College of Community Innovation and Education, University of Central Florida, Orlando, FL, United States.
Surgical Health Outcomes Consortium (SHOC), AdventHealth Digestive Health Institute, Orlando, FL, United States.
Am J Surg. 2023 Nov;226(5):709-716. doi: 10.1016/j.amjsurg.2023.07.043. Epub 2023 Aug 2.
Surgical video review has been shown to improve technical skill in novice surgeons; however, to date, there are no studies examining the use of video review by experts. This study sought to understand the process expert robotic surgeons use when they review their surgical videos.
In this qualitative pilot study, eight expert robotic colorectal surgeons individually participated in semi-structured interviews and video elicitation sessions. Grounded theory was used to develop a process model on how expert surgeons review their robotic videos.
The participants identified four categories of video review: critical incidents, unique cases, new techniques/procedures, and routine cases. They ask themselves questions with the primary goal of improving surgical technical skills. Surgeons compare their performance to benchmark videos and share videos for teaching and collaboration.
Expert robotic surgeons use video review for self-reflection and self-assessment. They recognize that improving surgical skills requires a growth mindset. These findings may contribute to the surgical education of novices.
外科手术视频回顾已被证明可以提高新手外科医生的技术水平；然而，迄今为止，尚无研究检查专家使用视频回顾的情况。本研究旨在了解专家机器人外科医生在审查他们的手术视频时所使用的过程。
在这项定性的初步研究中，8 名专家机器人结直肠外科医生分别参加了半结构式访谈和视频启发会议。扎根理论被用来开发一个关于专家外科医生如何审查他们的机器人视频的过程模型。
参与者确定了视频审查的四个类别：关键事件、独特案例、新技术/程序和常规案例。他们问自己一些问题，主要目的是提高手术技术技能。外科医生将自己的表现与基准视频进行比较，并分享视频进行教学和协作。
专家机器人外科医生使用视频回顾进行自我反思和自我评估。他们认识到，提高手术技能需要成长型思维。这些发现可能有助于新手的外科教育。
