Skinner Sarah C, Mazza Stéphanie, Carty Matthew J, Lifante Jean-Christophe, Duclos Antoine
Research on Healthcare Performance Laboratory, INSERM U1290 RESHAPE, Université Claude Bernard Lyon 1, Lyon, France.
Health Data Department, Lyon University Hospital, Lyon, France.
Ann Surg Open. 2022 Jul 8;3(3):e179. doi: 10.1097/AS9.0000000000000179. eCollection 2022 Sep.
To characterize quantitative studies on coaching interventions for professional surgeons to understand how surgical coaching is defined; examine how different coaching programs are designed, implemented, and evaluated; and identify any relevant research gaps.
Surgical coaching is gaining attention as an approach that could help surgeons optimize performance and improve overall wellbeing. However, surgical coaching programs and definitions of coaching vary widely between studies.
A systematic literature search of PubMed, Scopus, Web of Science, CENTRAL, clinicaltrials.gov, and WHO ICTRP was conducted according to the PRISMA-ScR framework to identify studies and registered clinical trials written in English. Original quantitative studies on coaching interventions for professional surgeons were included. Characteristics of the coachees, coaching programs, study designs, outcomes, and findings were charted and analyzed.
From 2589 references, 8 studies (6 published; 2 registered trials) met inclusion criteria. Published studies targeted technical or nontechnical skills, included 2-26 surgeons as coachees, and used coaches who were surgeons. Two studies demonstrated that surgeons react positively to coaching. Studies showed inconsistent effects on technical/nontechnical skills. Only two studies measured patient adverse events and reported no significant positive impacts. The registered randomized trials targeted surgeons' physiological parameters or wellbeing and used professional coaches. These trials measure surgeon and patient outcomes.
There is an emerging interest in coaching programs to improve surgeons' performance by targeting their professional skills and personal factors. However, more randomized trials are needed to evaluate the impact of coaching interventions on patient outcomes and surgeon wellness.
对专业外科医生辅导干预的定量研究进行特征分析，以了解手术辅导如何定义；研究不同的辅导项目如何设计、实施和评估；并确定任何相关的研究差距。
手术辅导作为一种有助于外科医生优化表现和改善整体健康状况的方法正受到关注。然而，不同研究之间手术辅导项目和辅导的定义差异很大。
根据PRISMA-ScR框架，对PubMed、Scopus、Web of Science、CENTRAL、clinicaltrials.gov和WHO ICTRP进行系统的文献检索，以识别用英文撰写的研究和注册临床试验。纳入关于专业外科医生辅导干预的原始定量研究。对受训者、辅导项目、研究设计、结果和发现的特征进行记录和分析。
从2589篇参考文献中，8项研究（6项已发表；2项注册试验）符合纳入标准。已发表的研究针对技术或非技术技能，包括2至26名外科医生作为受训者，并使用外科医生作为辅导者。两项研究表明外科医生对辅导反应积极。研究显示对技术/非技术技能的影响不一致。只有两项研究测量了患者不良事件且报告无显著积极影响。注册的随机试验针对外科医生的生理参数或健康状况，并使用专业辅导者。这些试验测量外科医生和患者的结果。
通过针对外科医生的专业技能和个人因素来改善其表现的辅导项目正受到越来越多的关注。然而，需要更多的随机试验来评估辅导干预对患者结果和外科医生健康的影响。
