- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05227430
Standardized Educational Videos of Laparoscopic Gynecological Surgeries (AA-GYNLAP)
Standardized Educational Videos of Laparoscopic Gynecological Surgeries for the Improvement of Surgical Performance of Surgical Trainees
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Introduction Owing to coronavirus disease-related social distancing requirements, online education has gained prominence. Surgical trainers consider online videos as a useful teaching aid that maximizes trainees' learning and skill development given the backdrop of time constraints and productivity demands. YouTube has become the most commonly used online resource for educational material among residents, however, online videos usually do not undergo a peer-review process. Moreover, recent studies questioned the educational quality of YouTube laparoscopic hysterectomy videos.
Based on these premises the LAP-VEGaS guidelines (LAParoscopic surgery Video Educational GuidelineS), a recommended checklist for production of educational surgical videos, were developed by an international, multispecialty, joint trainers-trainees committee aiming to reduce the gap between surgeons' expectations and online resources' quality. The LAP-VEGaS VAT is considered valid and practical tool for assessing online laparoscopic operation videos. It assesses nine items. Every item scoring from 0 (item not presented in the video) to 2 (item extensively presented in the video) with a total marking score ranging from 0 to 18. Studies have reported highly accurate in identifying and selecting videos for acceptance for conference presentation and publication, with high level of internal consistency and generalizability. However, the question of how effectively standardized videos serve as quality influencing educational material remains unanswered. Additionally, date regarding its implication in gynecological laparoscopic interventions is limited.
Due to the aforementioned the aim of this study is to evaluate the impact of educational videos of laparoscopic gynecological surgeries, that standardized with the LAP-VEGaS, for the improvement of surgical confidence and performance of surgical trainees.
Material and Methods:
This a prospective study including residents at the beginning of gynecology round in two medical centers. Educational video tutorials of gynecological laparoscopic surgeries (Hysterectomy, Bilateral salpingo-oophorectomy (BSO), Bilateral salpingectomy) will be prepared following the LAP-VEGaS VAT standardization.
Residents in only one medical center will be asked to view the study educational videos (Study group). Residents in the other medical center will not receive the prepared video tutorials and will be free to use other modalities (Controls). Both groups will complete pre-operative questionnaire regarding their subjective self-evaluation of confidence in the stages of the procedures, instrumentation used, anatomy, potential risks and methods to control them. Additional post-operative questionnaire regarding performance during operation, familiarity with operative stages, anatomy and participants will be completed by the senior surgeon evaluating the resident and by all residents participating in the study. Data regarding residents' characteristics will be collected. Groups will be compared for differences in subjective confidence before surgery, performance during surgery and satisfaction rate.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Aya Mohr-Sasson, M.D
- Phone Number: 3462704682
- Email: aya.mohrsasson@uth.tmc.edu
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion criteria:
- Residents and fellows in OBGYN in their gynecological round
Exclusion criteria:
- Residents and fellows that did not complete module training for laparoscopic surgeries
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Surgical trainees
Surgical trainees that would be given educational video tutorials before entering gynecological laparoscopic surgeries
|
Educational video tutorials (Hysterectomy, Bilateral salpingo-oophorectomy, Bilateral salpingectomy)
|
|
No Intervention: Control
Surgical trainees that would not be given educational video tutorials before entering gynecological laparoscopic surgeries
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Performance evaluation by senior surgeon
Time Frame: At the end of the operation
|
Evaluated by the senior surgeon using the global rating scale of operative performance:7 questions rated between 1 (low performance) to 5(highly skilled)
|
At the end of the operation
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Performance evaluation- evaluated by the trainee
Time Frame: At the end of the operation
|
valuated by the surgical trainee using the global rating scale of operative performance:7 questions rated between 1 (low performance) to 5(highly skilled)
|
At the end of the operation
|
Collaborators and Investigators
Investigators
- Principal Investigator: Aya Mohr-Sasson, M.D, Aya Mohr-Sasson, Primary Investigator
Publications and helpful links
General Publications
- Unal F, Atakul N, Turan H, Yaman Ruhi I. Evaluation of YouTube laparoscopic hysterectomy videos as educational materials during the COVID-19 era using the LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) and LAP-VEGaS video assessment tool. J Obstet Gynaecol. 2022 Jul;42(5):1325-1330. doi: 10.1080/01443615.2021.1962823. Epub 2021 Oct 27.
- Celentano V, Smart N, Cahill RA, Spinelli A, Giglio MC, McGrath J, Obermair A, Pellino G, Hasegawa H, Lal P, Lorenzon L, De Angelis N, Boni L, Gupta S, Griffith JP, Acheson AG, Cecil TD, Coleman MG. Development and validation of a recommended checklist for assessment of surgical videos quality: the LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) video assessment tool. Surg Endosc. 2021 Mar;35(3):1362-1369. doi: 10.1007/s00464-020-07517-4. Epub 2020 Apr 6.
- Abdelsattar JM, Pandian TK, Finnesgard EJ, El Khatib MM, Rowse PG, Buckarma EN, Gas BL, Heller SF, Farley DR. Do You See What I See? How We Use Video as an Adjunct to General Surgery Resident Education. J Surg Educ. 2015 Nov-Dec;72(6):e145-50. doi: 10.1016/j.jsurg.2015.07.012. Epub 2015 Oct 9.
- Celentano V, Smart N, Cahill RA, McGrath JS, Gupta S, Griffith JP, Acheson AG, Cecil TD, Coleman MG. Use of laparoscopic videos amongst surgical trainees in the United Kingdom. Surgeon. 2019 Dec;17(6):334-339. doi: 10.1016/j.surge.2018.10.004. Epub 2018 Nov 9.
- Igwe E, Hernandez E, Rose S, Uppal S. Resident participation in laparoscopic hysterectomy: impact of trainee involvement on operative times and surgical outcomes. Am J Obstet Gynecol. 2014 Nov;211(5):484.e1-7. doi: 10.1016/j.ajog.2014.06.024. Epub 2014 Jun 17.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- AA-GYNLAP
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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