PMID- 29065020 OWN - NLM STAT- MEDLINE DCOM- 20171030 LR - 20191210 IS - 1938-808X (Electronic) IS - 1040-2446 (Linking) VI - 92 IP - 11S Association of American Medical Colleges Learn Serve Lead: Proceedings of the 56th Annual Research in Medical Education Sessions DP - 2017 Nov TI - Personalized Video Feedback and Repeated Task Practice Improve Laparoscopic Knot-Tying Skills: Two Controlled Trials. PG - S26-S32 LID - 10.1097/ACM.0000000000001924 [doi] AB - PURPOSE: Compare the effect of personalized feedback (PF) vs. task demonstration (TD), both delivered via video, on laparoscopic knot-tying skills and perceived workload; and evaluate the effect of repeated practice. METHOD: General surgery interns and research fellows completed four repetitions of a simulated laparoscopic knot-tying task at one-month intervals. Midway between repetitions, participants received via e-mail either a TD video (demonstration by an expert) or a PF video (video of their own performance with voiceover from a blinded senior surgeon). Each participant received at least one video per format, with sequence randomly assigned. Outcomes included performance scores and NASA Task Load Index (NASA-TLX) scores. To evaluate the effectiveness of repeated practice, scores from these trainees on a separate delayed retention test were compared against historical controls who did not have scheduled repetitions. RESULTS: Twenty-one trainees completed the randomized study. Mean change in performance scores was significantly greater for those receiving PF (difference = 23.1 of 150 [95% confidence interval (CI): 0, 46.2], P = .05). Perceived workload was also significantly reduced (difference = -3.0 of 20 [95% CI: -5.8, -0.3], P = .04). Compared with historical controls (N = 93), the 21 with scheduled repeated practice had higher scores on the laparoscopic knot-tying assessment two weeks after the final repetition (difference = 1.5 of 10 [95% CI: 0.2, 2.8], P = .02). CONCLUSIONS: Personalized video feedback improves trainees' procedural performance and perceived workload compared with a task demonstration video. Brief monthly practice sessions support skill acquisition and retention. FAU - Abbott, Eduardo F AU - Abbott EF AD - E.F. Abbott is a simulation fellow, Mayo Clinic Multidisciplinary Simulation Center, Mayo Clinic College of Medicine, Rochester, Minnesota, and adjunct instructor of internal medicine, Department of Internal Medicine, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile; ORCID: http://orcid.org/0000-0001-5713-4809. W. Thompson is a medical student, University of Minnesota Medical School, Minneapolis, Minnesota. T.K. Pandian is a resident, Department of Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota. B. Zendejas is a pediatric surgery fellow, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts. D.R. Farley is professor of surgery and consultant, Department of Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota. D.A. Cook is professor of medicine and professor of medical education; research chair, Mayo Clinic Multidisciplinary Simulation Center; director of research, Office of Applied Scholarship and Education Science; and Consultant in the Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota; ORCID: http://orcid.org/0000-0003-2383-4633. FAU - Thompson, Whitney AU - Thompson W FAU - Pandian, T K AU - Pandian TK FAU - Zendejas, Benjamin AU - Zendejas B FAU - Farley, David R AU - Farley DR FAU - Cook, David A AU - Cook DA LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Acad Med JT - Academic medicine : journal of the Association of American Medical Colleges JID - 8904605 SB - IM CIN - Acad Med. 2018 Aug;93(8):1103-1104. PMID: 30044283 MH - *Clinical Competence MH - *Formative Feedback MH - General Surgery/*education MH - Humans MH - Laparoscopy/*education MH - *Practice, Psychological MH - Suture Techniques/*education MH - Video Recording MH - Workload EDAT- 2017/10/25 06:00 MHDA- 2017/10/31 06:00 CRDT- 2017/10/25 06:00 PHST- 2017/10/25 06:00 [entrez] PHST- 2017/10/25 06:00 [pubmed] PHST- 2017/10/31 06:00 [medline] AID - 00001888-201711001-00006 [pii] AID - 10.1097/ACM.0000000000001924 [doi] PST - ppublish SO - Acad Med. 2017 Nov;92(11S Association of American Medical Colleges Learn Serve Lead: Proceedings of the 56th Annual Research in Medical Education Sessions):S26-S32. doi: 10.1097/ACM.0000000000001924.