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Video-Based Coaching: Current Status and Role in Surgical Practice (Part 1) From the Society for Surgery of the Alimentary Tract, Health Care Quality and Outcomes Committee

  • Evidence-Based Current Surgical Practice
  • Published:
Journal of Gastrointestinal Surgery

A Correction to this article was published on 20 January 2022

This article has been updated

Abstract

Patient safety and outcomes are directly related to surgical performance. Surgical training emphasizes the importance of the surgeon in determining these outcomes. After training is complete, there is a lack of structured programs for surgeons to audit their skills and continue their individual development. There is a significant linear relationship between surgeon technical skill and surgical outcomes; however, measuring technical performance is difficult. Video-based coaching matches an individual surgeon in practice with a surgical colleague who has been trained in the core principles of coaching for individualizing instruction. It can provide objective assessment for teaching higher-level concepts, such as technical skills, cognitive skills, and decision-making. There are many benefits to video-based coaching. While the concept is gaining acceptance as a method of surgical education, it is still novel in clinical practice. As more surgeons look towards video-based coaching for quality improvement, a consistent definition of the program, goals, and metrics for assessment will be critical. This paper is a review on the status of the video-based coaching as it applies to practicing surgeons.

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References

  1. Birkmeyer, J. D., Finks, J. F., O'Reilly, A., Oerline, M., Carlin, A. M., Nunn, A. R., Dimick, J., Banerjee, M., Birkmeyer, N. J., & Michigan Bariatric Surgery Collaborative (2013). Surgical skill and complication rates after bariatric surgery. The New England journal of medicine, 369(15), 1434–1442. https://doi.org/10.1056/NEJMsa1300625

    Article  CAS  PubMed  Google Scholar 

  2. Fabri, P. J., & Zayas-Castro, J. L. (2008). Human error, not communication and systems, underlies surgical complications. Surgery, 144(4), 557–565. https://doi.org/10.1016/j.surg.2008.06.011

    Article  PubMed  Google Scholar 

  3. Regenbogen, S. E., Greenberg, C. C., Studdert, D. M., Lipsitz, S. R., Zinner, M. J., & Gawande, A. A. (2007). Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Annals of surgery, 246(5), 705–711. https://doi.org/10.1097/SLA.0b013e31815865f8

    Article  PubMed  Google Scholar 

  4. Greenberg, C. C., Dombrowski, J., & Dimick, J. B. (2016). Video-based surgical coaching: an emerging approach to performance improvement. JAMA surgery, 151(3), 282–283. https://doi.org/10.1001/jamasurg.2015.4442

    Article  PubMed  PubMed Central  Google Scholar 

  5. Ericsson K. A. (2015). Acquisition and maintenance of medical expertise: a perspective from the expert-performance approach with deliberate practice. Academic medicine : journal of the Association of American Medical Colleges, 90(11), 1471–1486. https://doi.org/10.1097/ACM.0000000000000939

    Article  Google Scholar 

  6. Augestad, K. M., Butt, K., Ignjatovic, D., Keller, D. S., & Kiran, R. (2020). Video-based coaching in surgical education: a systematic review and meta-analysis. Surgical endoscopy, 34(2), 521–535. https://doi.org/10.1007/s00464-019-07265-0

    Article  PubMed  Google Scholar 

  7. Celentano, V., Smart, N., Cahill, R. A., Spinelli, A., Giglio, M. C., McGrath, J., Obermair, A., Pellino, G., Hasegawa, H., Lal, P., Lorenzon, L., De Angelis, N., Boni, L., Gupta, S., Griffith, J. P., Acheson, A. G., Cecil, T. D., & Coleman, M. G. (2021). Development and validation of a recommended checklist for assessment of surgical videos quality: the laparoscopic surgery video educational guidelines (LAP-VEGaS) video assessment tool. Surgical endoscopy, 35(3), 1362–1369. https://doi.org/10.1007/s00464-020-07517-4

