Using video-based assessment (VBA) to document fellow improvement in safely completing the jejunojejunostomy portion of laparoscopic Roux-en-Y gastric bypass (RYGB) surgery.

Peter Nau¹, Erin Worden², Ryan Lehmann², Kyle Kleppe³, Gregory J Mancini³, Matt L Mancini³, Bruce Ramshaw^4,5, Michael S Woods⁵

¹Section of Bariatric Surgery, Department of Surgery, University of Iowa Hospitals & Clinics, 200 Hawkins Drive, Iowa City, IA, 52242, USA. peter-nau@uiowa.edu.

²Section of Bariatric Surgery, Department of Surgery, University of Iowa Hospitals & Clinics, 200 Hawkins Drive, Iowa City, IA, 52242, USA.

³Section of Foregut Surgery, Department of Surgery, University of Tennessee - Knoxville, 1924 Alcoa Highway, Knoxville, TN, 37920, USA.

⁴CQInsights PBC, Knoxville, TN, USA.

⁵Caresyntax Corporation, Boston, MA, USA.

PubMed DOI

Abstract

BACKGROUND: Surgical assessment instruments are used for formative and summative trainee evaluations. To characterize the features of existing instruments and a novel 12-item objective, procedure-specific assessment tool for Roux-en-Y Gastric Bypass (RYGB-OPSA), we evaluated the progress of a single surgical fellow over 17 consecutive surgeries. METHODS: Seventeen consecutive RYGB videos complete…

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