PDF(Sci-hub)
Abstract：
The aim of the study was to investigate the effect of targeted surgical coaching on self-assessment of laparoscopic operative skill. Accurate self-assessment is vital for autonomous professional development. Surgical coaching can be used for performance improvement, but its role in this domain has been insufficiently investigated.
This was a single site, nonrandomized, interrupted time series design trial. Participants were residents, fellows, and attending surgeons regularly performing laparoscopic general surgery operations. Each participant was enrolled in an individualized coaching program using review of personal and peer laparoscopic videos. The program involved 3 to 5 sessions over a period of 6 to 19 weeks. Coaching used case debriefing to target self-assessment proficiency, with a focus on objective interpretation of observations and facilitative capacity building. The primary outcome measure was self-assessment accuracy and correlation to expert ratings. The Objective Structured Assessment of Technical Skill global rating scale was utilized for evaluation.
Twelve participants were recruited and completed the coaching program. At baseline, there was no correlation between self-assessment and expert ratings. After completion of the coaching program there was correlation between self-assessment and expert ratings (P = .003) and improved self-assessment accuracy compared to baseline (P = .041).
This study has demonstrated that targeted coaching using video review of laparoscopic cases can improve operative self-assessment accuracy using the Objective Structured Assessment of Technical Skill.
This was a single site, nonrandomized, interrupted time series design trial. Participants were residents, fellows, and attending surgeons regularly performing laparoscopic general surgery operations. Each participant was enrolled in an individualized coaching program using review of personal and peer laparoscopic videos. The program involved 3 to 5 sessions over a period of 6 to 19 weeks. Coaching used case debriefing to target self-assessment proficiency, with a focus on objective interpretation of observations and facilitative capacity building. The primary outcome measure was self-assessment accuracy and correlation to expert ratings. The Objective Structured Assessment of Technical Skill global rating scale was utilized for evaluation.
Twelve participants were recruited and completed the coaching program. At baseline, there was no correlation between self-assessment and expert ratings. After completion of the coaching program there was correlation between self-assessment and expert ratings (P = .003) and improved self-assessment accuracy compared to baseline (P = .041).
This study has demonstrated that targeted coaching using video review of laparoscopic cases can improve operative self-assessment accuracy using the Objective Structured Assessment of Technical Skill.
摘要：
该研究的目的是探讨针对性手术指导对腹腔镜手术技能自我评估的影响。准确的自我评估对于自主职业发展至关重要。手术指导可用于提高性能，但它在这一领域的作用还没有得到充分的研究。
这是一个单一的网站，非随机化，中断的时间序列设计试验。参与者是居民，研究员，和主治医生定期进行腹腔镜普外科手术。通过审查个人和同伴腹腔镜视频，每位参与者都参加了个性化的指导计划。该计划涉及3至5个疗程，为期6至19周。辅导使用的案例汇报，以达到自我评估的熟练程度，重点是对观察结果的客观解释和促进能力建设。主要结果指标是自我评估的准确性和与专家评分的相关性。采用客观结构化技术技能全球评定量表进行评价。
招募了12名参与者并完成了教练计划。在基线,自我评估和专家评分之间没有相关性.完成辅导计划后，自我评估和专家评分之间存在相关性（P=.003），与基线相比，自我评估准确性提高（P=.041）。
这项研究表明，使用腹腔镜病例的视频回顾进行针对性指导，可以使用客观结构化技术技能评估来提高手术自我评估的准确性。
这是一个单一的网站，非随机化，中断的时间序列设计试验。参与者是居民，研究员，和主治医生定期进行腹腔镜普外科手术。通过审查个人和同伴腹腔镜视频，每位参与者都参加了个性化的指导计划。该计划涉及3至5个疗程，为期6至19周。辅导使用的案例汇报，以达到自我评估的熟练程度，重点是对观察结果的客观解释和促进能力建设。主要结果指标是自我评估的准确性和与专家评分的相关性。采用客观结构化技术技能全球评定量表进行评价。
招募了12名参与者并完成了教练计划。在基线,自我评估和专家评分之间没有相关性.完成辅导计划后，自我评估和专家评分之间存在相关性（P=.003），与基线相比，自我评估准确性提高（P=.041）。
这项研究表明，使用腹腔镜病例的视频回顾进行针对性指导，可以使用客观结构化技术技能评估来提高手术自我评估的准确性。
