{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T01:09:24Z","timestamp":1790816964519,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:00:00Z","timestamp":1662076800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There are limited opportunities for surgeons to engage in active learning programs once they achieve Fellowship, especially for non\u2010technical skills such as communication. This study aims to address this gap by evaluating a peer\u2010based coaching program in non\u2010technical skill using video\u2010recorded patient consultations from a routine outpatient clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Standard outpatient consultations between consultant surgeons and patients were video recorded. The surgeon viewed the videos with a peer\u2010coach (senior surgeon) who helped identify areas of strength and areas for improvement. To test the effect of the coaching session, outpatient consultations were recorded roughly 1\u2009month later. Pre and post\u2010coaching videos were assessed using the Maastricht History\u2010Taking and Advice Scoring \u2013 Global Rating List (MAAS), a common tool for evaluating non\u2010technical skills in clinicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 12 surgeons consented to participate. Coaching significantly improved MAAS scores (mean difference\u00a0=\u00a0\u22120.61; 95% CI (\u22120.88, \u22120.33); <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). Surgeons were generally positive about the experience. All found the method of learning suitable, and most thought the process improved their skills. Most thought that coaching would improve patient outcomes and the majority thought they would participate in ongoing coaching as part of their employment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This supports the concept of surgical coaching as an effective tool to improve communication skills and the quality of surgical consultation. The next step is to expand beyond a voluntary cohort and link surgical coaching to improved patient outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18012","type":"journal-article","created":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T10:03:11Z","timestamp":1662112991000},"page":"2868-2872","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Improving surgical excellence: first experience of a video\u2010based intervention in outpatients"],"prefix":"10.1111","volume":"92","author":[{"given":"Nelson","family":"Granchi","sequence":"first","affiliation":[{"name":"Discipline of Surgery The University of Adelaide, The Queen Elizabeth Hospital  Woodville South South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8066-7259","authenticated-orcid":false,"given":"Jessica","family":"Reid","sequence":"additional","affiliation":[{"name":"Discipline of Surgery The University of Adelaide, The Queen Elizabeth Hospital  Woodville South South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0280-0795","authenticated-orcid":false,"given":"Katarina","family":"Foley","sequence":"additional","affiliation":[{"name":"Discipline of Surgery The University of Adelaide, The Queen Elizabeth Hospital  Woodville South South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda Le","family":"Couteur","sequence":"additional","affiliation":[{"name":"School of Psychology The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Edwards","sequence":"additional","affiliation":[{"name":"Adelaide Health Technology Assessment, School of Public Health The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Feo","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Sciences Flinders University  Bedford Park South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0650-9153","authenticated-orcid":false,"given":"Markus","family":"Trochsler","sequence":"additional","affiliation":[{"name":"Discipline of Surgery The University of Adelaide, The Queen Elizabeth Hospital  Woodville South South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Bruening","sequence":"additional","affiliation":[{"name":"Discipline of Surgery The University of Adelaide, The Queen Elizabeth Hospital  Woodville South South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2064-181X","authenticated-orcid":false,"given":"Guy","family":"Maddern","sequence":"additional","affiliation":[{"name":"Discipline of Surgery The University of Adelaide, The Queen Elizabeth Hospital  Woodville South South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,2]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Personal Best: Top Athletes and Singers Have Coaches. 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