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Surgical Innovation
September 9, 2020

Video-Based Feedback for the Improvement of Surgical Technique: A Platform for Remote Review and Improvement of Surgical Technique

Author Affiliations
  • 1Surgical Outcomes and Quality Improvement Center, Feinberg School of Medicine, Department of Surgery, Northwestern University, Chicago, Illinois
JAMA Surg. Published online September 9, 2020. doi:10.1001/jamasurg.2020.3286

Operating surgeon technical skill is directly associated with postoperative outcomes and can be reliably evaluated via video review.1 Although surgical training often focuses on technique, few options exist to support practicing surgeons in improving technical skill. Surgical coaching, consisting of debriefing, video review, and feedback, has emerged as a beneficial tool to improve technical skill and address variation in clinical outcomes, both in surgical trainees and practicing, board-certified surgeons.2,3 However, prior studies3 of in-person coaching have revealed difficulties with feasibility. Our own experiences with video-based coaching revealed that, although reviewing operative videos and receiving feedback is highly beneficial, in-person meetings between coaches and coachees are difficult to maintain, given busy surgical schedules. Furthermore, pairing coaches and coachees proved to be nuanced, requiring consideration of personalities, practice patterns, and competing surgical markets to generate effective coaching dyads. Thus, we developed Video-Based Feedback for the Improvement of Surgical Technique (VISTA) as a remote, secure, deidentified platform for operative review and feedback.

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