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Impacting Surgical Education Globally

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Annual Meeting 2018 Presentations

C1 - 08: TRIGGER VIDEOS FACILITATE DISCUSSION FOR RICHER FACULTY DEVELOPMENT
Anuj Arora, MD, BSc1, Jennifer Hoogenes, MS, PhD2, Natasha McNamara, MD, BSc3, Deepak Dath, MD, MEd, FRCSC, FACS2; 1University of Toronto, 2McMaster Universtiy, 3University of Saskatchewan

 

Introduction: The complex, dynamic operating room environment challenges surgeons to teach well. Most academic surgeons, who have no formal training in teaching, will benefit from faculty development workshops on intraoperative teaching (IOT). Trigger videos composed of short, common, challenging OR scenarios can represent the OR environment well and orient all participants to a single teaching encounter. This encounter can stimulate discussion and reflection within a workshop and may enhance training. We created and used trigger videos in workshops to determine how trigger videos impact IOT-based faculty development workshops. 

Methods: We created videos representing challenging IOT scenarios and used them to anchor six faculty workshops at multiple institutions. Following each trigger video, participants in small groups identified and discussed teaching issues in the context of their own IOT. Afterwards, they presented their discussion summary to the larger group for further debate. Participants then completed one Likert-style and open-ended questionnaire to evaluate the trigger videos and another open-ended questionnaire to report positive and negative IOT techniques to assess the utility of the videos to facilitate discussion. 

Results: Participants represented eight surgical specialties. 119 participants filled out the questionnaire rating the trigger video and its efficacy for anchoring the faculty development session.  94% of participants felt that the videos were helpful and encouraged them to consider and discuss IOT issues. Comments included: “great forum for all faculty to open up about teaching issues” and “videos facilitated the ability to pick up on more subtle but important issues”. 135 participants identified 292 positive and 202 negative IOT techniques from discussing the trigger videos. 

Conclusions: We found that the trigger videos were easy to create using current technologies and that they anchored the workshop exercises well. Trigger videos provided a stimulating and engaging shared experience that motivated surgeons to participate in rich discussion to improve IOT.  Participants critically reflected in the workshops, identifying positive and negative IOT techniques that were relevant to their own current teaching styles. Utilizing trigger videos can play a significant role in IOT-related faculty development workshops and move us towards better IOT as we prepare for competency based medical education.

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