Recruiting

Video-based Reflection

Sponsor:

McGill University Health Centre/Research Institute of the McGill University Health Centre

Code:

NCT04643314

Conditions

Laparoscopy

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Accepted

Interventions

Guided video-based self-evaluation

Study Details

Brief summary:

While video-assisted structured feedback by expert surgeons significantly improves laparoscopic skill acquisition in surgical trainees, this method is resource intensive and may have limited feasibility outside of research settings. Self-assessment and reflection are integral parts of medical experiential learning; however the value of video-based self-reflection in enhancing surgical skill acquisition remains to be determined.

The objective of the proposed pilot study is to investigate the feasibility of conducting a full-scale randomized controlled trial (RCT) aimed to evaluate the effectiveness of coached video-based self-reflection approach on surgical trainee performance of laparoscopic cholecystectomy.

Conditions

Laparoscopy

Study ID

NCT04643314

Start date

Aug 1, 2020

Status verified date

Nov, 2020

Completion date

Jul 30, 2021

Anticipated

Primary completion date

Jul 30, 2021

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Accepted

Inclusion Criteria:

  • All residents involved at the McGill General Surgery Program (total of 35 residents on clinical rotations)

Exclusion Criteria:

  • None

Study Design

Enrollment

34 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Other

Interventions and Outcome Measures

Arms

experimental: Guided video-based self-evaluation

In addition to their usual residency training, participants randomized to this group will undergo the following interventions:

The participants will be asked to review their own operating room recordings (of each of the 5 consecutive submitted laparoscopic cholecystectomy cases that the participant acted as the primary operator) and to assess themselves (within 72 hours (3 days) of the procedure) using validated intra-operative assessment tools. The completion of the self-evaluations is to guide and document video-based self-reflection. The duration of self-assessment/reflection session will be up do the participant. Residents in this group will have unlimited access to their recordings through the web-based platform. On the other hand, they will not be able to access the battery of assessment forms after the third day following the procedure.

no intervention: Traditional intraoperative teaching

Subjects randomized to this group will undergo their usual residency training.

The recordings of the 5 submitted consecutive laparoscopic cholecystectomy procedures performed by the participant as the primary operator will be stored. However participants in this arm of the study will not have access to the uploaded videos until the end of the study.

Interventions

Guided video-based self-evaluation

In addition to their usual residency training, participants randomized to this group will undergo the following interventions:

The participants will be asked to review their own operating room recordings (of each of the 5 consecutive submitted laparoscopic cholecystectomy cases that the participant acted as the primary operator) and to assess themselves (within 72 hours (3 days) of the procedure) using validated intra-operative assessment tools. The completion of the self-evaluations is to guide and document video-based self-reflection. The duration of self-assessment/reflection session will be up do the participant. Residents in this group will have unlimited access to their recordings through the web-based platform. On the other hand, they will not be able to access the battery of assessment forms after the third day following the procedure.

Primary outcome measure

  • Feasibility: Rate of recruitment (acceptability of the trial by trainees) [ Time Frame: 1 year ]
  • Feasibility: Rate of recruitment (acceptability of the trial by attending surgeons) [ Time Frame: 1 year ]
  • Feasibility: Adherence to intervention [ Time Frame: 1 year ]
  • Feasibility: Rate of missing assessment data [ Time Frame: 1 year ]

Central Contacts and Locations

Central contacts

Liane S Feldman, MD

5149341934liane.feldman@mcgill.ca

Saba Balvardi, MD

saba.balvardi@mail.mcgill.ca

Locations

McGill University Health Centre

Recruiting

Montreal, Quebec, Canada, H8N0C8

Contacts

Liane S Feldman, MD

514-934-8044liane.feldman@mcgill.ca

More Information

Sponsor

McGill University Health Centre/Research Institute of the McGill University Health Centre

Last update posted

Nov 25, 2020

Last verified

Nov, 2020

Keywords

  • laparoscopic surgical skills
  • self-reflection
  • operative recording
  • laparoscopic cholecystectomy
  • surgical education

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by McGill University Health Centre/Research Institute of the McGill University Health Centre on 2020-11-25.