Alice Zhu1, Shirley Deng1, Brittany Greene2, Melanie Tsang3, Vanessa N Palter4, Shiva Jayaraman5. 1. Temerty Faculty of Medicine, University of Toronto, Toronto, Canada. 2. Temerty Faculty of Medicine, University of Toronto, Toronto, Canada; Division of General Surgery, University of Toronto, Toronto, Canada. 3. Temerty Faculty of Medicine, University of Toronto, Toronto, Canada; Division of General Surgery, University of Toronto, Toronto, Canada; HPB Service, St. Joseph's Health Centre, Unity Health Toronto, Toronto, Canada. 4. International Centre for Surgical Safety, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health, Toronto, Canada. 5. Temerty Faculty of Medicine, University of Toronto, Toronto, Canada; Division of General Surgery, University of Toronto, Toronto, Canada; HPB Service, St. Joseph's Health Centre, Unity Health Toronto, Toronto, Canada. Electronic address: shiva.jayaraman@unityhealth.to.
Abstract
BACKGROUND: Bile duct injury sustained during laparoscopic cholecystectomy is associated with high morbidity and mortality and can be a devastating complication for a General Surgeon. We introduce a novel individualized surgical coaching program for surgeons who recently injured a bile duct in laparoscopic cholecystectomy. We aim to explore the perception of coaching among these surgeons and to assess surgeons' experiences in the coaching program. STUDY DESIGN: Six General Surgeons who injured a bile duct at an emergency laparoscopic cholecystectomy participated in a one-on-one coaching session with an Hepatopancreatobiliary surgeon. The session focused on debriefing the index case with video feedback, and discussion of strategies for safe laparoscopic cholecystectomy. The pilot program ran from March to November 2020. Exit interviews were then conducted. Themes covering perception of surgical training, perception of complications, and experience in the coaching program were explored. RESULTS: Surgeons were generally accepting of the coaching program, especially when the goals aligned with their self-identified areas of development. One-on-one sessions with a local expert in the area, and the use of video feedback created a unique and interactive coaching opportunity. Peer coaching was identified as a valuable resource in helping surgeons regain confidence and maintain well-being after a bile duct injury. Maintaining a collegial, non-judgmental relationship is critical in establishing positive coaching experiences. CONCLUSION: An individualized surgical coaching program creates a unique opportunity for professional development and may help promote safe laparoscopic cholecystectomy.
BACKGROUND:Bile duct injury sustained during laparoscopic cholecystectomy is associated with high morbidity and mortality and can be a devastating complication for a General Surgeon. We introduce a novel individualized surgical coaching program for surgeons who recently injured a bile duct in laparoscopic cholecystectomy. We aim to explore the perception of coaching among these surgeons and to assess surgeons' experiences in the coaching program. STUDY DESIGN: Six General Surgeons who injured a bile duct at an emergency laparoscopic cholecystectomy participated in a one-on-one coaching session with an Hepatopancreatobiliary surgeon. The session focused on debriefing the index case with video feedback, and discussion of strategies for safe laparoscopic cholecystectomy. The pilot program ran from March to November 2020. Exit interviews were then conducted. Themes covering perception of surgical training, perception of complications, and experience in the coaching program were explored. RESULTS: Surgeons were generally accepting of the coaching program, especially when the goals aligned with their self-identified areas of development. One-on-one sessions with a local expert in the area, and the use of video feedback created a unique and interactive coaching opportunity. Peer coaching was identified as a valuable resource in helping surgeons regain confidence and maintain well-being after a bile duct injury. Maintaining a collegial, non-judgmental relationship is critical in establishing positive coaching experiences. CONCLUSION: An individualized surgical coaching program creates a unique opportunity for professional development and may help promote safe laparoscopic cholecystectomy.
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