Background: Leadership skills are necessary for emergency medicine (EM) residents to acquire during their training. The literature supports video feedback and self-reflection to accurately assess clinical and leadership skills. Our goal is to evaluate the utility of video feedback in 1) providing residents an objective view of their performance, and 2) highlighting knowledge gaps.
Methods: A randomized, controlled trial was completed at an urban level 1 trauma center between September-October 2018. Ten second- and third-year residents were included in the trial. Each group had 2 medical resuscitations recorded per resident. Self assessment was performed by both groups via a written reflection instrument after their first code. The control group completed the reflection after their code while the intervention group viewed their code video while completing the written reflection. A second medical code was completed by each participant. Two faculty members, blinded to the study, scored each video using the Concise Assessment of Leader Management (CALM) scale to assess if the group that was able to view their videos improved their skills more than the control group.
Results: Consensus was achieved between the 2 faculty reviewers in 95% of the 300 total variables on the assessment tools. The observed difference in the intervention group was consistent, but not statistically significant, with the hypothesis (Mean intervention pre-post delta:1.6, mean control pre-post delta:-4.2). A statistically significant improvement in the CALM scale was found with (1) Prioritizes Task Order (p=0.02) and (2) Periodically Reassesses Patient between the control and the intervention groups (p=0.02).
Conclusions: We found that resuscitative video feedback is a viable tool to utilize in resident education. Video enhanced feedback improved resident performance with medical management. Future research incorporating multiple residency sites will be necessary to evaluate the effectiveness of video feedback on a larger scale.