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Role of procedural videos in teaching the surgery residents: a randomized control trial

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Global Surgical Education - Journal of the Association for Surgical Education Aims and scope Submit manuscript

Abstract

Objective

To determine the GARS (Global assessment rating score) of participants before and after watching the procedural videos and to compare which method is better.

Methodology

A randomized controlled trial was conducted at Pakistan Institute of Medical Sciences (PIMS) Islamabad after approval from the Institutional ethics review board. Fifty-four surgical residents in training and who have completed at least 3 months of surgical training were enrolled in the study. Laceration repair procedure and surgical knots application was assessed. After the residents had performed the procedure initially, 27 were made to watch the procedural videos and learn the steps of the procedure while those of the other group did not watch the videos. Participants of both the groups were made to perform the procedure. GARS was calculated for each individual during the procedure. All procedures were performed under the supervision of a consultant surgeon who was blinded about the groups and make assessment of the GARS.

Results

We found out the GARS before watching the videos in study and control group was (14.93 ± 3.66 vs. 14.33 ± 3.17, p = 0.528), and after watching the videos was (18.48 ± 4.01 vs. 14.78 ± 3.20, p = 0.0001) which was statistically significant and had a positive impact in teaching the surgery residents.

Conclusion

Pakistan, being a technologically less-advanced region, is far behind in utilizing online and video-based learning methods. The results of our study showed the positive impact of watching the procedural videos in terms of GARS, in contrast to residents who did not watch the videos.

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Data availability

The data that support the findings of this study are available from the corresponding author upon request to corresponding author.

Abbreviations

GARS:

Global Assessment Rating Score

VR:

Visual representation

DOPS:

Direct Observation of Procedural Skills

VOPS:

Video Observation of Procedural Skills

References

  1. Chan KS, Shelat VG. We asked the experts: emerging role of YouTube surgical videos in education and training. World J Surg. 2021;45(2):417–9.

    Article  PubMed  Google Scholar 

  2. Orlando MS, Greenberg CC, Quamme SRP, Yee A, Faerber AE, King CR. Surgical coaching in obstetrics and gynecology: an evidence-based strategy to elevate surgical education and promote lifelong learning. Am J Obstetr Gynecol. 2022;227(1):51–6.

    Article  Google Scholar 

  3. Fan T, Workman AD, Koch G, Rathi VK, Scangas GA, Metson R. Educational utility of an online video-based teaching tool for sinus and skull base surgery. Laryngosc Invest Otolaryngol. 2021;6(2):195–9.

    Article  Google Scholar 

  4. Lohre R, Bois AJ, Pollock J, Lapner P, McIlquham K, Athwal GS, et al. Effectiveness of immersive virtual reality on orthopedic surgical skills and knowledge acquisition among senior surgical residents: a randomized clinical trial. JAMA Netw Open. 2020;3(12): e2031217.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Sommer GM, Broschewitz J, Huppert S, Sommer CG, Jahn N, Jansen-Winkeln B, et al. The role of virtual reality simulation in surgical training in the light of COVID-19 pandemic: visual spatial ability as a predictor for improved surgical performance: a randomized trial. Medicine. 2021;100(50): e27844.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Moldovanu R, Târcoveanu E, Dimofte G, Lupaşcu C, Bradea C. Preoperative warm-up using a virtual reality simulator. J Soc Laparoendosc Surg/Soc Laparoendosc Surg. 2011;15:533–8. https://doi.org/10.4293/108680811X13176785204409.

    Article  Google Scholar 

  7. Youssef SC, Aydin A, Canning A, Khan N, Ahmed K, Dasgupta P. Learning surgical skills through video-based education: a systematic review. Surg Innov. 2023;30(2):220–38.

    Article  PubMed  Google Scholar 

  8. Alkinj I, Pereira A, Santos PC. The effects of an educational program based on modeling and social stories on improvements in the social skills of students with autism. Heliyon. 2022;8(5):1–8.

