• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

A web-based platform for video assessments of operative performance

Alexandra M Moore1, Justin P Wagner1, Vivek Agrawal2, Charles J Filipi3, David C Chen1. 1David Geffen School of Medicine at UCLA, 2Comment Bubble, Inc., 3CHI Health

OBJECTIVE: Inguinal hernias represent a significant burden of surgically-treatable disease around the world. It has previously been shown that using web-based tools for long-term and remote surgical proctorship is feasible to expand capacity in underserved communities worldwide. In this study, we present a web interface for video assessments of operative performance to improve access to global surgical proctorship.

METHODS: This study took place between October 2014 and October 2015. Participants included 13 surgeons from Brazil, Dominican Republic, Haiti, and Paraguay who underwent a formal training program in Lichtenstein hernioplasty. At 6 months after training, surgeons were instructed to upload point-of-view videos of independent hernioplasties to a secure video hosting website. The Operative Performance Rating Scale (OPRS) was adapted to a web platform (Surgus) for video-based technical performance reviews. Independent video reviews were performed by 3 US surgeon trainers using the Surgus platform. Participating surgeons received individual performance summaries via a custom Surgus web portal. Variation among raters was normalized by deriving the standard deviation of scores assigned to each surgeon for each OPRS metric. Variance in normalized standard deviations was calculated across all surgeons for each metric.

RESULTS: All 13 surgeons submitted a total of 14 Lichtenstein hernioplasty videos 6 months after the conclusion of formal training. All videos were uploaded and subject to the Surgus OPRS platform. OPRS reviews were conducted successfully, with an average overall score of 3.9 ± 0.9 demonstrating technical proficiency that corresponds with an OPRS descriptor of “Very Good” performance. Observed variance and maximum variance of OPRS ratings among the 3 reviewers are shown (Table 1).

TABLE 1

Rating Category Variance Maximum

Operation-specific metrics

   
Incision 0.17 5.29
Dissection 0.29 5.29
Preparation for Mesh Placement 0.26 5.29
Mesh Cutting 0.28 5.29
Mesh Fixation 0.43 5.29
Closure 0.45 5.29

General performance metrics

   
Case Difficulty 0.08 1.32
Degree of Prompting 0.16 1.32
Instrument Handling 0.16 5.29
Respect for Tissue 0.17 5.29
Time and Motion 0.37 5.29
Operation Flow 0.20 5.29
Overall Performance 0.37 5.29

CONCLUSIONS: Our web-based performance evaluation system provides a means of reliable remote technical assessments from recorded video internationally with relatively low variance among reviewers. The Surgus platform has demonstrated utility for international surgical proctorship. This study invites further evaluations of surgeon performance and patient outcomes for a variety of operations to establish global standards of surgical care.

92

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube
  • Instagram
  • TikTok

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons