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Abstract：
Surgical coaching, with the goal of improving operative performance, has been introduced into residency and fellowship programs. This is the first systematic review on surgical coaching limited to randomized controlled trials. The objective of this review is to synthesize the existing evidence that addresses the following question: \"What are the effects of surgical coaching to improve learner outcomes?\"
A comprehensive literature search was performed through the following databases: MEDLINE, EMBASE, ERIC, and Cochrane Central Register of Controlled Trials. The methodological quality of the selected randomized controlled trials was evaluated using the Cochrane Collaboration tool for assessing risk of bias.
Five randomized controlled trials were included in our final analysis. All five RCTs showed improvement in technical surgical performance after coaching. Two studies provided further evidence that skills were retained and one described the high satisfaction of learners. The risk of bias was low in 3 trials.
Surgical coaching is associated with high learner satisfaction and improvements of skills and knowledge. The current evidence for surgical coaching programs is overwhelmingly positive.
A comprehensive literature search was performed through the following databases: MEDLINE, EMBASE, ERIC, and Cochrane Central Register of Controlled Trials. The methodological quality of the selected randomized controlled trials was evaluated using the Cochrane Collaboration tool for assessing risk of bias.
Five randomized controlled trials were included in our final analysis. All five RCTs showed improvement in technical surgical performance after coaching. Two studies provided further evidence that skills were retained and one described the high satisfaction of learners. The risk of bias was low in 3 trials.
Surgical coaching is associated with high learner satisfaction and improvements of skills and knowledge. The current evidence for surgical coaching programs is overwhelmingly positive.
摘要：
外科教练，以提高手术性能为目标，已被引入居住和研究金计划。这是第一次关于手术指导的系统评价，仅限于随机对照试验。本综述的目的是综合解决以下问题的现有证据：“手术指导对改善学习者结果有什么影响？”
通过以下数据库进行了全面的文献检索：MEDLINE，EMBASE,ERIC,和Cochrane中央控制试验登记册。使用Cochrane协作工具评估所选随机对照试验的方法学质量，以评估偏倚风险。
我们的最终分析中包括了5项随机对照试验。指导后，所有五个RCT均显示技术手术性能有所改善。两项研究提供了进一步的证据，表明保留了技能，一项研究描述了学习者的高满意度。3项试验的偏倚风险较低。
手术指导与高学习者满意度以及技能和知识的提高有关。目前关于外科教练计划的证据是压倒性的。
通过以下数据库进行了全面的文献检索：MEDLINE，EMBASE,ERIC,和Cochrane中央控制试验登记册。使用Cochrane协作工具评估所选随机对照试验的方法学质量，以评估偏倚风险。
我们的最终分析中包括了5项随机对照试验。指导后，所有五个RCT均显示技术手术性能有所改善。两项研究提供了进一步的证据，表明保留了技能，一项研究描述了学习者的高满意度。3项试验的偏倚风险较低。
手术指导与高学习者满意度以及技能和知识的提高有关。目前关于外科教练计划的证据是压倒性的。