    Article  Google Scholar 

  9. Aggarwal R, Grantcharov T, Moorthy K, Milland T, Darzi A. Toward feasible, valid, and reliable video-based assessments of technical surgical skills in the operating room. Ann Surg. 2008;247(2):372–9.

    Article  PubMed  Google Scholar 

  10. Hassanpour N, Chen R, Baikpour M, Moghimi S. Video observation of procedural skills for assessment of trabeculectomy performed by residents. J Curr Ophthalmol. 2016;28(2):61–4.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kantar RS, Alfonso AR, Ramly EP, Cohen O, Rifkin WJ, Maliha SG, et al. Knowledge and skills acquisition by plastic surgery residents through digital simulation training: a prospective, randomized, blinded trial. Plastic Reconstruct Surg. 2020;145(1):184e-e192.

    Article  CAS  Google Scholar 

  12. Higgins M, Madan C, Patel R. Development and decay of procedural skills in surgery: a systematic review of the effectiveness of simulation-based medical education interventions. Surgeon. 2021;19(4):e67–77.

    Article  PubMed  Google Scholar 

  13. Blumstein G, Zukotynski B, Cevallos N, Ishmael C, Zoller S, Burke Z, et al. Randomized trial of a virtual reality tool to teach surgical technique for tibial shaft fracture intramedullary nailing. J Surg Educ. 2020;77(4):969–77.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Green JL, Suresh V, Bittar P, Ledbetter L, Mithani SK, Allori A. The utilization of video technology in surgical education: a systematic review. J Surg Res. 2019;235(1):171–80.

    Article  PubMed  Google Scholar 

  15. Srinivasa K, Chen Y, Henning MA. The role of online videos in teaching procedural skills to post-graduate medical learners: a systematic narrative review. Med Teacher. 2020;42(6):689–97.

    Article  Google Scholar 

  16. Lesch H, Johnson E, Peters J, Cendán JC. VR simulation leads to enhanced procedural confidence for surgical trainees. J Surg Educ. 2020;77(1):213–8.

    Article  PubMed  Google Scholar 

  17. Yee A, Padovano WM, Fox IK, Hill EJ, Rowe AG, Brunt LM, et al. Video-based learning in surgery: establishing surgeon engagement and utilization of variable-duration videos. Ann Surg. 2020;272(6):1012–9.

    Article  PubMed  Google Scholar 

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Acknowledgements

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Funding

No funding received for this research.

Author information

Authors and Affiliations

  1. Department of Paediatric Surgery, The Children’s Hospital, Pakistan, Institute of Medical Sciences/Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

    Mansoor Ahmed, Murad Habib, Rafi Raza Ahmed & Muhammad Amjad Chaudhary

  2. Department of Paediatric Medicine, The Children’s Hospital, Pakistan Institute of Medical Sciences/Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

    Huma Memon

Authors
  1. Mansoor Ahmed
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  2. Murad Habib
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  3. Huma Memon
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  4. Rafi Raza Ahmed
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  5. Muhammad Amjad Chaudhary
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Contributions

Concept of study: MA; Acquisition of data: HM, RR; Writing and drafting: MA, MH; Statistical analysis: MA, RR; Supervision: MAC.

Corresponding author

Correspondence to Mansoor Ahmed.

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Conflict of interest

The authors have no conflicts of interest relevant to this article to disclose.

Ethical approval

This study was reviewed and approved by the ethical review board of Pakistan Institute of Medical Sciences Islamabad under letter # F. 1–1/2015/ERB/SZABMU/1024.

Consent for publication

Written informed consent was obtained from all the participants. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

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Ahmed, M., Habib, M., Memon, H. et al. Role of procedural videos in teaching the surgery residents: a randomized control trial. Global Surg Educ 3, 48 (2024). https://doi.org/10.1007/s44186-024-00256-3

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  • DOI: https://doi.org/10.1007/s44186-024-00256-3

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