Wu Shangdi, Zhang Jing, Peng Bing, Cai Yunqiang, Li Ang, Liu Linxun, Liu Jie, Deng Chunlan, Chen Yonghua, Wang Chunrong, Wang Xin
Department of Pancreatic Surgery, West China Hospital of Sichuan University, No. 37, Guoxue Alley, Chengdu, 610041, Sichuan Province, China.
West China School of Medicine, West China Hospital of Sichuan University, Chengdu, China.
Updates Surg. 2025 Jan 20. doi: 10.1007/s13304-025-02077-5.
Surgical coaching has been proven to effectively enhance clinical performance. However, diverse implementation strategies present challenges when initiating new programs. Our scoping review aimed to synthesize the existing literature on surgical coaching, thereby informing the direction of future coaching initiatives. We reviewed published articles in PubMed/Medline and suppletory manuscripts from reference lists. The protocol of our review was registered (osf.io, Z3S8H). Inclusion criteria were studies that provided a detailed description of structured surgical coaching programs aimed at improving clinical performance. Excluded were studies focused on mentoring, teaching, or other forms of coaching that did not align with our specific definition of surgical coaching. We extracted and charted variables such as authors, publication year, geographic region, and others for subsequent analysis. A total of 117 studies were screened, and 11 met our inclusion criteria. Among these, five articles (45%) employed objective metrics to evaluate clinician performance. One study reported on the overall complication rates within 30 days as a measured outcome. Surgeons were the primary coachees in ten of the studies (91%), and the training of coaches was deemed necessary in seven studies (64%). The analyses revealed a preference for expert coaching models (6/11, 55%), video-based coaching (9/11, 82%), and postoperative timelines (7/11, 64%). Various coaching models were identified, including PRACTICE, GROW, and WISCONSIN. As an effective education method, surgical coaching has been conducted in many regions with varied designs. The implementation of structured surgical coaching programs offers substantial benefits for trainers, enhancing efficiency. Future research should focus on generating higher-level evidence, utilizing objective measurement tools, and integrating innovative technologies to further enhance the efficacy of surgical coaching programs.
手术指导已被证明能有效提高临床绩效。然而，在启动新计划时，多样化的实施策略带来了挑战。我们的范围综述旨在综合现有关于手术指导的文献，从而为未来的指导计划指明方向。我们检索了PubMed/Medline上发表的文章以及参考文献列表中的补充手稿。我们综述的方案已注册（osf.io，Z3S8H）。纳入标准是那些详细描述旨在提高临床绩效的结构化手术指导计划的研究。排除的是那些专注于指导、教学或其他与我们手术指导的特定定义不符的指导形式的研究。我们提取并梳理了作者、出版年份、地理区域等变量以便后续分析。总共筛选了117项研究，其中11项符合我们的纳入标准。在这些研究中，五篇文章（45%）采用客观指标来评估临床医生的绩效。一项研究报告了30天内的总体并发症发生率作为测量结果。在十项研究（91%）中，外科医生是主要的被指导者，七项研究（64%）认为有必要对指导者进行培训。分析显示倾向于专家指导模式（6/11，55%）、基于视频的指导（9/11，82%）和术后时间线（7/11，64%）。确定了各种指导模式，包括PRACTICE、GROW和WISCONSIN。作为一种有效的教育方法，手术指导已在许多地区以不同的设计开展。结构化手术指导计划的实施为培训者带来了巨大益处，提高了效率。未来的研究应专注于产生更高级别的证据，使用客观测量工具，并整合创新技术以进一步提高手术指导计划的效果。