    Article  PubMed  Google Scholar 

  8. Mutabdzic, D., Mylopoulos, M., Murnaghan, M. L., Patel, P., Zilbert, N., Seemann, N., Regehr, G., & Moulton, C. A. (2015). Coaching surgeons: is culture limiting our ability to improve?. Annals of surgery, 262(2), 213–216. https://doi.org/10.1097/SLA.0000000000001247

    Article  PubMed  Google Scholar 

  9. Goldenberg, M.G., Grantcharov, T.P. Video-analysis for the assessment of practical skill. Tijdschr Urol 6, 128–136 (2016). https://doi.org/10.1007/s13629-016-0156-x

    Article  Google Scholar 

  10. Varban, O. A., Greenberg, C. C., Schram, J., Ghaferi, A. A., Thumma, J. R., Carlin, A. M., Dimick, J. B., & Michigan Bariatric Surgery Collaborative (2016). Surgical skill in bariatric surgery: does skill in one procedure predict outcomes for another?. Surgery, 160(5), 1172–1181. https://doi.org/10.1016/j.surg.2016.04.033

    Article  PubMed  Google Scholar 

  11. Husslein H, Shirreff L, Shore E.M. Lefebvre G.G. & Grantcharov, T. P. (2015). The generic error rating tool: a novel approach to assessment of performance and surgical education in gynecologic laparoscopy. Journal of Surgical Education, 72(6), Supplemental Table1The British journal of surgery, 100(8). https://doi.org/10.1016/j.jsurg.2015.04.029

  12. Prebay, Z.J., Peabody, J.O., Miller, D.C. et al. Video review for measuring and improving skill in urological surgery. Nat Rev Urol 16, 261–267 (2019). https://doi.org/10.1038/s41585-018-0138-2

    Article  PubMed  Google Scholar 

  13. Greenberg, C. C., Ghousseini, H. N., Pavuluri Quamme, S. R., Beasley, H. L., & Wiegmann, D. A. (2015). Surgical coaching for individual performance improvement. Annals of surgery, 261(1), 32–34. https://doi.org/10.1097/SLA.0000000000000776

    Article  PubMed  Google Scholar 

  14. Greenberg, C. C., Ghousseini, H. N., Pavuluri Quamme, S. R., Beasley, H. L., Frasier, L. L., Brys, N. A., Dombrowski, J. C., Wiegmann, D. A., & Wisconsin Surgical Coaching Program (2018). A statewide surgical coaching program provides opportunity for continuous professional development. Annals of surgery, 267(5), 868–873. https://doi.org/10.1097/SLA.0000000000002341

    Article  PubMed  Google Scholar 

  15. Vande Walle, K. A., Quamme, S., Beasley, H. L., Leverson, G. E., Ghousseini, H. N., Dombrowski, J. C., Fry, B. T., Dimick, J. B., Wiegmann, D. A., & Greenberg, C. C. (2020). Development and assessment of the Wisconsin surgical coaching rubric. JAMA surgery, 155(6), 486–492. https://doi.org/10.1001/jamasurg.2020.0424

    Article  PubMed  Google Scholar 

  16. Pradarelli, J. C., Hu, Y. Y., Dimick, J. B., & Greenberg, C. C. (2020). The value of surgical coaching beyond training. Advances in surgery, 54, 31–47. https://doi.org/10.1016/j.yasu.2020.04.003

    Article  PubMed  Google Scholar 

  17. Shubeck, S. P., Kanters, A. E., Sandhu, G., Greenberg, C. C., & Dimick, J. B. (2018). Dynamics within peer-to-peer surgical coaching relationships: early evidence from the Michigan Bariatric Surgical Collaborative. Surgery, 164(2), 185–188. https://doi.org/10.1016/j.surg.2018.03.009

    Article  PubMed  Google Scholar 

  18. Kreutzer, L., Hu, Y. Y., Stulberg, J., Greenberg, C. C., Bilimoria, K. Y., & Johnson, J. K. (2021). Formative evaluation of a peer video-based coaching initiative. The Journal of surgical research, 257, 169–177. https://doi.org/10.1016/j.jss.2020.07.048

    Article  PubMed  Google Scholar 

  19. Schlick, C., Bilimoria, K. Y., & Stulberg, J. J. (2020). Video-based feedback for the improvement of surgical technique: a platform for remote review and improvement of surgical technique. JAMA surgery, 155(11), 1078–1079. https://doi.org/10.1001/jamasurg.2020.3286

    Article  PubMed  Google Scholar 

  20. Katz A. J. (2016). The role of crowdsourcing in assessing surgical skills. Surgical laparoscopy, endoscopy & percutaneous techniques, 26(4), 271–277. https://doi.org/10.1097/SLE.0000000000000293

    Article  Google Scholar 

  21. Oh, P. J., Chen, J., Hatcher, D., Djaladat, H., & Hung, A. J. (2018). Crowdsourced versus expert evaluations of the vesico-urethral anastomosis in the robotic radical prostatectomy: is one superior at discriminating differences in automated performance metrics?. Journal of robotic surgery, 12(4), 705–711. https://doi.org/10.1007/s11701-018-0814-5

    Article  PubMed  Google Scholar 

  22. Wang, C., Han, L., Stein, G. et al. Crowdsourcing in health and medical research: a systematic review. Infect Dis Poverty 9, 8 (2020). https://doi.org/10.1186/s40249-020-0622-9

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Bilgic, E., Valanci, S., Fried, G., Video assessment of surgeons and surgery. Advances in Surgery 54 (2020) 205-214

    Article  Google Scholar 

  24. Wazny K. (2018). Applications of crowdsourcing in health: an overview. Journal of global health, 8(1), 010502. https://doi.org/10.7189/jogh.08.010502

    Article  PubMed  PubMed Central  Google Scholar 

  25. Wang, X., Mudie, L., & Brady, C. J. (2016). Crowdsourcing: an overview and applications to ophthalmology. Current opinion in ophthalmology, 27(3), 256–261. https://doi.org/10.1097/ICU.0000000000000251

    Article  PubMed  PubMed Central  Google Scholar 

  26. Chen C., White L., Kowalewski T., Aggarwal R., Lintott C., Comstock B., Kuksenok K., Aragon C., Holst D., & Lendvay T. (2014). Crowd-sourced assessment of technical skills: a novel method to evaluate surgical performance. The Journal of surgical research, 187(1), 65–71. https://doi.org/10.1016/j.jss.2013.09.024

    Article  PubMed  Google Scholar 

  27. https://www.csats.com/ Retrieved November 28, 2020

  28. Addison, P., Yoo, A., Duarte-Ramos, J., Addy, J., Dechario, S., Husk, G., Jarrett, M., Teixeira, J., Antonacci, A., & Filicori, F. (2020). Correlation between operative time and crowd-sourced skills assessment for robotic bariatric surgery. Surgical endoscopy, https://doi.org/10.1007/s00464-020-08019-z. Advance online publication. https://doi.org/10.1007/s00464-020-08019-z

  29. Deal, S. B., Stefanidis, D., Telem, D., Fanelli, R. D., McDonald, M., Ujiki, M., Michael Brunt, L., & Alseidi, A. A. (2017). Evaluation of crowd-sourced assessment of the critical view of safety in laparoscopic cholecystectomy. Surgical endoscopy, 31(12), 5094–5100. https://doi.org/10.1007/s00464-017-5574-1

    Article  PubMed  Google Scholar 

  30. Aghdasi, N., Bly, R., White, L. W., Hannaford, B., Moe, K., & Lendvay, T. S. (2015). Crowd-sourced assessment of surgical skills in cricothyrotomy procedure. The Journal of surgical research, 196(2), 302–306. https://doi.org/10.1016/j.jss.2015.03.018

