CoChat
Sign Up
Cited by 260Surgical Simulation and TrainingInnovations in Medical EducationHospital Admissions and Outcomes

The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.

Comprehensive Surgical Coaching Enhances Surgical Skill in the Operating Room: A Randomized Controlled Trial

Bonrath, Esther M., Dedy, Nicolas J., Gordon, Lauren E., Grantcharov, Teodor P.·2015·Annals of Surgery
DOI 10.1097/sla.0000000000001214
Open this paper in CoChat — free account

Abstract

In Brief Objectives: The aim of the study was to determine whether individualized coaching improved surgical technical skill in the operating room to a higher degree than current residency training. Background: Clinical training in the operating room is a valuable opportunity for surgeons to acquire skill and knowledge; however, it often remains underutilized. Coaching has been successfully used in various industries to enhance performance, but its role in surgery has been insufficiently investigated. Methods: This randomized controlled trial was conducted at one surgical training program. Trainees undergoing a minimally invasive surgery rotation were randomized to either conventional training (CT) or comprehensive surgical coaching (CSC). CT included ward and operating room duties, and regular departmental teaching sessions. CSC comprised performance analysis, debriefing, feedback, and behavior modeling. Primary outcome measures were technical performance as measured on global and procedure-specific rating scales, and surgical safety parameters, measured by error count. Operative performance was assessed by blinded video analysis of the first and last cases recorded by the participants during their rotation. Results: Twenty residents were randomized and 18 completed the study. At posttraining the CSC group (n = 9) scored significantly higher on a procedure-specific skill scale compared with the CT group (n = 9) [median, 3.90 (interquartile range, 3.68–4.30) vs 3.60 (2.98–3.70), P = 0.017], and made fewer technical errors [10 (7–13) vs 18 (13–21), P = 0.003]. Significant within-group improvements for all skill metrics were only noted in the CSC group. Conclusions: Comprehensive surgical coaching enhances surgical training and results in skill acquisition superior to conventional training. This randomized controlled trial examined the effectiveness of comprehensive coaching as an approach to enhance operative performance in surgical postgraduate training. Coaching involved structured performance analysis, video debriefing, feedback, and behavior modeling. After 2 months, coaching led to superior surgical skills as measured by performance and error metrics compared with conventional residency.

Overview

Integrity signals

Registry

Crossref · 10.1097/sla.0000000000001214

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Cited by

Sorted by citations

See all 260

Related

See all

Metadata

Authors
Bonrath, E. M., Dedy, N. J., Gordon, L. E., & Grantcharov, T. P.
Affiliations
St. Michael's Hospital (CA)
ORCID
Venue
Annals of Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2015-08
Volume
262
Issue
2
Pages
205-212
ISSN
0003-4932 (ISSN-L)
DOI
10.1097/sla.0000000000001214
OpenAlex
W2320880770
Cited by
260
References
42
Citations by year
2026: 16 · 2025: 25 · 2024: 26 · 2023: 21 · 2022: 27 · 2021: 28 · 2020: 32 · 2019: 24 · 2018: 14 · 2017: 22 · 2016: 19 · 2015: 6
FWCI
20.55
Type
journal article
Language
en
Open access
closed
Locations
  • Annals of Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Surgical Simulation and Training
  • Social Sciences › Education › Innovations in Medical Education
  • Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
Keywords
surgical coaching, surgical skill acquisition, surgical residency training, operating room training, minimally invasive surgery, video debriefing, performance feedback, behavioral modeling, surgical errors, operative performance, surgical safety
MeSH terms
Adult, Clinical Competence, Female, Humans, Internship and Residency, Jejunostomy, Knowledge of Results, Psychological, Male, Mentors, Operating Rooms, Laparoscopy, Gastric Bypass, Models, Educational, Problem-Based Learning

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review