Adapting Surgical Coaching: Feasibility and Perceptions of Intraoperative Resident Peer Coaching.

Autor: Soelling SJ; Department of Surgery, Brigham & Women's Hospital, Boston, Massachusetts; Ariadne Labs, Boston, Massachusetts. Electronic address: ssoelling@bwh.harvard.edu., Saadat LV; Department of Surgery, Brigham & Women's Hospital, Boston, Massachusetts; Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York., Jolissaint JS; Department of Surgery, Brigham & Women's Hospital, Boston, Massachusetts; Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York., Nitzschke SL; Department of Surgery, Brigham & Women's Hospital, Boston, Massachusetts., Smink DS; Department of Surgery, Brigham & Women's Hospital, Boston, Massachusetts; Ariadne Labs, Boston, Massachusetts.
Jazyk: angličtina
Zdroj: The Journal of surgical research [J Surg Res] 2024 Sep; Vol. 301, pp. 198-204. Date of Electronic Publication: 2024 Jun 28.
DOI: 10.1016/j.jss.2024.04.090
Abstrakt: Introduction: Surgical coaching is utilized to enhance technical, nontechnical, and teaching skills. This study aims to evaluate the feasibility and benefit of a resident peer coaching program.
Methods: Chief residents (postgraduate year 5) acted as coaches for junior residents (postgraduate year 1-3, "coachees"). All participants completed the Harvard Surgical Coaching for Operative Performance Enhancement curriculum. The coaching structure included 1) preoperative goal setting, 2) unscrubbed intraoperative observation, and 3) postoperative debrief. Upon completion, residents were surveyed to assess their experience. Descriptive and thematic analyses were performed.
Results: There were 22 participants (6 coaches, 16 coachees). Five (83.3%) coaches and 14 (87.5%) coachees reported the program was useful, citing dedicated reflection outside the operating room, in-depth feedback, and structured self-assessment with increased accountability. Thirteen (81.3%) coachees reported perceived improvement in technical skills and 12 (75%) within nontechnical skills. All coaches felt they benefited and improved their ability to provide feedback. When asked how coaching compared to usual methods of operative feedback, 14 (87.5%) coachees and 5 (83.3%) coaches reported it was better, with only 1 coachee reporting it was worse. Benefits over typical operating room teaching included more feedback provided, more specific feedback, and the benefit of peer relationships. Twelve (54.5%) residents cited difficulty with coordinating sessions, but 21 (95.5%) reported that they would participate again.
Conclusions: Implementation of a resident peer surgical coaching program is feasible. Both coaches and coachees perceive significant benefit with improvement in technical, nontechnical, and feedback delivery skills. Given preference over other methods of operative feedback, expansion of peer coaching programs is warranted.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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