Evidence map›Paper›PMID 36052856›Full record

ArticleANZ journal of surgery2022

Improving surgical excellence: first experience of a video-based intervention in outpatients.

Nelson Granchi, Jessica Reid, Katarina Foley, Amanda Le Couteur, Suzanne Edwards, Rebecca Feo, Markus Trochsler, Martin Bruening, Guy Maddern

Open access · hybridAbstract read
In one paragraph

Article in ANZ journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Nelson GranchiDiscipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.
Jessica ReidDiscipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.ORCID 0000-0001-8066-7259
Katarina FoleyDiscipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.ORCID 0000-0002-0280-0795
Amanda Le CouteurSchool of Psychology, The University of Adelaide, Adelaide, South Australia, Australia.
Suzanne EdwardsAdelaide Health Technology Assessment, School of Public Health, The University of Adelaide, Adelaide, South Australia, Australia.
Rebecca FeoCollege of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia.
Markus TrochslerDiscipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.ORCID 0000-0002-0650-9153
Martin BrueningDiscipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.
Guy MaddernDiscipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.ORCID 0000-0003-2064-181X
Queen Elizabeth Hospital · AUThe University of Adelaide · AUFlinders University · AU

Funding

Avant Foundation Grant
6 · The paper itself

Abstract

backgroundThere are limited opportunities for surgeons to engage in active learning programs once they achieve Fellowship, especially for non-technical skills such as communication. This study aims to address this gap by evaluating a peer-based coaching program in non-technical skill using video-recorded patient consultations from a routine outpatient clinic.

methodsStandard outpatient consultations between consultant surgeons and patients were video recorded. The surgeon viewed the videos with a peer-coach (senior surgeon) who helped identify areas of strength and areas for improvement. To test the effect of the coaching session, outpatient consultations were recorded roughly 1 month later. Pre and post-coaching videos were assessed using the Maastricht History-Taking and Advice Scoring - Global Rating List (MAAS), a common tool for evaluating non-technical skills in clinicians.

resultsA total of 12 surgeons consented to participate. Coaching significantly improved MAAS scores (mean difference = -0.61; 95% CI (-0.88, -0.33); P < 0.0001). Surgeons were generally positive about the experience. All found the method of learning suitable, and most thought the process improved their skills. Most thought that coaching would improve patient outcomes and the majority thought they would participate in ongoing coaching as part of their employment.

conclusionThis supports the concept of surgical coaching as an effective tool to improve communication skills and the quality of surgical consultation. The next step is to expand beyond a voluntary cohort and link surgical coaching to improved patient outcomes.

Indexed as

MentoringSurgeonsHumansOutpatientsProblem-Based Learningcoachinginterventionnon-technical skillsquality improvementsurgery

Identifiers

PMID36052856
PMCPMC9825861
OpenAlexW4294243142

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.