8th Annual American College of Surgeons Accredited Educational Institutes (ACS-AEI) ConsortiumDeveloping a coaching mechanism for practicing surgeons
Section snippets
Methods
This project was an Institutional Review Board–approved, prospective quality improvement study with voluntary enrollment of practicing general and gynecologic surgeons. The study was conducted in 6 hospitals of Carolinas HealthCare System (CHS), a large not-for-profit health care system comprising 43 hospitals and more than 60,000 employees. The Center for Medicare and Medicaid Services Partnership for Patients funded the project as part of 5 Leading Edge Advanced Practice Topics projects. The
Results
As shown in Fig 2, 90 surgeons from 6 different CHS hospitals were invited to participate. Of these 90, 32 surgeons (18 general; 14 gynecologists) agreed to be videotaped and evaluated. Forty-two technical videos and 45 nontechnical videos were assessed by the surgeon experts and the human factors expert, respectively (Table II22). In a few cases, there was a technical problem capturing a recording, resulting in the discrepant number of total recordings. Seven surgeons volunteered to
Discussion
In this study, we aimed to identify technical and nontechnical skill deficiencies of practicing surgeons and to develop a coaching mechanism that would address the lack of performance feedback available to surgeons today. To accomplish this, we embarked on a video-based assessment of technical and nontechnical skill of attending surgeons and created a coaching program that was based on an interactive video review and simulation-based practice.
Our approach allowed us to demonstrate the
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Peer Coaching as a Form of Performance Improvement: What Surgeons Really Think
2021, Journal of Surgical EducationSurgical coaching to achieve the ABMS vision for the future of continuing board certification
2021, American Journal of SurgeryAcquiring and maintaining lifelong expertise in surgery
2020, Surgery (United States)Do Not Blame the Resident: the Impact of Surgeon and Surgical Trainee Experience on the Occurrence of Intraoperative Adverse Events (iAEs) in Abdominal Surgery
2018, Journal of Surgical EducationCitation Excerpt :As such, the patient safety efforts should focus less on curbing resident autonomy and more on establishing formal operative support programs that facilitate culturally and logistically “calling the senior partner into the OR” before an iAE occurs in challenging surgical procedures. Formalized coaching programs in which an experienced senior surgeon provides real-time guidance and intraoperative feedback to junior partners may also hold promise as a preventative strategy for iAE occurrence for less experienced surgeons.39-43 The Society of Gastrointestinal and Endoscopic Surgeons conducted a multi-institutional study in which they used tele-monitoring as a form of coaching for experts in laparoscopic sleeve gastrectomy to have a “remote presence” and provide feedback to mentees.44
Supported through a Leading Edge Advanced Practice Topics grant by the Center for Medicare and Medicaid Services contract number HHSM-500-2012-00028C/000005.