Educational value of a novel telestration device for surgical coaching—a randomized controlled trial
Introduction Communication is fundamental to effective surgical coaching. This can be challenging for training during image-guided procedures where coaches and trainees need to articulate technical details on a monitor. Telestration devices that annotate on monitors remotely could potentially overco...
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| Veröffentlicht in: | Surgical endoscopy 2024-08, Vol.38 (8), p.4633-4640 |
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| container_title | Surgical endoscopy |
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| creator | Hameed, Mohamed Saif Kiani, Parmiss Kugamoorthy, Priyanka Masino, Caterina Kujbid, Nastasia Laplante, Simon Okrainec, Allan Madani, Amin Fecso, Andras B. |
| description | Introduction
Communication is fundamental to effective surgical coaching. This can be challenging for training during image-guided procedures where coaches and trainees need to articulate technical details on a monitor. Telestration devices that annotate on monitors remotely could potentially overcome these limitations and enhance the coaching experience. This study aims to evaluate the value of a novel telestration device in surgical coaching.
Methods
A randomized-controlled trial was designed. All participants watched a video demonstrating the task followed by a baseline performance assessment and randomization into either control group (conventional verbal coaching without telestration) or telestration group (verbal coaching with telestration). Coaching for a simulated laparoscopic small bowel anastomosis on a dry lab model was done by a faculty surgeon. Following the coaching session, participants underwent a post-coaching performance assessment of the same task. Assessments were recorded and rated by blinded reviewers using a modified Global Rating Scale of the Objective Structured Assessment of Technical Skills (OSATS). Coaching sessions were also recorded and compared in terms of mentoring moments; guidance misinterpretations, questions/clarifications by trainees, and task completion time. A 5-point Likert scale was administered to obtain feedback.
Results
Twenty-four residents participated (control group 13, telestration group 11). Improvements in some elements of the OSATS scale were noted in the Telestration arm but there was no statistical significance in the overall score between the two groups. Mentoring moments were more in the telestration Group. Amongst the telestration Group, 55% felt comfortable that they could perform this task independently, compared to only 8% amongst the control group and 82% would recommend the use of telestration tools here.
Conclusion
There is demonstrated educational value of this novel telestration device mainly in the non-technical aspects of the interaction by enhancing the coaching experience with improvement in communication and greater mentoring moments between coach and trainee. |
| doi_str_mv | 10.1007/s00464-024-10972-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3071516975</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3071516975</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-f9d1623790cee829fd33cec23c54146bd0165ff9b685cc48f94eef7848e5345b3</originalsourceid><addsrcrecordid>eNp9kctKLDEQhoMoOl5e4CwOATduWnPvzlJkvIDgRtchk66MLZmOJ-keGFc-hE_okxgd9YALVxWqvv-vUD9Cfyg5poTUJ5kQoURFmKgo0TWrVhtoQgVnFWO02UQTojmpWK3FDtrN-YEUXlO5jXZ4oymnjEyQn7ajs0MXexvw0oYRcPTY4j4uIeABAuQhfcxxC8vOAfYx4TymeeeKwkXr7rt-_vr8YnGyfRsX3RO0pd8PKYZQnkPqbNhHW96GDAefdQ_dnU9vzy6r65uLq7PT68oxqYbK65YqxmtNHEDDtG85d-AYd1JQoWYtoUp6r2eqkc6JxmsB4OtGNCC5kDO-h47Wvo8p_hvL382iyw5CsD3EMRtOaiqp0rUs6OEP9CGOqZzhnWoUlUzxulBsTbkUc07gzWPqFjatDCXmPQWzTsGUFMxHCmZVRH8_rcfZAtpvydfZC8DXQC6jfg7p_-5fbN8AVJiUwg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3086152637</pqid></control><display><type>article</type><title>Educational value of a novel telestration device for surgical coaching—a randomized controlled trial</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Hameed, Mohamed Saif ; Kiani, Parmiss ; Kugamoorthy, Priyanka ; Masino, Caterina ; Kujbid, Nastasia ; Laplante, Simon ; Okrainec, Allan ; Madani, Amin ; Fecso, Andras B.</creator><creatorcontrib>Hameed, Mohamed Saif ; Kiani, Parmiss ; Kugamoorthy, Priyanka ; Masino, Caterina ; Kujbid, Nastasia ; Laplante, Simon ; Okrainec, Allan ; Madani, Amin ; Fecso, Andras B.</creatorcontrib><description>Introduction
Communication is fundamental to effective surgical coaching. This can be challenging for training during image-guided procedures where coaches and trainees need to articulate technical details on a monitor. Telestration devices that annotate on monitors remotely could potentially overcome these limitations and enhance the coaching experience. This study aims to evaluate the value of a novel telestration device in surgical coaching.
