The Pivotal Role of Coaching in Surgical Residency: A Scoping Review

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-09-01 DOI:10.1016/j.jsurg.2025.103636

Leah M. Gudex BS , Jason S. Salvato BS , Jaclyn T. Mauch MD, MBE , Gurjit Sandhu PhD , Paige L. Myers MD, MPH

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引用次数: 0

Abstract

Objective

Coaching is commonly used in sports and business to direct individuals toward a defined goal. Over the past decade, coaching has gained traction in medicine. Specifically, within surgical residencies, various coaching programs have been implemented, resulting in a breadth of outcomes. This study examines and synthesizes how coaching has been implemented and evaluated in surgical residency.

Design

A scoping review was conducted following PRISMA guidelines using variations of the search terms “coach” and “surgical residents” in four databases: Embase, PubMed, Scopus, and Web of Science. Relevant studies were published between 2012 and 2024. Only primary studies that evaluated coaching as an intervention for surgical residents were eligible for inclusion. The authors initially screened publications based on their titles and abstracts for relevance. A full-text review of included studies was conducted to identify articles reporting coaching, evaluation, and reliable outcomes data in surgical residency.

Results

Thirty papers were included in this scoping review. Based on a predefined framework, studies were categorized as nontechnical (10) or technical coaching (23). Nontechnical skills coaching enhanced resilience, well-being, professional fulfillment, goal setting, and self-confidence. Technical coaching was associated with improved operative performance, procedural efficacy, and resident confidence, with multiple studies reporting gains in validated technical skills assessment tools. Video-based coaching was specifically associated with greater volume and clarity of teaching points and improved nontechnical skills such as decision-making.

Conclusion

Coaching for surgical residents, implemented through nontechnical skill and operative coaching methods, enhances nontechnical skills such as communication and resilience, supports professional growth and resident well-being, and improves technical performance.

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指导在外科住院医师中的关键作用：范围审查

目标教练通常用于体育和商业，指导个人达到一个确定的目标。在过去的十年里，教练在医学界得到了广泛的关注。具体来说，在外科住院医师中，已经实施了各种各样的指导计划，产生了广泛的结果。本研究考察并综合了如何在外科住院医师中实施和评估教练。根据PRISMA指南，在四个数据库（Embase、PubMed、Scopus和Web of Science）中使用“教练”和“外科住院医师”的搜索词变体进行了DesignA范围审查。相关研究发表于2012年至2024年之间。只有评估指导作为外科住院医师干预措施的初步研究才有资格纳入。作者最初根据标题和摘要筛选出版物的相关性。对纳入的研究进行全文综述，以确定报道外科住院医师培训、评估和可靠结果数据的文章。结果共纳入30篇文献。基于预定义的框架，研究被分类为非技术（10）或技术指导（23）。非技术技能培训增强了适应力、幸福感、职业成就感、目标设定和自信。技术指导与手术表现、手术效率和住院医师信心的提高有关，多项研究报告了经过验证的技术技能评估工具的收益。以视频为基础的指导与更大的容量和更清晰的教学要点以及提高决策等非技术技能有关。结论通过非技术训练和手术训练相结合的方法对外科住院医师进行培训，可以提高非技术技能，如沟通能力和应变能力，支持专业成长和住院医师幸福感，提高技术绩效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.