Effect of a Guided Video-Based Coaching Session on Resident Satisfaction and Confidence: A Prospective Randomized Trial

Objective: To assess the impact of a guided video-based coaching (VBC) session on resident satisfaction with surgical feedback. Materials and Methods: A guided VBC session was designed as a feedback tool and evaluated in this prospective randomized trial performed at a single academic institution. Residents were divided into junior and senior levels and randomized into three feedback groups: usual teaching (UT) with MyTip, VBC with a generalist ObGyn, and VBC with a fellowship-trained ObGyn. Residents received feedback on one level-specific laparoscopic surgery, bilateral salpingectomy or total hysterectomy. All residents completed pre- and post-intervention confidence surveys and post-intervention satisfaction surveys. The Wilcoxon signed-rank test was utilized to compare satisfaction and confidence between intervention groups and UT, and Kruskall–Wallis tests were used to compare all the three subgroups. Results: Twenty-six residents participated in the study. There was a significant difference in overall resident satisfaction with surgical feedback ( p < 0.001) when comparing VBC to UT. Residents in VBC were more satisfied with the amount ( p = 0.001), timeliness ( p = 0.006), and quality ( p = 0.002) of feedback ( Table 2 ). In comparison to UT, residents reported VBC was more engaging ( p < 0.001) and specific ( p < 0.001) and contributed more to surgical skill development ( p = 0.003) and overall education ( p < 0.001). Subanalyses demonstrated that VBC had a larger impact on junior resident satisfaction. There was no difference between pre- and post-confidence scores among all the groups. Conclusion(s): Residents participating in VBC had higher satisfaction with surgical feedback compared to UT. There was no change in confidence scores among all participants.