title: The effect of video review of resident laparoscopic surgical skills measured by self- and external assessment.
abstract: BACKGROUND
  Video review of surgical skills is an educational modality that allows trainees to reflect on self-performance. The purpose of this study was to determine whether resident and attending assessments of a resident's laparoscopic performance differ and whether video review changes assessments.
  
  
  METHODS
  Third-year surgery residents were invited to participate. Elective laparoscopic procedures were video recorded. The Global Operative Assessment of Laparoscopic Skills evaluation was completed immediately after the procedure and again 7 to 10 days later by both resident and attending. Scores were compared using t tests.
  
  
  RESULTS
  Nine residents participated and 76 video reviews were completed. Residents scored themselves significantly lower than the faculty scores both before and after video review. Resident scores did not change significantly after video review.
  
  
  CONCLUSIONS
  Attending and resident self-assessment of laparoscopic skills differs and subsequent video review does not significantly affect Global Operative Assessment of Laparoscopic Skills scores. Further studies should evaluate the impact of video review combined with verbal feedback on skill acquisition and assessment.
authors.affiliation: Departamento de Cirugía, Fundación Santa Fe de Bogotá, Universidad de los Andes, Bogotá, Colombia.
authors.forename: Gabriel E
authors.initials: GE
authors.lastname: Herrera-Almario
authors.affiliation: Department of Surgery, University of Pittsburgh Medical Center, 3380 Boulevard of the Allies Suite 390, Pittsburgh, PA, 15213, USA.
authors.forename: Katherine
authors.initials: K
authors.lastname: Kirk
authors.affiliation: Department of Surgery, University of Pittsburgh Medical Center, 3380 Boulevard of the Allies Suite 390, Pittsburgh, PA, 15213, USA.
authors.forename: Veronica T
authors.initials: VT
authors.lastname: Guerrero
authors.affiliation: Department of Biostatistics, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Kwonho
authors.initials: K
authors.lastname: Jeong
authors.affiliation: Department of Surgery, University of Washington, Seattle, WA, USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Kim
authors.affiliation: Department of Surgery, University of Pittsburgh Medical Center, 3380 Boulevard of the Allies Suite 390, Pittsburgh, PA, 15213, USA. Electronic address: hamadg@upmc.edu.
authors.forename: Giselle G
authors.initials: GG
authors.lastname: Hamad
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D006801:Humans; D007396:Internship and Residency; D010535:Laparoscopy / Q000193:education*; D011939:Mental Recall; D012647:Self-Assessment; D014741:Video Recording
keywords: Laparoscopic skills; Self-assessment; Surgical residents; Video review