ThTP3.7 Video-Based Coaching for Surgeons in the UK: Consensus on Essential Elements

Abstract

Abstract Aims To determine consensus on essential elements of a video-based surgical coaching program for general surgeons in the United Kingdom. Methods A modified e-Delphi study was designed with three sequential rounds utilising cross-sectional survey design, distributed using REDCAP software. A purposeful sample of international experts from affiliated disciplines were invited to participate. Survey statements were rated on level of importance for inclusion in a coaching program using a 7-point Likert scale (1=extremely unimportant, 7=extremely important). Consensus criteria was defined as 70% of participants rating a given statement at 6 or 7. Results Fifty-nine experts participated. Round 1 consisted of 8 open questions developed from a systematic review of audiovisual coaching. Analysis of responses generated 92 novel statements regarding surgical coaching, categorised within 8 domains: infrastructure (9), coaching session components (9), audio-visual technology (22), program (20), formation of coaching pairs (11), coaches (8), coaches (4), and outcome criteria (9). In round 2, participants rated each statement, with a total of 22 statements reaching consensus criteria, 32 statements for reconsideration, and 38 statements rejected. Currently in round 3, a further 4 statements have met consensus criteria. Overall, the highest rated statements were: Clear and formal training for coaches prior to participation (90.6%) and Coaches should be good communicators (90.6%). Conclusions Prior surgical coaching work has predominantly been implemented in North America. This consensus study has established 26 essential elements for a video-based surgical coaching program in the UK. These results will inform a user-centered design of a video-based coaching pilot.