Helping the Surgeon Recover: Peer-to-Peer Coaching after Bile Duct Injury

Background Bile duct injury sustained during laparoscopic cholecystectomy is associated with high morbidity and mortality and can be a devastating complication for a General Surgeon. We introduce a novel individualized surgical coaching program for surgeons who recently injured a bile duct in laparoscopic cholecystectomy. We aim to explore the perception of coaching among these surgeons and to assess surgeons’ experiences in the coaching program. Study Design Six General Surgeons who injured a bile duct at an emergency laparoscopic cholecystectomy participated in a one-on-one coaching session with an Hepatopancreatobiliary surgeon. The session focused on debriefing the index case with video feedback, and discussion of strategies for safe laparoscopic cholecystectomy. The pilot program ran from March to November 2020. Exit interviews were then conducted. Themes covering perception of surgical training, perception of complications, and experience in the coaching program were explored. Results Surgeons were generally accepting of the coaching program, especially when the goals aligned with their self-identified areas of development. One-on-one sessions with a local expert in the area, and the use of video feedback created a unique and interactive coaching opportunity. Peer coaching was identified as a valuable resource in helping surgeons regain confidence and maintain well-being after a bile duct injury. Maintaining a collegial, non-judgmental relationship is critical in establishing positive coaching experiences. Conclusion An individualized surgical coaching program creates a unique opportunity for professional development and may help promote safe laparoscopic cholecystectomy.