    Article  PubMed  PubMed Central  Google Scholar 

  31. Dai, J. C., Lendvay, T. S., & Sorensen, M. D. (2017). Crowdsourcing in surgical skills acquisition: a developing technology in surgical education. journal of graduate medical education, 9(6), 697–705. https://doi.org/10.4300/JGME-D-17-00322.1

  32. Kaler, K. S., Valley, Z. A., Bettir, K. C., Safiullah, S. M., Lama, D., Yoon, R., Landman, J., & Clayman, R. V. (2018). Crowdsourcing evaluation of ureteroscopic videos using the post-ureteroscopic lesion scale to assess ureteral injury. Journal of endourology, 32(4), 275–281. https://doi.org/10.1089/end.2017.0582.

    Article  PubMed  Google Scholar 

  33. Hu, Y. Y., Mazer, L. M., Yule, S. J., Arriaga, A. F., Greenberg, C. C., Lipsitz, S. R., Gawande, A. A., & Smink, D. S. (2017). Complementing operating room teaching with video-based coaching. JAMA surgery, 152(4), 318–325. https://doi.org/10.1001/jamasurg.2016.4619

    Article  PubMed  Google Scholar 

  34. Kreutzer, L., Hu, Y. Y., Stulberg, J., Greenberg, C. C., Bilimoria, K. Y., & Johnson, J. K. (2021). Formative evaluation of a peer video-based coaching initiative. The Journal of surgical research, 257, 169–177. https://doi.org/10.1016/j.jss.2020.07.048

    Article  PubMed  Google Scholar 

  35. Varban, O. A., Thumma, J. R., Finks, J. F., Carlin, A. M., Ghaferi, A. A., & Dimick, J. B. (2021). Evaluating the effect of surgical skill on outcomes for laparoscopic sleeve gastrectomy: a video-based study. Annals of surgery, 273(4), 766–771. https://doi.org/10.1097/SLA.0000000000003385

    Article  PubMed  Google Scholar 

  36. Glarner, C. E., Hu, Y. Y., Chen, C. H., Radwin, R. G., Zhao, Q., Craven, M. W., Wiegmann, D. A., Pugh, C. M., Carty, M. J., & Greenberg, C. C. (2014). Quantifying technical skills during open operations using video-based motion analysis. Surgery, 156(3), 729–734. https://doi.org/10.1016/j.surg.2014.04.054

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors acknowledge L. K. Coughlin for her support and the SSAT Health Care Quality and Outcomes Committee members Dmitry Oleynikov, Brett Sheppard, and Cherif Boutros for their assistance with the critical revision.

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Authors and Affiliations

  1. Division of Colorectal Surgery, Department of Surgery, University of California At Davis Medical Center, Sacramento, CA, USA

    Deborah S. Keller

  2. Division of Hepatopancreaticobiliary Surgery, Department of Surgery, MedStar Georgetown University Hospital, Washington, DC, USA

    Emily R. Winslow

  3. Division of General and Gastrointestinal Surgery, Brigham and Women’s Hospital, Boston, MA, USA

    Joel E. Goldberg

  4. Department of Surgery, Yale University Medical Center, New Haven, CT, USA

    Vanita Ahuja

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Dr Keller, Dr Winslow, Dr Goldberg, and Dr Ahuja had substantial contributions to the conception or design of the work and acquisition and analysis of data for the work, drafting the work and revising it critically for important intellectual content, and final approval of the version to be published. And Dr Ahuja agrees to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

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Correspondence to Deborah S. Keller.

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Keller, D.S., Winslow, E.R., Goldberg, J.E. et al. Video-Based Coaching: Current Status and Role in Surgical Practice (Part 1) From the Society for Surgery of the Alimentary Tract, Health Care Quality and Outcomes Committee. J Gastrointest Surg 25, 2439–2446 (2021). https://doi.org/10.1007/s11605-021-05102-1

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