib><creatorcontrib>Feroz, Rehan</creatorcontrib><creatorcontrib>Gaskins, Jeremy</creatorcontrib><creatorcontrib>Gupta, Ankita</creatorcontrib><creatorcontrib>Francis, Sean</creatorcontrib><creatorcontrib>Hamm, Jennifer</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of minimally invasive gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Warehime, Jenna M.</au><au>Lenger, Stacy M.</au><au>Feng, Xiang Yu</au><au>Cope, Zebulun</au><au>Feroz, Rehan</au><au>Gaskins, Jeremy</au><au>Gupta, Ankita</au><au>Francis, Sean</au><au>Hamm, Jennifer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Video Playback as an Educational Tool for Improving Resident Laparoscopic Performance: A Randomized Controlled Trial</atitle><jtitle>Journal of minimally invasive gynecology</jtitle><addtitle>J Minim Invasive Gynecol</addtitle><date>2023-01</date><risdate>2023</risdate><volume>30</volume><issue>1</issue><spage>39</spage><epage>44</epage><pages>39-44</pages><issn>1553-4650</issn><eissn>1553-4669</eissn><abstract>In this single-masked randomized controlled study, we evaluate whether watching video recordings of oneself performing Fundamentals of Laparoscopic Skills (FLS) exercises results in an improvement on the 30-point Global Operative Assessment of Laparoscopic Skills (GOALS) assessment among Obstetrics and Gynecology (Ob/Gyn) residents.
Twenty-three Ob/Gyn residents in the 2020–2021 academic year completed the FLS exercises while being timed, video recorded, and receiving real-time feedback from an Ob/Gyn faculty member. Baseline GOALS assessment was completed by participants and faculty. After the intervention, all participants then repeated the FLS exercises while being timed and were again scored using the GOALS assessment. Each participant completed the study in a single session. In addition, all participants completed a pre- and post-test survey.
University of Louisville Laparoscopic Skills Labortaory.
University of Louisville Ob/Gyn residents in the 2020–2021 academic year.
Twelve participants were randomized to the intervention and were allowed to watch their video recording in addition to receiving verbal feedback whereas the remaining 11 received verbal feedback only.
There were significant improvements in faculty (p <.01) and self-reported GOALS scores (p <.01) when comparing both the intervention and control group with baseline scores. The intervention group improved by 3.2 points more than that of the control group based on masked faculty evaluation (95% confidence interval, 1.4–5.0 points; p <.01). The difference was not significant in resident self-scores. Overall time improved for all participants (15:54 ± 0.21 minutes before and 13:13 ± 0.14 minutes after), but this difference was not significant between the 2 groups. Higher postgraduate year (PGY) residents reported significantly more comfort performing laparoscopic tasks, earned higher GOALS score (faculty and self-scores), and completed the first set of exercises in less time. A significant interaction between PGY and intervention was detected with improvement in GOALS score most strongly associated with PGY4 residents (p <.01).
Although all learners objectively benefit from watching recordings of themselves performing surgical tasks, advanced learners may benefit the most when video recordings are used as an educational tool.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36223862</pmid><doi>10.1016/j.jmig.2022.10.002</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2112-2678</orcidid></addata></record> |
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subjects | Clinical Competence Education Gynecology - education Humans Internship and Residency Laparoscopic Laparoscopy Obstetrics - education Residency Video |
title | Video Playback as an Educational Tool for Improving Resident Laparoscopic Performance: A Randomized Controlled Trial |
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