Surgical Coaching for Enhancing Laparoscopic Skills in ObGyn Residents

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: The Cleveland Clinic

Disqualifiers: None

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 3

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how video-based surgical coaching can enhance the skills of ObGyn (Obstetrics and Gynecology) residents in laparoscopic surgeries, focusing on suturing the vaginal cuff. The trial compares two groups: one with access to video coaching sessions and one without, to assess differences in skill improvement. Ideal candidates are current residents in the ObGyn program at Cleveland Clinic who are eager to refine their surgical techniques. As an unphased trial, this study provides a unique opportunity for residents to advance their skills through innovative coaching methods.

Do I need to stop my current medications for this trial?

The trial protocol does not specify whether you need to stop taking your current medications.

What prior data suggests that this surgical coaching method is safe for ObGyn residents?

A previous study found that residents who participated in video-based coaching improved their surgical skills. Research has shown that training with simulations, like what this trial offers, can enhance skill levels and confidence for surgical residents.

Specific safety data for surgical coaching does not exist because it is not a drug or medical device. However, the process involves experienced surgeons guiding less experienced ones, which is generally safe. The focus remains on improving skills in a controlled environment. Similar training methods have not reported negative effects.

While surgical coaching itself poses no direct safety risks, it aims to make surgeries safer by improving the skills of those performing them. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores the potential of video-based surgical coaching to enhance laparoscopic skills among ObGyn residents. Unlike traditional training methods, which often rely on direct observation and practice, this approach uses video analysis to provide personalized feedback and guidance. This method aims to accelerate skill development and improve surgical outcomes by offering targeted insights that residents can easily review and apply. If successful, this coaching technique could revolutionize how surgical skills are taught, making training more efficient and effective.

What evidence suggests that surgical coaching is effective for enhancing laparoscopic skills in ObGyn residents?

This trial will compare the effects of video-based surgical coaching on laparoscopic skills in ObGyn residents. Research has shown that video-based surgical coaching can greatly enhance these skills. In one study, all residents reported that peer coaching encouraged more practice and skill improvement. Another study found that video coaching helped senior ObGyn residents close the laparoscopic vault more quickly and efficiently. Additionally, residents felt more confident and skilled in their surgical abilities after participating in video-based coaching sessions. These findings suggest that surgical coaching is a powerful tool for enhancing surgical skills among ObGyn residents. ^{2 6 7 8 9}

Who Is on the Research Team?

Cara King, D.O.

Principal Investigator

The Cleveland Clinic

Are You a Good Fit for This Trial?

This trial is for Cleveland Clinic Obstetrics and Gynecology residents who are looking to improve their laparoscopic skills, specifically in suturing the vaginal cuff. There are no specific exclusion criteria mentioned, so it appears open to all residents within this department.

Inclusion Criteria

Cleveland Clinic Ob/Gyn Resident

Exclusion Criteria

Not applicable.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training and Practice

Participants have access to an instructional video and a laparoscopic vaginal cuff trainer to practice suturing as desired

12 months

Voluntary practice sessions

Coaching Sessions

Intervention group participants undergo three video-based coaching sessions focused on laparoscopic suturing

12 months

3 coaching sessions

Follow-up

Participants are monitored for changes in technical skills and self-reported outcomes

1 day

What Are the Treatments Tested in This Trial?

Interventions

• Surgical Coaching

Trial Overview The study is testing whether surgical coaching can help ObGyn residents get better at laparoscopic suturing. Residents will be split into two groups: one that just practices with videos and a trainer, and another that gets extra video-based coaching sessions.

How Is the Trial Designed?

Group I: Comparison group Experimental Treatment 1 Intervention

Resident participants who do receive video-based surgical coaching

Group II: Control group Active Control 1 Intervention

Resident participants who do not receive video-based surgical coaching

Who Is Running the Clinical Trial?

The Cleveland Clinic

Lead Sponsor

Trials

1,072

Recruited

1,377,000+

Citations

1. gmr.scholasticahq.com gmr.scholasticahq.com/article/124417-crowd-sourced-assessment-of-laparoscopic-surgical-skills-for-ob-gyn-residents

Crowd-Sourced Assessment of Laparoscopic Surgical Skills ... Residents found that CSATS response time was slower than receiving in-person feedback from faculty. When comparing CSATS with the standard ...

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC6795620/

Effect of structural training on surgical outcomes of residents ... It appears that residents with lower baseline laparoscopic skills benefit most from training with a virtual simulator.

3. jmig.org jmig.org/article/S1553-4650(19)30673-9/fulltext

3028 Peer-Coaching Effect On Laparoscopic Surgical ... A survey noted that 100% of residents reported this intervention was highly effective in improving compliance with FLS practice and improvement of skills.

4. clinicaltrials.gov clinicaltrials.gov/study/NCT05103449

Effect of Video-Based Coaching on Resident Laparoscopic ... Randomized controlled trial to evaluate the effect of video-based coaching on Obstetrics and Gynecology residents' efficiency, proficiency, and confidence in ...

5. sciencedirect.com sciencedirect.com/science/article/pii/S155346502500086X

A Multicenter, Randomized Controlled Trial to Assess ... Video-based coaching leads to a significant reduction in mean operative time for laparoscopic vault closure by senior OBGYN residents, leading to increased ...

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC9491050/

Laparoscopic Simulation Training for Residents in ... Residents agreed that simulation training improves surgical skills, improves patient safety, and improves confidence level in the operating room.

7. jmig.org jmig.org/article/S1553-4650(25)00086-X/fulltext

A Multicenter, Randomized Controlled Trial to Assess ... Video-based coaching leads to a significant reduction in mean operative time for laparoscopic vault closure by senior OBGYN residents, leading ...

8. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12402525/

The Implementation of Data-Driven Assessment into ... A total of 2618 surgical residents, median 27 (range 6 - 914), were trained and assessed by data-driven assessment tools for laparoscopic skills ...

9. sciencedirect.com sciencedirect.com/science/article/pii/S1931720425001989

Promoting Residents' Motivation to Develop Laparoscopic ... This study presents a pilot of a simulation-based education (SBE) curriculum on laparoscopic technical skills, which aims to investigate what proportion of ...