Effect of Video Reflection On Surgeon’s Operative Performance

Le résumé fourni par la source

Objective: Attaining operative skills is a core component of surgical training. Conventional teaching strategies are deprived of a systematic feedback method and scope for self-reflection. Video-based reflective learning has emerged as an effective method for cultivating technical competencies through standardised, guided feedback and self-evaluation. This study aimed to evaluate the effectiveness of video-based reflection on surgeons’ operative performance. Methods: A pre-post quasi-experimental study was conducted at the Department of Surgery at IIMCT–PRH, Rawalpindi, after obtaining ethical approval. Using convenience sampling, 50 participants were enrolled; however, only 32 participants appeared on the pre-assessment day. Participants first performed suturing on a synthetic pad, which was video-recorded as baseline, followed by a training session after which they reviewed their own recordings for self-reflection. After 48 hours, the suturing task was repeated and video-recorded again. Both baseline and 48-hour recordings were scored by a blinded evaluator using OSATS, and pre- and post-scores were compared using a paired t-test. Results: Most participants were medical students with minimal previous suturing experience and were less confident in their suturing skills. The frequent difficulties included handling the instrument, knot-tying, and proper spacing of sutures. The mean Objectively Structured Assessment Technical Skills (OSATS) score demonstrated a substantial improvement from 5.84 ± 1.08 to 9.46 ± 1.26 (p < 0.001). Conclusion: Continuous improvement in medical and surgical sciences requires a transition in educational strategies from conventional to modern teaching methods. Video-based self-reflection with a systematic feedback mechanism has proven to be a promising learning and skill acquisition method, specifically among young trainees and medical students. Keywords: Video Recording, Education, Medical, Clinical competence, Cognitive reflection, Surgical procedures, Audiovisual aids

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