Evidence map›Paper›PMID 37670189›Full record

ArticleSurgical endoscopy2023

Training for excellence: using a multimodal videoconferencing platform to coach surgeons and improve intraoperative performance.

Golsa Shafa, Parmiss Kiani, Caterina Masino, Allan Okrainec, Jesse D Pasternak, Adnan Alseidi, Amin Madani

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

7 authors.

Golsa ShafaTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Parmiss KianiSurgical Artificial Intelligence Research Academy, University Health Network, Toronto, ON, Canada.
Caterina MasinoSurgical Artificial Intelligence Research Academy, University Health Network, Toronto, ON, Canada.
Allan OkrainecDepartment of Surgery, University of Toronto, Toronto, ON, Canada.
Jesse D PasternakDepartment of Surgery, University of Toronto, Toronto, ON, Canada.
Adnan AlseidiDepartment of Surgery, University of California, San Francisco, CA, USA.
Amin MadaniDepartment of Surgery, University of Toronto, Toronto, ON, Canada. amin.madani@uhn.ca.

Funding

Temerty Faculty of Medicine, University of Toronto unknown
6 · The paper itself

Abstract

introductionContinuing Professional Development opportunities for lifelong learning are fundamental to the acquisition of surgical expertise. However, few opportunities exist for longitudinal and structured learning to support the educational needs of surgeons in practice. While peer-to-peer coaching has been proposed as a potential solution, there remains significant logistical constraints and a lack of evidence to support its effectiveness. The purpose of this study is to determine whether the use of remote videoconferencing for video-based coaching improves operative performance.

methodsEarly career surgeon mentees participated in a remote coaching intervention with a surgeon coach of their choice and using a virtual telestration platform (Zoom Video Communications, San Jose, CA). Feedback was articulated through annotating videos. The coach evaluated mentee performance using a modified Intraoperative Performance Assessment Tool (IPAT). Participants completed a 5-point Likert scale on the educational value of the coaching program.

resultsEight surgeons were enrolled in the study, six of whom completed a total of two coaching sessions (baseline, 6-month). Subspecialties included endocrine, hepatopancreatobiliary, and surgical oncology. Mean age of participants was 39 (SD 3.3), with mean 5 (SD 4.1) years in independent practice. Total IPAT scores increased significantly from the first session (mean 47.0, SD 1.9) to the second session (mean 51.8, SD 2.1), p = 0.03. Sub-category analysis showed a significant improvement in the Advanced Cognitive Skills domain with a mean of 33.2 (SD 2.5) versus a mean of 37.0 (SD 2.4), p < 0.01. There was no improvement in the psychomotor skills category. Participants agreed or strongly agreed that the coaching programs can improve surgical performance and decision-making (coaches 85%; mentees 100%).

conclusionRemote surgical coaching is feasible and has educational value using ubiquitous commercially available virtual platforms. Logistical issues with scheduling and finding cases aligned with learning objectives continue to challenge program adoption and widespread dissemination.

Indexed as

MentoringSurgeonsEducational StatusHumansLearningContinuing professional developmentSurgical coachingTelecoachingTelementoringTelestration

Identifiers

PMID37670189

What OpenQuestion holds

Textmetadata
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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.