Video-Based Assessment in Surgical Education: A Scoping Review

McQueen, Sydney; McKinnon, Victoria; VanderBeek, Laura; McCarthy, Colm; Sonnadara, Ranil

doi:10.1016/j.jsurg.2019.05.013

Cited by 47 publications

(29 citation statements)

References 56 publications

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“…System (SMOTS) (15), have been introduced in many hospitals to aid clinical learning, but using them to conduct operative-coached video-reviews is expensive in terms of equipment and expert time. McQueen's recent review article showed the lack of understanding in the balance between the costs of using such tools and the benefit gained in the actual training environment (7). The majority of the current studies were carried using simple simulation tasks (16) rather than checking the improvement in the theatre environment with normal surgical procedures training.…”

Section: New Video-recording and Synchronization Systems Such As The Scotia Medical Observation And Trainingmentioning

confidence: 99%

“…In his review article, McQueen argued that such stress-free environments offer the potential for the trainers to capture more minor details about trainees abilities that might be missed during live operations (7). This might encourage trust which could be translated into dedicating further training opportunities to their trainees and tailor training more to trainees needs.…”

Section: Synchronised Video Review Value As a Reflection Toolmentioning

confidence: 99%

“…Operative-video recording review was suggested as a tool to strengthen the assessment and improve the educational value of the operative experience, in the competency based curriculum era, by enhancing feedback and reflection (7).…”

Section: Introductionmentioning

confidence: 99%

“…Educational interests have shifted from the initial focus on using video assessment as a summative tool to trainee's video-review as a tool to enhance formative assessment (7). Such formative and reflective roles improve surgical training beyond traditional teaching (13).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Synchronized Video-Review as a Tool to Enhance Reflection and Feedback: A Design-Based Feasibility Study

Isreb¹,

Hesselgreaves²,

McLachlan³

et al. 2021

Journal of Surgical Education

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IntroductionUK Surgical training currently faces the challenge of expanding surgical skills in a context of reduced training opportunities. Video-review in theatre offers the potential to gain more from each learning opportunity and to enhance feedback. AimThis was a designed-based study to test the feasibility of using synchronised video-review as a reflective tool to enhance surgical training and to gain a deeper understanding of intraoperative feedback. MethodTen supervised laparoscopic cholecystectomy operations were video-recorded using a synchronised splitscreen, to show trainees' actions, instrument manipulation and interactions with other theatre staff.This was followed up by joint review of the operation-recording by both the trainee and supervisor. Videoreview sessions were audio-recorded along with the consultant and SPR interviews after the review-session.Audio-recordings were thematically analysed. Supervisors completed the Procedure Based Assessments (PBA) forms, twice: post-operation and post-video-review. Forms were analysed to note any changes and to triangulate the findings. ResultsOverall trainee and supervisor feedback was positive. Trainees and supervisors reported the video-review added value in terms of reflection-on-action. It removed the stress of conducting/supervising the operation in real time and focussed the attention on feedback. Satisfaction was reported across trainee levels and with close and distant supervision style. Audio-visual review allowed trainees to understand the feedback better and to identify new targets beyond those gained from the verbal feedback during the procedure. It also facilitated appraisal of the trainer's teaching. DiscussionThis study established the feasibility of using synchronised video-review as a reflection-on-action tool to potentially enhance surgical training by improving feedback and enhancing each training opportunity. It identified trainees' difficulty in processing intraoperative feedback due to mental overload from the operation. It showed the limitations of current verbal feedback practice, using PBA forms, with regard to enhancing technical and non-technical skills due to denial and memory fading.

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Section: New Video-recording and Synchronization Systems Such As The Scotia Medical Observation And Trainingmentioning

confidence: 99%

Section: Synchronised Video Review Value As a Reflection Toolmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Synchronized Video-Review as a Tool to Enhance Reflection and Feedback: A Design-Based Feasibility Study

Isreb¹,

Hesselgreaves²,

McLachlan³

et al. 2021

Journal of Surgical Education

View full text Add to dashboard Cite

show abstract

“…Although impact on clinical performance was not assessed, this dynamic method was felt to provide insights on complex procedures that would not otherwise be accessible outside of the OR. McQueen, et al 61 outlined the benefits and challenges of using videos as a means to improve educational outcomes in both clinical and simulation lab‐based settings, underscoring the fact that these methods are almost certainly underutilized but may be necessary with expanded competency‐based educational practices.…”

