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
Hauptverfasser: Warehime, Jenna M., Lenger, Stacy M., Feng, Xiang Yu, Cope, Zebulun, Feroz, Rehan, Gaskins, Jeremy, Gupta, Ankita, Francis, Sean, Hamm, Jennifer
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container_issue 1
container_start_page 39
container_title Journal of minimally invasive gynecology
container_volume 30
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
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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 &lt;.01) and self-reported GOALS scores (p &lt;.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 &lt;.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 &lt;.01). 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There were significant improvements in faculty (p &lt;.01) and self-reported GOALS scores (p &lt;.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 &lt;.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 &lt;.01). 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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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