[Video clip of an operating room]

[Text on screen: Kara Rossfeld, MD
2018 Chief Resident]

Speaker Kara Rossfeld, MD: The OR coaching project at Ohio State started during my chief year of residency, and so I was one of the first class to be able to partake in the project. It was an incredibly helpful time to do that, because it's really in that year you're trying to polish and understand what you need to do to become an independent operator.

[Various video clips of individuals working in an operating room during a surgery]

[Text on screen: E. Christopher Ellison, MD
Academy Professor and Robert M. Zollinger Professor Emeritus]

Speaker E. Christopher Ellison, MD: I think the coaching program at The Ohio State Wexner Medical Center is very unique in that it allows the resident to be evaluated by an attending surgeon, plus a senior and experienced surgeon that's looking at different things. We identified six key operations that our residents should be able to perform independently at the end of five years of practice.

Speaker Rossfeld, MD: One of the benefits of the coaching project is that you have a third party observer providing feedback to what you're doing as opposed to receiving feedback from somebody who is managing a whole operating room and the procedure, and then trying to give you feedback as well.

[Video clip of an attending in an operating room]

Speaker Ellison, MD: The attending is like the point guard in a basketball game, so the point guard is not able to watch everything that's going on. They've got their eye on the ball and their eye on the basket. Same in the operating room, where the attending physician is focused completely on what is happening in the operative field. Whereas a third observer, or a coach, stands back and sees many different things.

[Video clip of a coach in an operating room]
 
Simple things like how are the lights set, can they see things well, are they mobile or do they stand like a statue? 

[Various video clips of individuals performing a surgery in an operating room]

And the resident gets a score about whether they can be autonomous in the operation.

Speaker Rossfeld, MD: It really drove me to think about operations a different way and how I would want to do them independently. And, as I'm still in training, I have this in the back of my head going forward.

[TEXT: The Ohio State University
Wexner Medical Center]