Who should be teaching vaginal hysterectomy on a task trainer? A multicenter randomized trial of peer versus expert coachingTY - Original article AU - Christina M. Escobar AU - Dominique Malacarne Pape AU - Kimberly L. Ferrante AU - Meleen Chuang AU - Demian Szyld and Veronica Lerner A2 - T1 - Who should be teaching vaginal hysterectomy on a task trainer? A multicenter randomized trial of peer versus expert coaching Y1 - 2020-11-26 PY - JF - M3 - doi: 10.1102/2051-7726.2020.0007 SP - 63 EP - 72 UR - VL - 7 AB - Background: We studied performance on a simulator among senior residents performing vaginal hysterectomy by using an Objective Skills Assessments Test-Simulated Vaginal Hysterectomy (OSAT-SVH). The aim of this study was to determine whether there are differences seen in peer (resident to resident) coaching compared with expert (faculty to resident) coaching. Methods: Participants were third- and fourth-year OB/GYN residents at two academic institutions, who had performed fewer than five vaginal hysterectomies as primary surgeon. After orientation, participants performed vaginal hysterectomy on a trainer while being coached by either an expert or a peer. The peer coach was a third-year OBGYN resident and was trained by the expert coach before enrollment of the study participants in a separate 3-hour training session. Results: Participants were videotaped performing a second hysterectomy on the model without coaching. A blinded faculty reviewer rated the videotaped hysterectomy using OSAT-SVH. Mean Global Rating Scale (GRS) and procedure-specific checklist (PSC) scores were not statistically significant between the peer and expert groups: GRS 11.6 (SD, 4.5) versus 13.0 (SD, 5.5) (P = 0.59) and PSC 15.0 (SD, 4.4) versus 15.0 (SD, 5.1) (P = 1.0), respectively. Conclusion: This study may provide evidence that a trained resident surgical coach could be as effective as a faculty instructor when teaching the steps of vaginal hysterectomy using a task trainer. Further stu