Abstract
Background
The American Board of Surgery encourages graduating medical students to prepare for
surgical residency before day 1. We sought to determine the impact of personalized
video feedback on an advance preparation task.
Methods
We conducted a nonrandomized study comparing video feedback versus no feedback. We
sent incoming surgical interns a preparatory package 2 months before starting residency.
Trainees video-recorded themselves performing a subcuticular wound closure, 3 times
at 3-week intervals, and submitted these for appraisal. A staff surgeon provided personalized
feedback on each video as a narrated voiceover. The voiced-over videos were then returned
to trainees. We compared performance (time and completion rate) on suturing in a multistation
assessment against residents from the previous year (no-feedback group).
Results
The feedback group had a higher completion rate for the suturing assessment than the
no-feedback group (23/28 [82%] vs. 8/27 [30%], P < .0001). The feedback group also completed the suturing station at a faster rate
than those without feedback (hazard ratio 4.9 [95% confidence interval (CI): 2.2,11.2),
P < .0001). Global rating scores were significantly higher for the feedback group (mean
difference [5-point scale] = 0.7 [95% CI: 0.3, 1.1]). However, Objective Structured
Assessment of Technical Skills scores indicated no significant difference between
groups (mean difference [5-point scale] = 0.3 [95% CI: 0.0, 0.6]). Within the feedback
group, we found significant improvement from baseline to final performances (mean
difference = 109 seconds [95% CI: 79, 140]).
Conclusion
Personalized narrated feedback as part of a home-based advance preparation package
for incoming residents is associated with higher performance on early objective assessments.
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Article Info
Publication History
Published online: December 27, 2017
Accepted:
November 7,
2017
Footnotes
Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding: Financial support was provided from the John K. and Luise V. Hanson Foundation (a nonprofit organization).
Presented at the American College of Surgical Simulation Conference, March 17–18, 2017, Chicago, Illinois.
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
