Lindsey Kreutzer1, Yue-Yung Hu2, Jonah Stulberg1, Caprice C Greenberg3, Karl Y Bilimoria1, Julie K Johnson4. 1. Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Northwestern Memorial Hospital, Chicago, Illinois. 2. Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Lurie Children's Hospital Chicago, Illinois. 3. Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. 4. Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Electronic address: julie.k.johnson@northwestern.edu.
Abstract
BACKGROUND: Few opportunities exist for surgeons to receive technical skills feedback after training. Surgeons at hospitals within the Illinois Surgical Quality Improvement Collaborative were invited to participate in a peer-to-peer video-based coaching initiative focused on improving technical skills in laparoscopic right colectomy. We present a formative qualitative evaluation of a video-based coaching initiative. METHODS: Concurrent with the implementation of our video-based coaching initiative, we conducted two focus groups and 15 individual semistructured interviews with participants; all interviews were audio-recorded and transcribed. A subset of surgeons participated in a group video-review session, which was observed by qualitative researchers. Transcripts and notes were analyzed using an organizational behavior framework adapted from executive coaching. RESULTS: Participation in the initiative was primarily motivated by the opportunity to learn from others and improve skills. Surgeons highlighted the value of self-video and peer-video assessment not only to learn new techniques but also for self-reflection and benchmarking. Barriers to participation included logistics (e.g. using the laparoscopic recording devices, coordinating schedules for peer coaching), time commitment, and a surgical culture that assumes the intent of coaching is to address deficiencies. CONCLUSIONS: Video-based peer-coaching provides a platform for surgeons to reflect, benchmark against peers, and receive personalized feedback; however, more work is needed to increase participation and sustain involvement over time. There is an opportunity to decrease logistical barriers and increase acceptability of coaching by integrating video-based coaching into existing surgical conferences and established continuous professional development efforts.
BACKGROUND: Few opportunities exist for surgeons to receive technical skills feedback after training. Surgeons at hospitals within the Illinois Surgical Quality Improvement Collaborative were invited to participate in a peer-to-peer video-based coaching initiative focused on improving technical skills in laparoscopic right colectomy. We present a formative qualitative evaluation of a video-based coaching initiative. METHODS: Concurrent with the implementation of our video-based coaching initiative, we conducted two focus groups and 15 individual semistructured interviews with participants; all interviews were audio-recorded and transcribed. A subset of surgeons participated in a group video-review session, which was observed by qualitative researchers. Transcripts and notes were analyzed using an organizational behavior framework adapted from executive coaching. RESULTS: Participation in the initiative was primarily motivated by the opportunity to learn from others and improve skills. Surgeons highlighted the value of self-video and peer-video assessment not only to learn new techniques but also for self-reflection and benchmarking. Barriers to participation included logistics (e.g. using the laparoscopic recording devices, coordinating schedules for peer coaching), time commitment, and a surgical culture that assumes the intent of coaching is to address deficiencies. CONCLUSIONS: Video-based peer-coaching provides a platform for surgeons to reflect, benchmark against peers, and receive personalized feedback; however, more work is needed to increase participation and sustain involvement over time. There is an opportunity to decrease logistical barriers and increase acceptability of coaching by integrating video-based coaching into existing surgical conferences and established continuous professional development efforts.
Authors: Caprice C Greenberg; Mary E Byrnes; Tedi A Engler; Sudha Pavuluri R Quamme; Jyothi R Thumma; Justin B Dimick Journal: Ann Surg Date: 2021-06-01 Impact factor: 13.787
Authors: Andrew Quanbeck; Roberta A Johnson; Mondira Saha-Muldowney; Felice Resnik; Sheena Hirschfield; Rachael R Meline; Jane E Mahoney Journal: J Clin Transl Sci Date: 2021-07-26
Authors: Caprice C Greenberg; Mary E Byrnes; Tedi A Engler; Jyothi R Thumma; Justin B Dimick; Sudha Pavuluri Quamme Journal: Ann Surg Date: 2021-12-01 Impact factor: 13.787