Methods
A randomized-controlled trial was designed. All participants watched a video demonstrating the task followed by a baseline performance assessment and randomization into either control group (conventional verbal coaching without telestration) or telestration group (verbal coaching with telestration). Coaching for a simulated laparoscopic small bowel anastomosis on a dry lab model was done by a faculty surgeon. Following the coaching session, participants underwent a post-coaching performance assessment of the same task. Assessments were recorded and rated by blinded reviewers using a modified Global Rating Scale of the Objective Structured Assessment of Technical Skills (OSATS). Coaching sessions were also recorded and compared in terms of mentoring moments; guidance misinterpretations, questions/clarifications by trainees, and task completion time. A 5-point Likert scale was administered to obtain feedback.
Results
Twenty-four residents participated (control group 13, telestration group 11). Improvements in some elements of the OSATS scale were noted in the Telestration arm but there was no statistical significance in the overall score between the two groups. Mentoring moments were more in the telestration Group. Amongst the telestration Group, 55% felt comfortable that they could perform this task independently, compared to only 8% amongst the control group and 82% would recommend the use of telestration tools here.
Conclusion
There is demonstrated educational value of this novel telestration device mainly in the non-technical aspects of the interaction by enhancing the coaching experience with improvement in communication and greater mentoring moments between coach and trainee.</description><identifier>ISSN: 0930-2794</identifier><identifier>ISSN: 1432-2218</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-024-10972-y</identifier><identifier>PMID: 38913120</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>2024 SAGES Oral ; Abdominal Surgery ; Adult ; Anastomosis, Surgical - education ; Augmented reality ; Clinical Competence ; Clinical trials ; Coaching ; Education ; Endoscopy ; Female ; Gastroenterology ; Gynecology ; Hepatology ; Humans ; Internship and Residency - methods ; Intestine, Small - surgery ; Laparoscopy ; Laparoscopy - education ; Likert scale ; Male ; Medicine ; Medicine & Public Health ; Mentoring - methods ; Proctology ; Simulation Training - methods ; Skills ; Statistical analysis ; Surgeons ; Surgery</subject><ispartof>Surgical endoscopy, 2024-08, Vol.38 (8), p.4633-4640</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-f9d1623790cee829fd33cec23c54146bd0165ff9b685cc48f94eef7848e5345b3</cites><orcidid>0000-0002-2289-2471</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-024-10972-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-024-10972-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38913120$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hameed, Mohamed Saif</creatorcontrib><creatorcontrib>Kiani, Parmiss</creatorcontrib><creatorcontrib>Kugamoorthy, Priyanka</creatorcontrib><creatorcontrib>Masino, Caterina</creatorcontrib><creatorcontrib>Kujbid, Nastasia</creatorcontrib><creatorcontrib>Laplante, Simon</creatorcontrib><creatorcontrib>Okrainec, Allan</creatorcontrib><creatorcontrib>Madani, Amin</creatorcontrib><creatorcontrib>Fecso, Andras B.</creatorcontrib><title>Educational value of a novel telestration device for surgical coaching—a randomized controlled trial</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Introduction
Communication is fundamental to effective surgical coaching. This can be challenging for training during image-guided procedures where coaches and trainees need to articulate technical details on a monitor. Telestration devices that annotate on monitors remotely could potentially overcome these limitations and enhance the coaching experience. This study aims to evaluate the value of a novel telestration device in surgical coaching.
