Attending guidance advised: educational quality of surgical videos on YouTube

Jackson, Hope T.; Hung, Chen-min S.; Potarazu, