Video-based Peer Feedback Through Social Networking for Robotic Surgery Simulation. Issue 5 (May 2015)

• Record Type: Journal Article
• Authors: Carter, Stacey C.; Chiang, Alexander; Shah, Galaxy; Kwan, Lorna; Montgomery, Jeffrey S.; Karam, Amer; Tarnay, Christopher; Guru, Khurshid A.; Hu, Jim C.
• Is Part Of: Annals of surgery. Volume 261:Issue 5(2015:May)
• Publication Date: 2015-05
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1097/SLA.0000000000000756
• Languages: English
• ISSNs: 0003-4932

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Objective:</title> <p>To examine the feasibility and outcomes of video-based peer feedback through social networking to facilitate robotic surgical skill acquisition.</p> </sec> <sec> <title>Background:</title> <p>The acquisition of surgical skills may be challenging for novel techniques and/or those with prolonged learning curves.</p> </sec> <sec> <title>Methods:</title> <p>Randomized controlled trial involving 41 resident physicians performing the Tubes (Da Vinci Intuitive Surgical, Sunnyvale, CA) simulator exercise with versus without peer feedback of video-recorded performance through a social networking Web page. Data collected included simulator exercise score, time to completion, and comfort and satisfaction with robotic surgery simulation.</p> </sec> <sec> <title>Results:</title> <p>There were no baseline differences between the intervention group (n = 20) and controls (n = 21). The intervention group showed improvement in mean scores from session 1 to sessions 2 and 3 (60.7 vs 75.5, <italic>P</italic> < 0.001, and 60.7 vs 80.1, <italic>P</italic> < 0.001, respectively). The intervention group scored significantly higher than controls at sessions 2 and 3 (75.5 vs 59.6, <italic>P</italic> = 0.009, and 80.1 vs 65.9, <italic>P</italic> = 0.019, respectively). The mean time (seconds) to complete the task was shorter for the intervention group than for controls during sessions 2 and 3 (217.4 vs 279.0, <italic>P</italic> = 0.004, and 201.4 vs 261.9, <italic>P</italic> = 0.006, respectively). At the study conclusion, feedback subjects were more comfortable with robotic surgery than controls (90% vs 62%, <italic>P</italic> = 0.021) and expressed greater satisfaction with the learning experience (100% vs 67%, <italic>P</italic> = 0.014). Of the intervention subjects, 85% found that peer feedback was useful and 100% found it effective.</p> </sec> <sec> <title>Conclusions:</title> <p>Video-based peer feedback through social networking appears to be an effective paradigm for surgical education and accelerates the robotic surgery learning curve during simulation.</p> </sec> </abstract>