Video-based Coaching (VBC) in Gynecologic Surgery
A Multicentre, Randomized Controlled Trial to Assess Video-based Feedback for Surgical Coaching in Gynecology and Gynecologic Oncology
1 other identifier
interventional
30
1 country
3
Brief Summary
This multi-centre, randomized controlled trial aims to assess the role of video-based coaching (VBC) in residency education in gynecologic and gynecologic oncology surgery. It involves a trainee and a surgical coach, who together review a recording of the trainee performing a surgical skill or procedure and coaching is provided for skill improvement. Resident performance will be evaluated using a standardized scoring scale by two experienced surgeons before and after the intervention and compared to the control group receiving the standard surgical teaching curriculum.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Oct 2021
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 28, 2021
CompletedStudy Start
First participant enrolled
October 6, 2021
CompletedFirst Posted
Study publicly available on registry
October 21, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2022
CompletedOctober 21, 2021
October 1, 2021
8 months
September 28, 2021
October 7, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Mean change from baseline in modified-OSATS (Objective Structured Assessment of Technical Skill) score after video-based coaching intervention compared to control of standard surgical teaching
The modified OSATS score is a standardized rubric for assessing technical skills
The first and second attempt will occur within a 1 month timeframe. The blinded assessors will complete the evaluation of the surgical videos for performance within 6 months of study completion.
Secondary Outcomes (4)
Participant assessment of desirability of video-based surgical coaching
Desirability will be calculated at the end of study enrolment within 1 year,
Participant assessment of usefulness of video-based surgical coaching
Questionnaire to be completed by participant within 1 month of second attempt.
Surgical coach assessment of feasibility of video-based surgical coaching
Questionnaire to be completed by surgical coach on day of coaching session and all questionnaires will be completed within 1 year.
Inter-rater reliability of the video evaluations by the blinded, experienced laparoscopists
The blinded assessors will complete the evaluation of the surgical videos for performance within 6 months of study completion.
Study Arms (2)
Video-based coaching
EXPERIMENTALParticipants in the intervention arm will receive the standard surgical teaching while in the operating room (master-apprentice model (MAM)), plus the intervention of reviewing the recorded video with the surgical coach after performing their first attempt at laparoscopic closure of the vaginal vault.
Standard surgical teaching
PLACEBO COMPARATORParticipants in the control arm will receive the standard surgical teaching while in the operating room (master-apprentice model-(MAM)).
Interventions
The coaching session will follow the Wisconsin Coaching Framework (Greenberg 2015). The surgical coaching session will last at maximum 30 minutes and will occur within 1-2 week following the procedure. The surgical coaching session will occur over Zoom. The second attempt will occur within 1 week following the coaching session.
Standard surgical teaching that conventionally occurs in the operating room follows a master-apprentice model (MAM).
Eligibility Criteria
You may qualify if:
- Postgraduate year (PGY) 3 to 5 residents in the Obstetrics and Gynaecology program at the University of Toronto
- Completing chief gynecology rotation at Mount Sinai Hospital (MSH) and Sunnybrook Health Sciences Centre (SHSC), and gynecologic oncology rotation at University Health Network (UHN) and SHSC form Sept 2021 until June 2022
You may not qualify if:
- Previous participation in study on another rotation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mount Sinai Hospital, Canadalead
- Sunnybrook Health Sciences Centrecollaborator
- University Health Network, Torontocollaborator
Study Sites (3)
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5, Canada
Mount Sinai Hospital
Toronto, Ontario, M5G 1Z5, Canada
University Health Network
Toronto, Ontario, M5G 1Z5, Canada
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Evan Tannenbaum, MD, MSc
MOUNT SINAI HOSPITAL
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Due to the nature of the intervention, the participants and the surgical coach will not be blinded. The participants will be informed of their assignment after completing the first attempt. The staff surgeon in the operating room for each attempt will be blinded. The experienced laparoscopists who will be scoring the videos will be blinded to the group allocation and the attempt number.
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor, Obstetrician/Gynecologist
Study Record Dates
First Submitted
September 28, 2021
First Posted
October 21, 2021
Study Start
October 6, 2021
Primary Completion
June 1, 2022
Study Completion
December 1, 2022
Last Updated
October 21, 2021
Record last verified: 2021-10
Data Sharing
- IPD Sharing
- Will not share