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. 2022 Nov;92(11):2868-2872.
doi: 10.1111/ans.18012. Epub 2022 Sep 2.

Improving surgical excellence: first experience of a video-based intervention in outpatients

Nelson Granchi  1 , Jessica Reid  1 , Katarina Foley  1 , Amanda Le Couteur  2 , Suzanne Edwards  3 , Rebecca Feo  4 , Markus Trochsler  1 , Martin Bruening  1 , Guy Maddern  1
Affiliations

Improving surgical excellence: first experience of a video-based intervention in outpatients

Nelson Granchi et al. ANZ J Surg. 2022 Nov.

Abstract

Background: There are limited opportunities for surgeons to engage in active learning programs once they achieve Fellowship, especially for non-technical skills such as communication. This study aims to address this gap by evaluating a peer-based coaching program in non-technical skill using video-recorded patient consultations from a routine outpatient clinic.

Methods: Standard outpatient consultations between consultant surgeons and patients were video recorded. The surgeon viewed the videos with a peer-coach (senior surgeon) who helped identify areas of strength and areas for improvement. To test the effect of the coaching session, outpatient consultations were recorded roughly 1 month later. Pre and post-coaching videos were assessed using the Maastricht History-Taking and Advice Scoring - Global Rating List (MAAS), a common tool for evaluating non-technical skills in clinicians.

Results: A total of 12 surgeons consented to participate. Coaching significantly improved MAAS scores (mean difference = -0.61; 95% CI (-0.88, -0.33); P < 0.0001). Surgeons were generally positive about the experience. All found the method of learning suitable, and most thought the process improved their skills. Most thought that coaching would improve patient outcomes and the majority thought they would participate in ongoing coaching as part of their employment.

Conclusion: This supports the concept of surgical coaching as an effective tool to improve communication skills and the quality of surgical consultation. The next step is to expand beyond a voluntary cohort and link surgical coaching to improved patient outcomes.

Keywords: coaching; intervention; non-technical skills; quality improvement; surgery.

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Conflict of interest statement

None declared.

Figures

Fig. 1
Fig. 1
Most individual mean Maastricht History‐Taking and Advice Scoring (MAAS) scores increased from baseline after the first, and then second coaching sessions (solid lines). The overall mean score is shown by the black dotted line.
See this image and copyright information in PMC

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