Video Feedback and Video Modeling in Teaching Laparoscopic Surgery: A Visionary Concept from Kiel.

Ibrahim Alkatout,Juhi Dhanawat,Göntje Peters,Johannes Ackermann,Liselotte Mettler,Nicolai Maass,Julian Maria Pape,Damaris Freytag

doi:10.3390/jcm10010163

Ibrahim Alkatout, Juhi Dhanawat + Show 6 more

Open Access

https://doi.org/10.3390/jcm10010163

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Abstract

Learning curves for endoscopic surgery are long and flat. Various techniques and methods are now available for surgical endoscopic training, such as pelvitrainers, virtual trainers, and body donor surgery. Video modeling and video feedback are commonly used in professional training. We report, for the first time, the application of video modeling and video feedback for endoscopic training in gynecology. The purpose is to present an innovative method of training. Attendees (residents and specialists) of minimally invasive surgery courses were asked to perform specific tasks, which were video recorded in a multimodular concept. Feedback was given later by an expert at a joint meeting. The attendees were asked to fill a questionnaire in order to assess video feedback given by the expert. The advantages of video feedback and video modeling for the development of surgical skills were given a high rating (median 84%, interquartile ranges (IQR) 72.5–97.5%, n = 37). The question as to whether the attendees would recommend such training was also answered very positively (median 100%, IQR 89.5–100%, n = 37). We noted a clear difference between subjective perception and objective feedback (58%, IQR 40.5–76%, n = 37). Video feedback and video modeling are easy to implement in surgical training setups, and help trainees at all levels of education.

Highlights

Endoscopic surgery is available in all developed countries and is widely accepted in all surgical specialties
Training programs for laparoscopic surgery are required to fulfil the challenge of imparting a variety of surgical skills [1,2]
Laparoscopic surgery calls for refined psychomotor skills, which differ from those required for conventional surgery [3]

Summary

Introduction

Endoscopic surgery is available in all developed countries and is widely accepted in all surgical specialties. The acquisition of skills needed for endoscopic surgery involves a long learning curve. Training programs for laparoscopic surgery are required to fulfil the challenge of imparting a variety of surgical skills [1,2]. The challenges of laparoscopic surgery include the fact that a two-dimensional image is extrapolated to a three-dimensional working area, the fulcrum effect, specialized coordination of hands and eyes, depth perception, and a different type of tactile feedback. These skills can only be acquired and developed outside the operating room [4]. The surgeon completes the learning curve in an outsourced setting [5,6]

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