Isaac Scientific Publishing

Journal of Advances in Education Research

The Impact of Video Feedback on Acquiring Competency in Basic Surgical Skills (Sterile Working) in an Undergraduate Medical Training Program: A Comparative Effectiveness Analysis

Download PDF (168.3 KB) PP. 191 - 198 Pub. Date: August 1, 2017

DOI: 10.22606/jaer.2017.23007


  • Moritz Muessig
    Department of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Germany
  • Jasmina Sterz
    Department of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Germany
  • Maria-Christina Stefanescu
    Department of Surgery, University Hospital Frankfurt, Germany
  • Bernd Bender
    Department of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Germany
  • Sebastian H. Hoefer
    Department of Surgery, University Hospital Frankfurt, Germany
  • Miriam Ruesseler*
    Department of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Germany


Feedback is an essential part of the learning process during undergraduate medical training especially in acquiring practical skills. This study investigates the impact of video feedback on the acquisition of sterile working competencies as an example of a complex practical skill. Fourthyear medical students enrolled in the mandatory skills training completed a 210-minute training unit of ‚wound care’. Oral feedback was received directly after the practical procedure. In the study group, the performance was video-taped and reviewed directly thereafter. Afterwards, students completed a 5-minute OSCE. One to three month later, students were re-assessed as part of their regular practical skills assessment. A total of 107 students were included in the study. There were no significant differences between the two study groups at both point in times. In the present setting and skill, video feedback seems to have no impact on skills’ acquisition.


Feedback, practical skills, video feedback, medical training


[1] M. Eraut, "Feedback," Learning in Health and Social Care, vol. 5, pp. 111-118, 2006.

[2] J. M. van de Ridder, K. M. Stokking, W. C. McGaghie et al., "What is feedback in clinical education?," Med Educ, vol. 42, pp. 189-197, 2008.

[3] S. Parmar, C. P. Delaney, "The role of proximate feedback in skills training," Surgeon, vol. 9 Suppl 1, pp. S26 -27, 2011.

[4] J. N. Van Heukelom, T. Begaz, R. Treat, "Comparison of postsimulation debriefing versus in-simulation debriefing in medical simulation," Simul Healthc, vol. 5, pp. 91-97, 2010.

[5] W. F. Bond, L. M. Deitrick, D. C. Arnold et al., "Using simulation to instruct emergency medicine residents in cognitive forcing strategies," Acad Med, vol. 79, pp. 438-446, 2004.

[6] D. Raemer, M. Anderson, A. Cheng et al., "Research regarding debriefing as part of the learning process," Simul Healthc, vol. 6 Suppl, pp. S52-57, 2011.

[7] R. M. Fanning, D. M. Gaba, "The role of debriefing in simulation-based learning," Simul Healthc, vol. 2, pp.115-125, 2007.

[8] T. Levett-Jones, S. Lapkin, "A systematic review of the effectiveness of simulation debriefing in health professional education," Nurse Educ Today, vol. 34, pp. e58-63, 2014.

[9] D. J. Birnbach, A. C. Santos, R. A. Bourlier et al., "The effectiveness of video technology as an adjunct to teach and evaluate epidural anesthesia performance skills," Anesthesiology, vol. 96, pp. 5-9, 2002.

[10] S. Boet, M. D. Bould, B. Sharma et al., "Within-team debriefing versus instructor-led debriefing for simulationbased education: a randomized controlled trial," Ann Surg, vol. 258, pp. 53-58, 2013.

[11] L. A. Scherer, M. C. Chang, J. W. Meredith et al., "Videotape review leads to rapid and sustained learning," Am J Surg, vol. 185, pp. 516-520, 2003.

[12] A. L. Farquharson, A. C. Cresswell, J. D. Beard et al., "Randomized trial of the effect of video feedback on the acquisition of surgical skills," Br J Surg, vol. 100, pp. 1448-1453, 2013.

[13] M. Ruesseler, J. Sterz, B. Bender et al., "The effect of video-assisted oral feedback versus oral feedback on surgical communicative competences in undergraduate training," Eur J Trauma Emerg Surg, vol. 2016.

[14] G. G. Hamad, M. T. Brown, J. A. Clavijo-Alvarez, "Postoperative video debriefing reduces technical errors in laparoscopic surgery," Am J Surg, vol. 194, pp. 110-114, 2007.

[15] A. J. Byrne, A. J. Sellen, J. G. Jones et al., "Effect of videotape feedback on anaesthetists' performance while managing simulated anaesthetic crises: a multicentre study," Anaesthesia, vol. 57, pp. 176-179, 2002.

[16] G. L. Savoldelli, V. N. Naik, J. Park et al., "Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback," Anesthesiology, vol. 105, pp. 279-285, 2006.

[17] T. A. Brennan, L. L. Leape, N. M. Laird et al., "Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. 1991," Qual Saf Health Care, vol. 13, pp. 145-151; discussion 151-142, 2004.

[18] S. B. Issenberg, W. C. McGaghie, E. R. Petrusa et al., "Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review," Med Teach, vol. 27, pp. 10-28, 2005.

[19] M. Russeler, R. Weber, A. Braunbeck et al., "[Training of practical clinical skills in surgery - a training concept for medical students]," Zentralbl Chir, vol. 135, pp. 249-256, 2010.

[20] S. Kurtz, J. Silverman, J. Draper. Teaching and learning communication skills in medicine. CRC press; 2016.

[21] B. Hodges, "Validity and the OSCE," Med Teach, vol. 25, pp. 250-254, 2003.

[22] G. Regehr, H. MacRae, R. K. Reznick et al., "Comparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination," Acad Med, vol. 73, pp. 993-997, 1998.