Exploring the nature and focus of feedback when using video playback in gynecology laparoscopy training

Background: Feedback about intraoperative performance remains a cornerstone of surgical training. Video playback offers one potential method for more effective feedback to surgical residents. More research is needed to better understand this method. This study explores the nature of instructional i...

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Autores principales:	Jena M Hall, Jamie S Pyper
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2021
Materias:	Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/4e34a97fc4f94d6e9b05a8048ecd9227
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spelling	oai:doaj.org-article:4e34a97fc4f94d6e9b05a8048ecd92272021-12-01T22:35:40ZExploring the nature and focus of feedback when using video playback in gynecology laparoscopy training10.36834/cmej.714551923-1202https://doaj.org/article/4e34a97fc4f94d6e9b05a8048ecd92272021-09-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/71455https://doaj.org/toc/1923-1202 Background: Feedback about intraoperative performance remains a cornerstone of surgical training. Video playback offers one potential method for more effective feedback to surgical residents. More research is needed to better understand this method. This study explores the nature of instructional interactions and feedback in the operating room (OR) and when using video playback during post-operative review in obstetrics and gynecology (OBGYN) training. Method: This case study occurred between September 2016 and February 2017. Three OBGYN residents and five OBGYN supervising surgeons were involved in six laparoscopic cases. Intraoperative and video playback dialogues were recorded and analysed, the former deductively using codes identified from published literature, and the latter both deductively, using the same codes, and inductively, with codes that emerged from the data during analysis. Results: 1090 intraoperative interactions were identified within 376 minutes of dialogue. Most interactions were didactic, instructing the resident how to use an instrument to perform a task. Deductive analysis of postoperative video playback review identified 146 interactions within 155 minutes. While the most common interaction type remained didactic, a teaching component was included more often. It became apparent that deductive analysis using the intraoperative codes did not adequately capture the nature and focus of feedback during video playback. Hermeneutic phenomenological analysis identified more dialogic video playback sessions with more resident-initiated questions and reflection. Conclusions: This study demonstrates that the nature of feedback during video playback is fundamentally different from that in the OR, offering a greater potential for collaborative and improved learning. Jena M HallJamie S PyperCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Education (General) L7-991 Medicine (General) R5-920
spellingShingle	Education (General) L7-991 Medicine (General) R5-920 Jena M Hall Jamie S Pyper Exploring the nature and focus of feedback when using video playback in gynecology laparoscopy training
description	Background: Feedback about intraoperative performance remains a cornerstone of surgical training. Video playback offers one potential method for more effective feedback to surgical residents. More research is needed to better understand this method. This study explores the nature of instructional interactions and feedback in the operating room (OR) and when using video playback during post-operative review in obstetrics and gynecology (OBGYN) training. Method: This case study occurred between September 2016 and February 2017. Three OBGYN residents and five OBGYN supervising surgeons were involved in six laparoscopic cases. Intraoperative and video playback dialogues were recorded and analysed, the former deductively using codes identified from published literature, and the latter both deductively, using the same codes, and inductively, with codes that emerged from the data during analysis. Results: 1090 intraoperative interactions were identified within 376 minutes of dialogue. Most interactions were didactic, instructing the resident how to use an instrument to perform a task. Deductive analysis of postoperative video playback review identified 146 interactions within 155 minutes. While the most common interaction type remained didactic, a teaching component was included more often. It became apparent that deductive analysis using the intraoperative codes did not adequately capture the nature and focus of feedback during video playback. Hermeneutic phenomenological analysis identified more dialogic video playback sessions with more resident-initiated questions and reflection. Conclusions: This study demonstrates that the nature of feedback during video playback is fundamentally different from that in the OR, offering a greater potential for collaborative and improved learning.
format	article
author	Jena M Hall Jamie S Pyper
author_facet	Jena M Hall Jamie S Pyper
author_sort	Jena M Hall
title	Exploring the nature and focus of feedback when using video playback in gynecology laparoscopy training
title_short	Exploring the nature and focus of feedback when using video playback in gynecology laparoscopy training
title_full	Exploring the nature and focus of feedback when using video playback in gynecology laparoscopy training
title_fullStr	Exploring the nature and focus of feedback when using video playback in gynecology laparoscopy training
title_full_unstemmed	Exploring the nature and focus of feedback when using video playback in gynecology laparoscopy training
title_sort	exploring the nature and focus of feedback when using video playback in gynecology laparoscopy training
publisher	Canadian Medical Education Journal
publishDate	2021
url	https://doaj.org/article/4e34a97fc4f94d6e9b05a8048ecd9227
work_keys_str_mv	AT jenamhall exploringthenatureandfocusoffeedbackwhenusingvideoplaybackingynecologylaparoscopytraining AT jamiespyper exploringthenatureandfocusoffeedbackwhenusingvideoplaybackingynecologylaparoscopytraining
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Exploring the nature and focus of feedback when using video playback in gynecology laparoscopy training

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