Date of Award


Degree Type


Degree Name

Doctor of Philosophy in Education



First Advisor

Kathy Peno


In the current era of a reduced hourly workweek and competency-based curriculum, it is becoming increasingly clear that the cognitive apprenticeship model of training, which dominated the surgical discipline for well over a century, may no longer be the single best strategy to train the surgeons of today. There needs to be a multifaceted approach to surgical residency training, especially with regards to improving technical skill acquisition. Video-based-coaching is quickly being adapted for use in many training programs due to its low cost and broad range of applications including self-assessment, operative evaluations, and bench model training. The challenge for most surgical residency programs is that there is very little discussion regarding the best way to train faculty as coaches, which particular coaching framework should be used, or how best to incorporate coaching into a training curriculum. The purpose of this research is to address these questions by comparing the implementation of a curriculum using structured, individualized, video-based coaching against self-assessment video analysis only as a way to improve technical skill acquisition in surgical residents participating in a vascular anastomosis simulation workshop.



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