Effect of Video-Based Coaching on Resident Laparoscopic Surgical Skills

NCT ID: NCT05103449

Last Updated: 2023-08-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-03

Study Completion Date

2022-12-31

Brief Summary

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Randomized controlled trial to evaluate the effect of video-based coaching on Obstetrics and Gynecology residents' efficiency, proficiency, and confidence in performing laparoscopic salpingectomy.

Detailed Description

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University of Texas Southwestern PGY-1 and PGY-2 Obstetrics and Gynecology residents will be scheduled to complete a 4-week gynecology rotation at Parkland Memorial Hospital. After completing the pre-survey, trainees will be randomized into either the control or experimental group (video coached group) stratified by PGY (Post-Graduate Year) level. Minimum group sample sizes of 9 and 9 to achieve 90% power to detect a difference of 5.0 in a design with 3 repeated measurements having a Simple covariance structure when the standard deviation is 5.4 and the alpha level is 0.05. The control group will be video recorded performing three laparoscopic salpingectomy procedures as scheduled during the 4-week block. The control group will not participate in video coaching sessions. The experimental group will be video recorded performing three laparoscopic salpingectomy procedures as scheduled during the block. After the first and second laparoscopic salpingectomy, the experimental group of residents will review their video recording and receive a video coaching session by a minimally invasive gynecologic surgery (MIGS) attending physician prior to the next surgery. All three video recordings for each participant (control and experimental group) will be graded using Global Operative Assessment of Laparoscopic Skills (GOALS) and Objective Structured Assessment of Laparoscopic Salpingectomy (OSA-LS) criteria by two attending physicians not involved in the surgeries or coaching. Each surgery will be blinded to the group allocation and the week definition. Participants will not be given the assessment score and the score will not affect evaluations. After the third laparoscopic salpingectomy, trainees will fill out a post-course survey to determine if the video-based coaching course improved their proficiency and confidence in laparoscopic gynecologic surgery. They will also watch their own laparoscopic salpingectomy video recording and self-grade their skills using the GOALS and OSA-LS criteria that will be provided in the post-survey.

Conditions

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Laparoscopic Salpingectomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors
Attending physicians evaluating the laparoscopic salpingectomy videos will be blinded

Study Groups

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Control Group (No Video Coaching)

Control Group (No Video Coaching)

Group Type NO_INTERVENTION

No interventions assigned to this group

Experimental Group (Video Coaching)

Video-based coaching group

Group Type EXPERIMENTAL

Video Coaching

Intervention Type OTHER

Video-based coaching sessions after salpingectomy 1 and 2

Interventions

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Video Coaching

Video-based coaching sessions after salpingectomy 1 and 2

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* PGY-1 and PGY-2 UTSW OB/GYN Residents during their Gynecology Block

Exclusion Criteria

* Residents who have previously participated in the study
* PGY-3 or PGY-4 residents
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Texas Southwestern Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Lisa Chao

Assistant Professor, Department of Obstetrics and Gynecology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lisa Chao, MD

Role: PRINCIPAL_INVESTIGATOR

University of Texas Southwestern Medical Center

Locations

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Parkland Memorial Hospital

Dallas, Texas, United States

Site Status

Countries

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United States

References

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Muir TM, Pruszynski J, Kho KA, Ramirez CI, Donnellan NM, Chao L. Video-Based Coaching for Laparoscopic Salpingectomy: A Randomized Controlled Trial. Obstet Gynecol. 2024 Sep 1;144(3):358-365. doi: 10.1097/AOG.0000000000005677. Epub 2024 Jul 25.

Reference Type DERIVED
PMID: 39053009 (View on PubMed)

Other Identifiers

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STU-2021-0805

Identifier Type: -

Identifier Source: org_study_id

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