Health Sciences Education Symposium

First Author Information

Mireille Truong, MD, Assistant Professor, School of Medicine, Department of Obstetrics and Gynecology

Additional Author(s) Information

"Claire Tobias, MD, OBGYN Resident PGY-1, Columbia University Medical Center, Department of Obstetrics & Gynecology Rini Ratan, MD, Vice Chair of Education and Residency Program Director, Columbia University Medical Center, Department of Obstetrics & Gynecology"

Presentation Format


Type of Activity


Original Presentation Date


Date of Submission

May 2017

Abstract/Short Description

This prospective study compared the effect of traditional versus video-based education in gynecologic surgery on cognitive and surgical skills performance among millennial medical trainees and evaluated the impact of individual learning preference on performance. Residents and medical students in their OBGYN rotation at an urban university-hospital were recruited and assigned to either traditional training (TT) or video-based training (VBT) for teaching of skills needed for total laparoscopic hysterectomy. Pre- and post-intervention knowledge and skills assessments were performed. Subjects’ learning preference was evaluated with the validated VARK© questionnaire. VBT and TT change in knowledge and skills assessment scores was compared, and the relationship between learning preference and assessment scores was compared. 120 medical students (n=59 VBT v. n=61 TT) and 24 residents (n=12 per group) participated. Compared with TT, the VBT group had greater improvement in knowledge assessment scores and higher scores on the skills assessment. Among medical students, as visual and auditory learning preference increased, there was an improvement in knowledge assessment scores (visual p=0.04, CI 0.01-0.49, auditory (p=0.04, CI 0.01 -0.56). Among residents, as auditory learning preference increased, change in skills assessment score increased (p=0.03, CI 0.08-1.34). Based on these results, video-based teaching may be an effective educational tool in gynecologic surgery. Cognitive and skills-based performance may be enhanced among individuals with visual and/or auditory learning preferences.

Purpose/Research Question

The purpose of the study is to compare the effect of traditional versus video-based education in gynecologic surgery on task-specific cognitive and surgical skills performance, and to evaluate the impact of individual learning preference on performance among OBGYN medical students and residents.


1. To compare the effect of traditional vs. video-based education in gynecologic surgery on task-specific cognitive and psychomotor skills performance among millennial trainees.

2. To evaluate the impact of individual learning preference on both task-specific cognitive and psychomotor skills performance among millennial trainees.


1. Contessa, J., Ciardiello, K. A., & Perlman, S. (2005). Surgery Resident Learning Styles and Academic Achievement. Current Surgery,62(3), 344-347. doi:10.1016/j.cursur.2004.09.012

2. Dilullo, C., Coughlin, P., D'angelo, M., Mcguinness, M., Bandle, J., Slotkin, E. M., . . . Berray, S. J. (2006). Anatomy in a New Curriculum: Facilitating the Learning of Gross Anatomy using Web Access Streaming Dissection Videos. Journal of Visual Communication in Medicine,29(3), 99-108. doi:10.1080/01405110601080738

3. Jowett, N., Leblanc, V., Xeroulis, G., Macrae, H., & Dubrowski, A. (2007). Surgical skill acquisition with self-directed practice using computer-based video training. The American Journal of Surgery,193(2), 237-242. doi:10.1016/j.amjsurg.2006.11.003

4. Kim, R. H., Gilbert, T., & Ristig, K. (2015). The Effect of Surgical Resident Learning Style Preferences on American Board of Surgery In-Training Examination Scores. Journal of Surgical Education,72(4), 726-731. doi:10.1016/j.jsurg.2014.12.009

5. Kim, R. H., & Gilbert, T. (2015). Learning style preferences of surgical residency applicants. Journal of Surgical Research,198(1), 61-65. doi:10.1016/j.jss.2015.05.021

6. Mehrpour, S. R., Aghamirsalim, M., Motamedi, S. M., Larijani, F. A., & Sorbi, R. (2012). A Supplemental Video Teaching Tool Enhances Splinting Skills. Clinical Orthopedics and Related Research®,471(2), 649-654. doi:10.1007/s11999-012-2638-3

7. Nousiainen, M., Brydges, R., Backstein, D., & Dubrowski, A. (2008). Comparison of expert instruction and computer-based video training in teaching fundamental surgical skills to medical students. Surgery,143(4), 539-544. doi:10.1016/j.surg.2007.10.022

8. Shippey, S. H., Chen, T. L., Chou, B., Knoepp, L. R., Bowen, C. W., & Handa, V. L. (2011). Teaching Subcuticular Suturing to Medical Students: Video versus Expert Instructor Feedback. Journal of Surgical Education,68(5), 397-402. doi:10.1016/j.jsurg.2011.04.006

9. Srivastava, G., Roddy, M., Langsam, D., & Agrawal, D. (2012). An Educational Video Improves Technique in Performance of Pediatric Lumbar Punctures. Pediatric Emergency Care,28(1), 12-16. doi:10.1097/pec.0b013e31823ed5ed

10. Woodworth, G. E., Chen, E. M., Horn, J. E., & Aziz, M. F. (2014). Efficacy of computer-based video and simulation in ultrasound-guided regional anesthesia training. Journal of Clinical Anesthesia,26(3), 212-221. doi:10.1016/j.jclinane.2013.10.013

11. Xeroulis, G. J., Park, J., Moulton, C., Reznick, R. K., Leblanc, V., & Dubrowski, A. (2007). Teaching suturing and knot-tying skills to medical students: A randomized controlled study comparing computer-based video instruction and (concurrent and summary) expert feedback. Surgery,141(4), 442-449. doi:10.1016/j.surg.2006.09.012


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Is Part Of

VCU Medical Education Symposium