Section: Introductionmentioning

confidence: 99%

Application of technology to educational needs in surgery

Beqari

Seymour

2021

Journal of Surgical Oncology

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Innovations in surgical education follow advancing clinical technology. New surgical methods have prompted demand for systematic methods to leverage computing power and internet tools to achieve proficiency‐based training goals. Virtual reality, high‐fidelity patient simulation, web‐based resources to facilitate performance assessment, and telementoring have become mainstream practices, although patient outcomes benefits are not well studied. Remote virtual meeting and mentoring have had transformative effects on resident experiences, the full effects of which remain to be seen.

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Nationwide Association of Surgical Performance of Minimally Invasive Esophagectomy With Patient Outcomes

Ketel,

Klarenbeek,

Abma

et al. 2024

JAMA Netw Open

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ImportanceSuboptimal surgical performance is hypothesized to be associated with less favorable patient outcomes in minimally invasive esophagectomy (MIE). Establishing this association may lead to programs that promote better surgical performance of MIE and improve patient outcomes.ObjectiveTo investigate associations between surgical performance and postoperative outcomes after MIE.Design, Setting, and ParticipantsIn this nationwide cohort study of 15 Dutch hospitals that perform more than 20 MIEs per year, 7 masked expert MIE surgeons assessed surgical performance using videos and a previously developed and validated competency assessment tool (CAT). Each hospital submitted 2 representative videos of MIEs performed between November 4, 2021, and September 13, 2022. Patients registered in the Dutch Upper Gastrointestinal Cancer Audit between January 1, 2020, and December 31, 2021, were included to examine patient outcomes.ExposureHospitals were divided into quartiles based on their MIE-CAT performance score. Outcomes were compared between highest (top 25%) and lowest (bottom 25%) performing quartiles. Transthoracic MIE with gastric tube reconstruction.Main Outcome and MeasureThe primary outcome was severe postoperative complications (Clavien-Dindo ≥3) within 30 days after surgery. Multilevel logistic regression, with clustering of patients within hospitals, was used to analyze associations between performance and outcomes.ResultsIn total, 30 videos and 970 patients (mean [SD] age, 66.6 [9.1] years; 719 men [74.1%]) were included. The mean (SD) MIE-CAT score was 113.6 (5.5) in the highest performance quartile vs 94.1 (5.9) in the lowest. Severe postoperative complications occurred in 18.7% (41 of 219) of patients in the highest performance quartile vs 39.2% (40 of 102) in the lowest (risk ratio [RR], 0.50; 95% CI, 0.24-0.99). The highest vs the lowest performance quartile showed lower rates of conversions (1.8% vs 8.9%; RR, 0.21; 95% CI, 0.21-0.21), intraoperative complications (2.7% vs 7.8%; RR, 0.21; 95% CI, 0.04-0.94), and overall postoperative complications (46.1% vs 65.7%; RR, 0.54; 95% CI, 0.24-0.96). The R0 resection rate (96.8% vs 94.2%; RR, 1.03; 95% CI, 0.97-1.05) and lymph node yield (mean [SD], 38.9 [14.7] vs 26.2 [9.0]; RR, 3.20; 95% CI, 0.27-3.21) increased with oncologic-specific performance (eg, hiatus dissection, lymph node dissection). In addition, a high anastomotic phase score was associated with a lower anastomotic leakage rate (4.6% vs 17.7%; RR, 0.14; 95% CI, 0.06-0.31).Conclusions and RelevanceThese findings suggest that better surgical performance is associated with fewer perioperative complications for patients with esophageal cancer on a national level. If surgical performance of MIE can be improved with MIE-CAT implementation, substantially better patient outcomes may be achievable.

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Video-Based Assessment in Surgical Education: A Scoping Review

Cited by 47 publications

References 56 publications

Synchronized Video-Review as a Tool to Enhance Reflection and Feedback: A Design-Based Feasibility Study

Synchronized Video-Review as a Tool to Enhance Reflection and Feedback: A Design-Based Feasibility Study

Application of technology to educational needs in surgery

Nationwide Association of Surgical Performance of Minimally Invasive Esophagectomy With Patient Outcomes

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