TY - JOUR
T1 - Surgical Coaching for Operative Performance Enhancement (SCOPE)
T2 - skill ratings and impact on surgeons’ practice
AU - Pradarelli, Jason C.
AU - Yule, Steven
AU - Lipsitz, Stuart R.
AU - Panda, Nikhil
AU - Craig, Molly
AU - Lowery, Kurt W.
AU - Ashley, Stanley W.
AU - Gee, Denise W.
AU - Waters, Peter M.
AU - Knight, Jim
AU - Smink, Douglas S.
N1 - Funding Information:
Dr. Pradarelli reports a research grant from Johnson & Johnson Medical Devices and Diagnostics Global Services, outside the submitted work. Dr. Yule reports personal fees from Johnson & Johnson Institute, outside the submitted work. Dr. Panda reports a contract agreement with Aptima, a human-centered engineering and performance assessment contractor of the DARPA/Department of Defense, outside the submitted work. Dr. Gee reports consulting fees from Medtronic and Covidien and being on the advisory board for New View Surgical, Inc., outside the submitted work. Dr. Knight is founder of Instructional Coaching Group, a company for training professional coaches to help teachers improve their instructional practices. Dr. Lipsitz, Ms. Craig, Mr. Lowery, Dr. Ashley, Dr. Waters, and Dr. Smink have no conflicts of interest or financial ties to disclose.
Funding Information:
This work was supported by a grant from the Risk Management Foundation of the Harvard Medical Institutions, Inc., a part of CRICO. Acknowledgements
Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/7
Y1 - 2021/7
N2 - Background: Evidence for surgical coaching has yet to demonstrate an impact on surgeons’ practice. We evaluated a surgical coaching program by analyzing quantitative and qualitative data on surgeons’ intraoperative performance. Methods: In the 2018–2019 Surgical Coaching for Operative Performance Enhancement (SCOPE) program, 46 practicing surgeons in multiple specialties at four academic medical centers were recruited to complete three peer coaching sessions, each comprising preoperative goal-setting, intraoperative observation, and postoperative debriefing. Coach and coachee rated the coachee’s performance using modified Objective Structured Assessment of Technical Skills (OSATS, range 1–5) and Non-Technical Skills for Surgeons (NOTSS, range 4–16). We used generalized estimating equations to evaluate trends in skill ratings over time, adjusting for case difficulty, clinical experience, and coaching role. Upon program completion, we analyzed semi-structured interviews with individual participants regarding the perceived impact of coaching on their practice. Results: Eleven of 23 coachees (48%) completed three coaching sessions, three (13%) completed two sessions, and six (26%) completed one session. Adjusted mean OSATS ratings did not vary over three coaching sessions (4.39 vs 4.52 vs 4.44, respectively; P = 0.655). Adjusted mean total NOTSS ratings also did not vary over three coaching sessions (15.05 vs 15.50 vs 15.08, respectively; P = 0.529). Regarding patient care, participants self-reported improved teamwork skills, communication skills, and awareness in and outside the operating room. Participants acknowledged the potential for coaching to improve burnout due to reduced intraoperative stress and enhanced peer support but also the potential to worsen burnout by adding to chronic work overload. Conclusions: Surgeons reported high perceived impact of peer coaching on patient care and surgeon well-being, although changes in coachees’ technical and non-technical skills were not detected over three coaching sessions. While quantitative skill measurement warrants further study, longitudinal peer surgical coaching should be considered a meaningful strategy for surgeons’ professional development.
AB - Background: Evidence for surgical coaching has yet to demonstrate an impact on surgeons’ practice. We evaluated a surgical coaching program by analyzing quantitative and qualitative data on surgeons’ intraoperative performance. Methods: In the 2018–2019 Surgical Coaching for Operative Performance Enhancement (SCOPE) program, 46 practicing surgeons in multiple specialties at four academic medical centers were recruited to complete three peer coaching sessions, each comprising preoperative goal-setting, intraoperative observation, and postoperative debriefing. Coach and coachee rated the coachee’s performance using modified Objective Structured Assessment of Technical Skills (OSATS, range 1–5) and Non-Technical Skills for Surgeons (NOTSS, range 4–16). We used generalized estimating equations to evaluate trends in skill ratings over time, adjusting for case difficulty, clinical experience, and coaching role. Upon program completion, we analyzed semi-structured interviews with individual participants regarding the perceived impact of coaching on their practice. Results: Eleven of 23 coachees (48%) completed three coaching sessions, three (13%) completed two sessions, and six (26%) completed one session. Adjusted mean OSATS ratings did not vary over three coaching sessions (4.39 vs 4.52 vs 4.44, respectively; P = 0.655). Adjusted mean total NOTSS ratings also did not vary over three coaching sessions (15.05 vs 15.50 vs 15.08, respectively; P = 0.529). Regarding patient care, participants self-reported improved teamwork skills, communication skills, and awareness in and outside the operating room. Participants acknowledged the potential for coaching to improve burnout due to reduced intraoperative stress and enhanced peer support but also the potential to worsen burnout by adding to chronic work overload. Conclusions: Surgeons reported high perceived impact of peer coaching on patient care and surgeon well-being, although changes in coachees’ technical and non-technical skills were not detected over three coaching sessions. While quantitative skill measurement warrants further study, longitudinal peer surgical coaching should be considered a meaningful strategy for surgeons’ professional development.
KW - Continuous professional development
KW - Intraoperative performance
KW - Non-technical skills
KW - Surgeon well-being
KW - Surgical coaching
KW - Technical skills
UR - http://www.scopus.com/inward/record.url?scp=85087395522&partnerID=8YFLogxK
U2 - 10.1007/s00464-020-07776-1
DO - 10.1007/s00464-020-07776-1
M3 - Article
C2 - 32642845
AN - SCOPUS:85087395522
SN - 0930-2794
VL - 35
SP - 3829
EP - 3839
JO - Surgical Endoscopy
JF - Surgical Endoscopy
IS - 7
ER -