title: Video-augmented feedback for procedural performance.
abstract: BACKGROUND
  Resident programs must assess residents' achievement of core competencies for clinical and procedural skills.
  
  
  OBJECTIVE
  Video-augmented feedback may facilitate procedural skill acquisition and promote more accurate self-assessment.
  
  
  METHODS
  A randomized controlled study to investigate whether video-augmented verbal feedback leads to increased procedural skill and improved accuracy of self-assessment compared to verbal only feedback. Participants were evaluated during procedural training for ultrasound guided internal jugular central venous catheter (US IJ CVC) placement. All participants received feedback based on a validated 30-point checklist for US IJ CVC placement and validated 6-point procedural global rating scale.
  
  
  RESULTS
  Scores in both groups improved by a mean of 9.6 points (95% CI: 7.8-11.4) on the 30-point checklist, with no difference between groups in mean score improvement on the global rating scale. In regards to self-assessment, participant self-rating diverged from faculty scoring, increasingly so after receiving feedback. Residents rated highly by faculty underestimated their skill, while those rated more poorly demonstrated increasing overestimation.
  
  
  CONCLUSIONS
  Accuracy of self-assessment was not improved by addition of video. While feedback advanced the skill of the resident, video-augmented feedback did not enhance skill acquisition or improve accuracy of resident self-assessment compared to standard feedback.
authors.affiliation: a Department of Emergency Medicine , Wake Forest Baptist Medical Center , USA.
authors.forename: Mary
authors.initials: M
authors.lastname: Wittler
authors.affiliation: a Department of Emergency Medicine , Wake Forest Baptist Medical Center , USA.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Hartman
authors.affiliation: a Department of Emergency Medicine , Wake Forest Baptist Medical Center , USA.
authors.forename: David
authors.initials: D
authors.lastname: Manthey
authors.affiliation: a Department of Emergency Medicine , Wake Forest Baptist Medical Center , USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Hiestand
authors.affiliation: a Department of Emergency Medicine , Wake Forest Baptist Medical Center , USA.
authors.forename: Kim
authors.initials: K
authors.lastname: Askew
mesh_terms: D000328:Adult; D002405:Catheterization, Central Venous / Q000379:methods; D057189:Checklist; D002983:Clinical Competence; D004521:Educational Measurement / Q000379:methods*; D005260:Female; D000068156:Formative Feedback; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D008297:Male; D008348:Manikins; D011446:Prospective Studies; D014743:Videotape Recording