Methods
A randomized-controlled trial was designed. All participants watched a video demonstrating the task followed by a baseline performance assessment and randomization into either control group (conventional verbal coaching without telestration) or telestration group (verbal coaching with telestration). Coaching for a simulated laparoscopic small bowel anastomosis on a dry lab model was done by a faculty surgeon. Following the coaching session, participants underwent a post-coaching performance assessment of the same task. Assessments were recorded and rated by blinded reviewers using a modified Global Rating Scale of the Objective Structured Assessment of Technical Skills (OSATS). Coaching sessions were also recorded and compared in terms of mentoring moments; guidance misinterpretations, questions/clarifications by trainees, and task completion time. A 5-point Likert scale was administered to obtain feedback.
Results
Twenty-four residents participated (control group 13, telestration group 11). Improvements in some elements of the OSATS scale were noted in the Telestration arm but there was no statistical significance in the overall score between the two groups. Mentoring moments were more in the telestration Group. Amongst the telestration Group, 55% felt comfortable that they could perform this task independently, compared to only 8% amongst the control group and 82% would recommend the use of telestration tools here.
Conclusion
There is demonstrated educational value of this novel telestration device mainly in the non-technical aspects of the interaction by enhancing the coaching experience with improvement in communication and greater mentoring moments between coach and trainee.</description><subject>2024 SAGES Oral</subject><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Anastomosis, Surgical - education</subject><subject>Augmented reality</subject><subject>Clinical Competence</subject><subject>Clinical trials</subject><subject>Coaching</subject><subject>Education</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Internship and Residency - methods</subject><subject>Intestine, Small - surgery</subject><subject>Laparoscopy</subject><subject>Laparoscopy - education</subject><subject>Likert scale</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mentoring - methods</subject><subject>Proctology</subject><subject>Simulation Training - methods</subject><subject>Skills</subject><subject>Statistical analysis</subject><subject>Surgeons</subject><subject>Surgery</subject><issn>0930-2794</issn><issn>1432-2218</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctKLDEQhoMoOl5e4CwOATduWnPvzlJkvIDgRtchk66MLZmOJ-keGFc-hE_okxgd9YALVxWqvv-vUD9Cfyg5poTUJ5kQoURFmKgo0TWrVhtoQgVnFWO02UQTojmpWK3FDtrN-YEUXlO5jXZ4oymnjEyQn7ajs0MXexvw0oYRcPTY4j4uIeABAuQhfcxxC8vOAfYx4TymeeeKwkXr7rt-_vr8YnGyfRsX3RO0pd8PKYZQnkPqbNhHW96GDAefdQ_dnU9vzy6r65uLq7PT68oxqYbK65YqxmtNHEDDtG85d-AYd1JQoWYtoUp6r2eqkc6JxmsB4OtGNCC5kDO-h47Wvo8p_hvL382iyw5CsD3EMRtOaiqp0rUs6OEP9CGOqZzhnWoUlUzxulBsTbkUc07gzWPqFjatDCXmPQWzTsGUFMxHCmZVRH8_rcfZAtpvydfZC8DXQC6jfg7p_-5fbN8AVJiUwg</recordid><startdate>20240801</startdate><enddate>20240801</enddate><creator>Hameed, Mohamed Saif</creator><creator>Kiani, Parmiss</creator><creator>Kugamoorthy, Priyanka</creator><creator>Masino, Caterina</creator><creator>Kujbid, Nastasia</creator><creator>Laplante, Simon</creator><creator>Okrainec, Allan</creator><creator>Madani, Amin</creator><creator>Fecso, Andras B.</creator><general>Springer US</general><general>Springer Nature B.V</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>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2289-2471</orcidid></search><sort><creationdate>20240801</creationdate><title>Educational value of a novel telestration device for surgical coaching—a randomized controlled trial</title><author>Hameed, Mohamed Saif ; Kiani, Parmiss ; Kugamoorthy, Priyanka ; Masino, Caterina ; Kujbid, Nastasia ; Laplante, Simon ; Okrainec, Allan ; Madani, Amin ; Fecso, Andras B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-f9d1623790cee829fd33cec23c54146bd0165ff9b685cc48f94eef7848e5345b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>2024 SAGES Oral</topic><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Anastomosis, Surgical - education</topic><topic>Augmented reality</topic><topic>Clinical Competence</topic><topic>Clinical trials</topic><topic>Coaching</topic><topic>Education</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Internship and Residency - methods</topic><topic>Intestine, Small - surgery</topic><topic>Laparoscopy</topic><topic>Laparoscopy - education</topic><topic>Likert scale</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mentoring - methods</topic><topic>Proctology</topic><topic>Simulation Training - methods</topic><topic>Skills</topic><topic>Statistical analysis</topic><topic>Surgeons</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hameed, Mohamed Saif</creatorcontrib><creatorcontrib>Kiani, Parmiss</creatorcontrib><creatorcontrib>Kugamoorthy, Priyanka</creatorcontrib><creatorcontrib>Masino, Caterina</creatorcontrib><creatorcontrib>Kujbid, Nastasia</creatorcontrib><creatorcontrib>Laplante, Simon</creatorcontrib><creatorcontrib>Okrainec, Allan</creatorcontrib><creatorcontrib>Madani, Amin</creatorcontrib><creatorcontrib>Fecso, Andras B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hameed, Mohamed Saif</au><au>Kiani, Parmiss</au><au>Kugamoorthy, Priyanka</au><au>Masino, Caterina</au><au>Kujbid, Nastasia</au><au>Laplante, Simon</au><au>Okrainec, Allan</au><au>Madani, Amin</au><au>Fecso, Andras B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Educational value of a novel telestration device for surgical coaching—a randomized controlled trial</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2024-08-01</date><risdate>2024</risdate><volume>38</volume><issue>8</issue><spage>4633</spage><epage>4640</epage><pages>4633-4640</pages><issn>0930-2794</issn><issn>1432-2218</issn><eissn>1432-2218</eissn><abstract>Introduction
Communication is fundamental to effective surgical coaching. This can be challenging for training during image-guided procedures where coaches and trainees need to articulate technical details on a monitor. Telestration devices that annotate on monitors remotely could potentially overcome these limitations and enhance the coaching experience. This study aims to evaluate the value of a novel telestration device in surgical coaching.
Methods
A randomized-controlled trial was designed. All participants watched a video demonstrating the task followed by a baseline performance assessment and randomization into either control group (conventional verbal coaching without telestration) or telestration group (verbal coaching with telestration). Coaching for a simulated laparoscopic small bowel anastomosis on a dry lab model was done by a faculty surgeon. Following the coaching session, participants underwent a post-coaching performance assessment of the same task. Assessments were recorded and rated by blinded reviewers using a modified Global Rating Scale of the Objective Structured Assessment of Technical Skills (OSATS). Coaching sessions were also recorded and compared in terms of mentoring moments; guidance misinterpretations, questions/clarifications by trainees, and task completion time. A 5-point Likert scale was administered to obtain feedback.
Results
Twenty-four residents participated (control group 13, telestration group 11). Improvements in some elements of the OSATS scale were noted in the Telestration arm but there was no statistical significance in the overall score between the two groups. Mentoring moments were more in the telestration Group. Amongst the telestration Group, 55% felt comfortable that they could perform this task independently, compared to only 8% amongst the control group and 82% would recommend the use of telestration tools here.
Conclusion
There is demonstrated educational value of this novel telestration device mainly in the non-technical aspects of the interaction by enhancing the coaching experience with improvement in communication and greater mentoring moments between coach and trainee.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>38913120</pmid><doi>10.1007/s00464-024-10972-y</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2289-2471</orcidid></addata></record> |
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| subjects | 2024 SAGES Oral Abdominal Surgery Adult Anastomosis, Surgical - education Augmented reality Clinical Competence Clinical trials Coaching Education Endoscopy Female Gastroenterology Gynecology Hepatology Humans Internship and Residency - methods Intestine, Small - surgery Laparoscopy Laparoscopy - education Likert scale Male Medicine Medicine & Public Health Mentoring - methods Proctology Simulation Training - methods Skills Statistical analysis Surgeons Surgery |
| title | Educational value of a novel telestration device for surgical coaching—a randomized controlled trial |
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