AI-Generated Video Feedback to Improve Technical Skills in Coronary Artery Bypass Grafting

NCT07400172 | Not Yet Recruiting

• 1 other identifier: FW-HSS
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate whether targeted video feedback generated by an artificial intelligence (AI)-based surgical performance assessment model can support improvement in technical skills among cardiac surgeons performing coronary artery bypass grafting (CABG). This is a single-group, self-controlled, pre-post interventional study. Participating surgeons will submit a baseline CABG surgical video, which will be assessed by both an AI model and blinded human expert raters using standardized scoring criteria. Based on the AI assessment, surgeons will receive personalized video feedback highlighting operative steps associated with lower technical performance. After a one-month self-directed review period, a follow-up CABG surgical video will be submitted and evaluated using the same process. Changes in human-rated technical skill scores between baseline and follow-up will be used to assess the potential educational impact of AI-generated video feedback.

Conditions

Cardiac; Surgery (Cardiac); Education; Artificial Intelligence (AI)

Keywords

Coronary Artery Bypass Grafting; Surgical Education; Video-Based Feedback; Artificial Intelligence

Outcome Measures

Primary Outcomes (1)

• Change in Human Expert-Rated Technical Skill Score Between Baseline and Follow-Up CABG Videos

  The primary outcome is the change in technical skill scores assigned by a panel of blinded human expert raters, who independently evaluate anonymized coronary artery bypass grafting (CABG) surgical videos submitted at baseline and one month after receiving AI-generated video feedback. The scoring uses a standardized rubric to assess overall surgical technical performance. The higher score, the better performance: respect for tissue, time and motion, instrument handling, knowledge of instruments, use of assistants, flow of operation and forward planning, and knowledge of the specific procedure. Each domain was scored on a 5-point Likert scale, where 1 indicated poor performance and 5 represented excellence. In addition, each rater provided an overall impression score (1-5) to capture their holistic assessment of surgical performance. The two scores were scaled to 100 points and the final score consists of 70% of 7-domain rating sum scores and 30% of overall impression score.

  Baseline, 1 month

Secondary Outcomes (13)

• Surgeon self-assessments of the AI feedback

  1 month

• Consistency between AI feedback and human expert feedback.

  Baseline, 1 month

• Postoperative in-hospital outcomes: the icidence of major complications

  Baseline, 1 month

• Postoperative in-hospital outcomes: the incidence of death

  Baseline, 1 month

• Postoperative in-hospital outcomes: the incidence of acute kidney injury

  Baseline, 1 month

Study Arms (1)

AI-Guided Video Feedback Intervention

EXPERIMENTAL

Participants in this study will receive a personalized educational intervention consisting of AI-generated video feedback based on their baseline coronary artery bypass grafting (CABG) surgical videos. The AI model analyzes surgical performance and identifies specific operative steps with lower technical skill scores. Curated video clips highlighting these areas are provided to the surgeons for self-review and reflection. No additional formal training or coaching is given during the one-month intervention period, after which a follow-up surgical video is submitted for re-evaluation.

Behavioral: AI-Guided Video Feedback Intervention

Interventions

AI-Guided Video Feedback Intervention BEHAVIORAL

Participants in this study will receive a personalized educational intervention consisting of AI-generated video feedback based on their baseline coronary artery bypass grafting (CABG) surgical videos. The AI model analyzes surgical performance and identifies specific operative steps with lower technical skill scores. Curated video clips highlighting these areas are provided to the surgeons for self-review and reflection. No additional formal training or coaching is given during the one-month intervention period, after which a follow-up surgical video is submitted for re-evaluation.

AI-Guided Video Feedback Intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Baseline AI-assessed technical performance ranked in the lower 50% within the scoring system in CAMERA study (NCT06739005)

You may not qualify if:

• Unwilling to attend

Sponsors & Collaborators

• China National Center for Cardiovascular Diseases: lead

Study Sites (1)

Fuwai Hospital

Beijing, Beijing Municipality, 102300, China

Location

Central Study Contacts

Lihua Zhang Zhang, M.D, Ph.D

CONTACT

13810483387; zhanghaibo@fuwai.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: Human raters were blinded to surgeon identity and study phase.
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof

Model Details: This study uses a single-group, self-controlled interventional model. Each participating cardiac surgeon acts as their own control by comparing technical skill performance before and after receiving an AI-generated targeted video feedback intervention. The intervention consists of personalized surgical video clips highlighting suboptimal technical maneuvers identified by an AI-based assessment model. No randomization or control group is involved. The study evaluates changes in surgical skill scores assessed by blinded human experts pre- and post-intervention to determine the potential educational impact of the AI feedback.

Study Record Dates

• First Submitted: December 23, 2025
• First Posted: February 10, 2026
• Study Start: January 31, 2026
• Primary Completion: March 31, 2026
• Study Completion: April 30, 2026
• Last Updated: February 10, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: After two years of publication.
• Access Criteria: Anyone with a protocol sended to huss@fuwai.com and aprroved by PI can access the data. The data will be tranferred by excel or sas.

Locations

CN (1)