臨床外科79巻5号

2024年05月発行

特集 進化する外科教育と手術トレーニング

手術評価の現在と未来

外科におけるコーチングと最新テクノロジー利用の可能性

著者： 徳野純子¹

所属機関： ¹

ページ範囲：P.569 - P.572

文献概要

【ポイント】
◆コーチングは，外科医の経験・レベルを問わず専門的成長を継続させる効果的で効率的な方法である．
◆手術ビデオを用いたコーチングは，時間・空間的制約の多い外科医に適していると考えられる．
◆人工知能（artificial intelligece：AI）を用いた手術技能評価はコーチングに有用な可能性がある．

参考文献

1）Harper D：Etymology of coach. Online Etymology Dictionary.　https://www.etymonline.com/word/coach（2024年1月20日アクセス）

2）Hoidn S：The grow model of coaching and mentoring. SAGE Publications, Los Angeles, CA, 2021

3）Levenson A：Measuring and maximizing the business impact of executive coaching. Consult Psychol J 61：103-121, 2009

4）Gawande A：Personal best. The New Yorker, September 26, 2011　https://www-newyorker-com.proxy3.library.mcgill.ca/magazine/2011/10/03/personal-best（2024年1月20日アクセス）

5）Devin CL, Aggarwal R：Coaching and video review for surgical practice improvement. Pugh C, Sippel RS（eds）；Success in academic surgery：developing a career in surgical education. Springer, 2019

6）Greenberg CC, Dombrowski J, Dimick JB：Video-based surgical coaching：an emerging approach to performance improvement. JAMA Surg 151：282-283, 2016

7）Soucisse ML, Boulva K, Sideris L, et al：Video coaching as an efficient teaching method for surgical residents-a randomized controlled trial. J Surg Educ 74：365-371, 2017

8）Stein SL, Chu JT, Merrill A, et al：Implementation of a coaching program by a National Surgical Association. J Surg Educ 79：1471-1479, 2022

9）Fainstad T, Mann A, Suresh K, et al：Effect of a novel online group-coaching program to reduce burnout in female resident physicians：a randomized clinical trial. JAMA Netw Open 5：e2210752, 2022

10）Palamara K, McKinley SK, Chu JT, et al：Impact of a virtual professional development coaching program on the professional fulfillment and well-being of women surgery residents：a randomized controlled trial. Ann Surg 277：188-195, 2023

11）Valanci-Aroesty S, Gtz-de-V JM, Feldman LS, et al：Reciprocal peer coaching for practice improvement in surgery：a pilot study. Surg Endosc 36：7187-7203, 2022

12）Gagliardi AR, Wright FC：Exploratory evaluation of surgical skills mentorship program design and outcomes. J Contin Educ Health Prof 30：51-56, 2010

13）Mutabdzic D, Mylopoulos M, Murnaghan ML, et al：Coaching surgeons：is culture limiting our ability to improve? Ann Surg 262：213-216, 2015

14）Shafa G, Kiani P, Masino C, et al：Training for excellence：using a multimodal videoconferencing platform to coach surgeons and improve intraoperative performance. Surg Endosc 37：9406-9413, 2023

15）Yang JH, Goodman ED, Dawes AJ, et al：Using AI and computer vision to analyze technical proficiency in robotic surgery. Surg Endosc 37：3010-3017, 2023

16）Levin M, McKechnie T, Khalid S, et al：Automated methods of technical skill assessment in surgery：a systematic review. J Surg Educ 76：1629-1639, 2019

17）Gendia A：Cloud based AI-driven video analytics（CAVs）in laparoscopic surgery：a step closer to a virtual portfolio. Cureus 14：e29087, 2022