Department of Obstetrics and Gynecology, Women's Health Institute, Cleveland Clinic, Cleveland, OH.
Department of Surgery, Medical College of Georgia, Augusta University, Augusta, GA.
Am J Obstet Gynecol. 2022 Jul;227(1):51-56. doi: 10.1016/j.ajog.2022.02.006. Epub 2022 Feb 14.
The American Board of Medical Specialties, of which the American Board of Obstetrics and Gynecology is a member, released recommendations in 2019 reimagining specialty certification and highlighting the importance of individualized feedback and data-driven advances in clinical practice throughout the physicians' careers. In this article, we presented surgical coaching as an evidence-based strategy for achieving lifelong learning and practice improvement that can help to fulfill the vision of the American Board of Medical Specialties. Surgical coaching involves the development of a partnership between 2 surgeons in which 1 surgeon (the coach) guides the other (the participant) in identifying goals, providing feedback, and facilitating action planning. Previous literature has demonstrated that surgical coaching is viewed as valuable by both coaches and participants. In particular, video-based coaching involves reviewing recorded surgical cases and can be integrated into the physicians' busy schedules as a means of acquiring and advancing both technical and nontechnical skills. Establishing surgical coaching as an option for continuous learning and improvement in practice has the potential to elevate surgical performance and patient care.
美国医学专业委员会（American Board of Medical Specialties）是一个由多个医学专业学会组成的联盟，其中包括美国妇产科委员会（American Board of Obstetrics and Gynecology）。该委员会于 2019 年发布了有关专业认证的重新构想建议，强调了在医生职业生涯中提供个性化反馈和数据驱动的临床实践改进的重要性。在本文中，我们提出手术指导作为实现终身学习和实践改进的循证策略，以帮助实现美国医学专业委员会的愿景。手术指导涉及到两位外科医生之间建立合作伙伴关系，其中一位外科医生（教练）指导另一位（参与者）确定目标、提供反馈并促进行动计划。先前的文献表明，手术指导对教练和参与者都具有重要价值。特别是，基于视频的指导涉及审查记录的手术案例，可以作为一种获取和提高技术和非技术技能的方式，纳入医生繁忙的日程安排中。将手术指导确立为持续学习和实践改进的选择，有可能提高手术表现和患者护理水平。
