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Augmented terminal feedback in surgical education

  • Research type

    Research Study

  • Full title

    Predictors of assessment for developing augmented terminal feedback in a complex laparoscopic colorectal procedure for surgical trainees



  • Contact name

    Mohammad Khuram Riaz

  • Contact email

  • Sponsor organisation

    NHS Highland

  • Duration of Study in the UK

    1 years, 5 months, 0 days

  • Research summary

    In the current surgical training environment, live assessment coupled with verbal feedback is carried out during a long surgical procedure. A verbal feedback and written assessment is recorded at the end of the operation called procedure based assessment (PBA). It is a trainer dependent exercise where complexities of a long, technically demanding procedure are translated in words and expected a ‘cognitive overloaded’ trainee to gain the expected level of understanding along with technical skill competence.
    Laparoscopic technology exposed this fundamental weakness in current practices and offered a chance to record the video of surgical procedure and have an assessment performed on it; hence, helped to develop a method to learn from procedural videos. Lap-Col training program is the current gold standard for specialist surgical education; Where after multiple formative assessments; Two unedited videos of a complex laparoscopic procedure are recorded and sent for summative assessment resulting in pass or fail. Trainees are expected to learn from written formative assessments and expected to consider this a feedback for translating into their mental framework in order to influence their skill.
    Cognitive psychologists and educationalists are convinced that technically demanding skills are best learnt when trainee’s own performance is recorded and feedback is provided on the video of the task at the end of the task. Preparing a feedback on more than four to five hours long procedure has never been technically feasible; Hence, the lack of its existence.
    This research theorised a unique method of studying ‘predictors of assessment’ during a complex surgical procedure, translating them into ‘augmented terminal feedback’ i.e., producing feedback on the video at the end of the procedure. This study aims to propose the foundation of a purpose built software, which will help to assess the skill and translates itself into feedback for future learning of surgical trainees.

  • REC name

    South Central - Berkshire B Research Ethics Committee

  • REC reference


  • Date of REC Opinion

    9 Feb 2023

  • REC opinion

    Further Information Favourable Opinion

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