Educational Implications for Surgical Telementoring: a Current Review with Recommendations for Future Practice, Policy, and Research

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2017 Jun 29

PMID 28656341

Citations 16

Authors

K M Augestad

H Han

J Paige

T Ponsky

C M Schlachta

B Dunkin

J Mellinger

Affiliations

Soon will be listed here.

Abstract

Background: Surgical telementoring (ST) was introduced in the sixties, promoting videoconferencing to enhance surgical education across large distances. Widespread use of ST in the surgical community is lacking. Despite numerous surveys assessing ST, there remains a lack of high-level scientific evidence demonstrating its impact on mentorship and surgical education. Despite this, there is an ongoing paradigm shift involving remote presence technologies and their application to skill development and technique dissemination in the international surgical community. Factors facilitating this include improved access to ST technology, including ease of use and data transmission, and affordability. Several international research initiatives have commenced to strengthen the scientific foundation documenting the impact of ST in surgical education and performance.

Methods: International experts on ST were invited to the SAGES Project Six Summit in August 2015. Two experts in surgical education prepared relevant questions for discussion and organized the meeting (JP and HH). The questions were open-ended, and the discussion continued until no new item appeared. The transcripts of interviews were recorded by a secretary from SAGES.

Results: In this paper, we present a summary of the work performed by the SAGES Project 6 Education Working Group. We summarize the existing evidence regarding education in ST, identify and detail conceptual educational frameworks that may be used during ST, and present a structured framework for an educational curriculum in ST.

Conclusions: The educational impact and optimal curricular organization of ST programs are largely unexplored. We outline the critical components of a structured ST curriculum, including prerequisites, teaching modalities, and key curricular components. We also detail research strategies critical to its continued evolution as an educational tool, including randomized controlled trials, establishment of a quality registry, qualitative research, learning analytics, and development of a standardized taxonomy.

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References

Singh P, Aggarwal R, Tahir M, Pucher P, Darzi A . A randomized controlled study to evaluate the role of video-based coaching in training laparoscopic skills. Ann Surg. 2014; 261(5):862-9. DOI: 10.1097/SLA.0000000000000857. View

Bilimoria K, Hoyt D, Lewis F . Making the Case for Investigating Flexibility in Duty Hour Limits for Surgical Residents. JAMA Surg. 2015; 150(6):503-4. DOI: 10.1001/jamasurg.2015.0239. View

Augestad K, Bellika J, Budrionis A, Chomutare T, Lindsetmo R, Patel H . Surgical telementoring in knowledge translation--clinical outcomes and educational benefits: a comprehensive review. Surg Innov. 2012; 20(3):273-81. DOI: 10.1177/1553350612465793. View

Greenberg C, Dombrowski J, Dimick J . Video-Based Surgical Coaching: An Emerging Approach to Performance Improvement. JAMA Surg. 2015; 151(3):282-3. PMC: 4794349. DOI: 10.1001/jamasurg.2015.4442. View

Vincent C, Moorthy K, Sarker S, Chang A, Darzi A . Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg. 2004; 239(4):475-82. PMC: 1356252. DOI: 10.1097/01.sla.0000118753.22830.41. View

Rafiq A, Moore J, Zhao X, Doarn C, Merrell R . Digital video capture and synchronous consultation in open surgery. Ann Surg. 2004; 239(4):567-73. PMC: 1356263. DOI: 10.1097/01.sla.0000118749.24645.45. View

Rosser Jr J, Gabriel N, Herman B, Murayama M . Telementoring and teleproctoring. World J Surg. 2002; 25(11):1438-48. DOI: 10.1007/s00268-001-0129-x. View

Sereno S, Mutter D, Dallemagne B, Smith C, Marescaux J . Telementoring for minimally invasive surgical training by wireless robot. Surg Innov. 2007; 14(3):184-91. DOI: 10.1177/1553350607308369. View

Byrne J, Mughal M . Telementoring as an adjunct to training and competence-based assessment in laparoscopic cholecystectomy. Surg Endosc. 2001; 14(12):1159-61. DOI: 10.1007/s004640000264. View

10.

Wood D . No surgeon should operate alone: how telementoring could change operations. Telemed J E Health. 2011; 17(3):150-2. DOI: 10.1089/tmj.2011.9986. View

11.

Cole S, Mackenzie H, Ha J, Hanna G, Miskovic D . Randomized controlled trial on the effect of coaching in simulated laparoscopic training. Surg Endosc. 2013; 28(3):979-86. DOI: 10.1007/s00464-013-3265-0. View

12.

Augestad K, Lindsetmo R . Overcoming distance: video-conferencing as a clinical and educational tool among surgeons. World J Surg. 2009; 33(7):1356-65. PMC: 2691934. DOI: 10.1007/s00268-009-0036-0. View

13.

Gambadauro P, Magos A . NEST (network enhanced surgical training): a PC-based system for telementoring in gynaecological surgery. Eur J Obstet Gynecol Reprod Biol. 2008; 139(2):222-5. DOI: 10.1016/j.ejogrb.2007.12.004. View

14.

Karam M, Thomas G, Koehler D, Westerlind B, Lafferty P, Ohrt G . Surgical Coaching from Head-Mounted Video in the Training of Fluoroscopically Guided Articular Fracture Surgery. J Bone Joint Surg Am. 2015; 97(12):1031-9. DOI: 10.2106/JBJS.N.00748. View

15.

Vassiliou M, Feldman L, Andrew C, Bergman S, Leffondre K, Stanbridge D . A global assessment tool for evaluation of intraoperative laparoscopic skills. Am J Surg. 2005; 190(1):107-13. DOI: 10.1016/j.amjsurg.2005.04.004. View

16.

Sheldon G . Surgical workforce since the 1975 study of surgical services in the United States: an update. Ann Surg. 2007; 246(4):541-5. DOI: 10.1097/SLA.0b013e3181571ca1. View

17.

Panait L, Rafiq A, Tomulescu V, Boanca C, Popescu I, Carbonell A . Telementoring versus on-site mentoring in virtual reality-based surgical training. Surg Endosc. 2005; 20(1):113-8. DOI: 10.1007/s00464-005-0113-x. View

18.

Fraher E, Knapton A, Sheldon G, Meyer A, Ricketts T . Projecting surgeon supply using a dynamic model. Ann Surg. 2012; 257(5):867-72. DOI: 10.1097/SLA.0b013e31826fccfa. View

19.

Schlachta C, Nguyen N, Ponsky T, Dunkin B . Project 6 Summit: SAGES telementoring initiative. Surg Endosc. 2016; 30(9):3665-72. DOI: 10.1007/s00464-016-4988-5. View

20.

Di Valentino M, Alerci M, Bogen M, Tutta P, Sartori F, Marty B . Telementoring during endovascular treatment of abdominal aortic aneurysms: a prospective study. J Endovasc Ther. 2005; 12(2):200-5. DOI: 10.1583/04-1421.1. View