Home-based training for first-year surgery residents: learning to perform an open manual intestinal anastomosis with remote and asynchronous feedback

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dc.catalogadoraba
dc.contributor.authorMiguieles Schilling, Mariana Andrea
dc.contributor.authorMontero Jaras, Isabella
dc.contributor.authorValencia Coronel, Brandon
dc.contributor.authorDurán Espinoza, Valentina Alexandra
dc.contributor.authorGaete Dañobeitia, María Inés
dc.contributor.authorBelmar Riveros, Francisca Andrea
dc.contributor.authorRodríguez, Natalie
dc.contributor.authorMena, Felipe
dc.contributor.authorEscalona Vives, Gabriel
dc.contributor.authorBellolio Roth, Felipe
dc.contributor.authorJarry Trujillo, Cristian Ignacio
dc.contributor.authorVaras Cohen, Julián Emanuel
dc.date.accessioned2024-06-06T14:23:44Z
dc.date.available2024-06-06T14:23:44Z
dc.date.issued2024
dc.description.abstractPurpose This study explores the feasibility of remote training for complex surgical skills through an at-home open manual intestinal anastomosis (MIA) program for 1 year surgery residents. Methods and procedures A quasi-experimental design assessed an open MIA training module. It included (1) an MIA video tutorial, tutored class, and in-person feedback, and (2) at-home training with remote asynchronous feedback. Trainees video-recorded and uploaded their MIA attempts to receive feedback through a digital platform. All program completions between July 2021 and October 2022 were included. Two evaluators, blind to the participants and to the timing of the videos, assessed residents’ performance using global (GRS) and procedure specific (SRS) ratings scales, and measured procedural time. Pre-post analysis utilized first and last uploaded videos. A satisfaction survey gauged residents’ perception. Non-parametric statistics were used (p < 0.05). Results Fourteen residents completed the training program. Pre-post video assessments showed a non-significant trend towards improved GRS and SRS scores, with decreased procedural time. Median GRS scores were 15.75 vs. 15.75 (p = 0.71), and SRS scores were 13.5 vs. 14.5 (p = 0.85). Procedural time decreased from 34 to 32.1 min (p = 0.40). Among survey respondents, 71% found feedback helpful for error correction and skill improvement, and 86% reported increased confidence in performing open MIA. Conclusion Implementing an at-home training program for complex surgical skills is feasible. Remote and asynchronous digital feedback holds promise for enhancing technical skills, though further research is necessary to understand the learning process, and additional training sessions may be needed.
dc.description.funderFONDECYT Regular 2022; Grant No 1221490
dc.fuente.origenORCID
dc.identifier.doi10.1007/s44186-024-00259-0
dc.identifier.eissn2731-4588
dc.identifier.urihttps://doi.org/10.1007/s44186-024-00259-0
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/86496
dc.information.autorucS/I; Miguieles Schilling, Mariana Andrea; S/I; 1273919
dc.information.autorucEscuela de Medicina; Montero Jaras, Isabella; 0000-0003-0882-9713; 221114
dc.information.autorucEscuela de Medicina; Durán Espinoza, Valentina Alexandra; 0000-0002-0476-7415; 1162520
dc.information.autorucEscuela de Medicina; Gaete Dañobeitia, María Inés; S/I; 247604
dc.information.autorucEscuela de Medicina; Belmar Riveros, Francisca Andrea; S/I; 215674
dc.information.autorucEscuela de Medicina; Bellolio Roth, Felipe; 0000-0003-3289-9498; 9713
dc.information.autorucEscuela de Medicina; Jarry Trujillo, Cristian Ignacio; 0000-0003-3548-4909; 205691
dc.information.autorucEscuela de Medicina; Varas Cohen, Julián Emanuel; 0000-0002-5828-9623; 134158
dc.issue.numero63
dc.language.isoen
dc.revistaGlobal Surgical Education - Journal of the Association for Surgical Education
dc.rightsacceso restringido
dc.subjectBootcamp
dc.subjectSimulation
dc.subjectManual intestinal anastomosis
dc.subjectSurgery
dc.subjectEducation
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleHome-based training for first-year surgery residents: learning to perform an open manual intestinal anastomosis with remote and asynchronous feedback
dc.typeartículo
dc.volumen36
sipa.codpersvinculados1273919
sipa.codpersvinculados221114
sipa.codpersvinculados1162520
sipa.codpersvinculados247604
sipa.codpersvinculados215674
sipa.codpersvinculados9713
sipa.codpersvinculados205691
sipa.codpersvinculados134158
sipa.trazabilidadORCID;2024-05-27
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