TOTBV-02: USING GOPRO CAMERAS TO CREATE OSATS VIDEO PORTFOLIOS FOLLOWING THE ACS/APDS CORE SKILLS CURRICULUM
Sophia K McKinley, MD EdM; Massachusetts General Hospital

What problem in education is addressed by this work?:
The Core Skills Curriculum developed jointly by the American College of Surgeons (ACS) and Association of Program Directors in Surgery (APDS) addresses the surgical skills that trainees are expected to acquire in the early phases of training ranging from suturing and knot-tying to vascular anastomosis. While there exists published simulation modules and suggested scoring rubrics, there is limited guidance for surgical training programs on how to effectively administer these materials across time or create longitudinal assessment portfolios of these simulated surgical skills.

Describe the intervention:
We administered the ACS/APDS curriculum in a structured, weekly fashion with monthly Objective Structured Assessment of Technical Skills (OSATS) that incorporated immediate post-test verbal feedback from the faculty examiner. Junior resident learners wore GoPro cameras during the OSATS; these videos of skills simulation were accrued into a Dropbox video portfolio for each resident comprised of both of OSATS task performance and examiner feedback. The video portfolios allow trainees to review and reference their performance during self-guided learning while also providing materials for video-based coaching of surgical skills by faculty or more senior trainees.

Describe how this intervention could be applied at other institutions. Please specifically comment on identified barriers that could exist and how they could be overcome:
Institutions already administering the ACS/APDS curriculum could require learners to wear GoPro cameras during OSATS sessions. The major barriers would be cost of the GoPro camera as well as the effort required to upload video into individual learner portfolios. The cost can be decreased through purchase of fewer or cheaper cameras, and the task of creating the video portfolios can be delegated to a surgical education research fellow, simulation specialist, or education administrator.