Helping the Surgeon Recover: Peer-to-Peer Coaching after Bile Duct Injury

作者：Alice Zhu, Shirley Xiaoxuan Deng, Brittany Greene, Melanie E. Tsang, Vanessa N. Palter, Shiva Jayaraman · 发表于：Journal of the American College of Surgeons · 年份：2021 · DOI：10.1016/j.jamcollsurg.2021.05.011 · 被引用次数：28 · 研究领域：Surgical Simulation and Training、Gallbladder and Bile Duct Disorders、Coaching Methods and Impact

BACKGROUND: Bile duct injury sustained during laparoscopic cholecystectomy is associated with high morbidity and mortality, and can be a devastating complication for a general surgeon. We introduce a novel, individualized surgical coaching program for surgeons who recently injured a bile duct in laparoscopic cholecystectomy. We aim to explore the perception of coaching among these surgeons and to assess surgeons' experiences in the coaching program. STUDY DESIGN: Six general surgeons who injured a bile duct at an emergency laparoscopic cholecystectomy participated in a 1-on-1 coaching session with a hepatopancreatobiliary surgeon. The session focused on debriefing the index case with video feedback, and discussion of strategies for safe laparoscopic cholecystectomy. The pilot program ran from March to November 2020. Exit interviews were then conducted. Themes covering perception of surgical training, perception of complications, and experience in the coaching program were explored. RESULTS: Surgeons were generally accepting of the coaching program, especially when the goals aligned with their self-identified areas of development. One-on-1 sessions with a local expert in the area, and the use of video feedback created a unique and interactive coaching opportunity. Peer coaching was identified as a valuable resource in helping surgeons regain confidence and maintain well-being after a bile duct injury. Maintaining a collegial, nonjudgmental relationship is critical in establish...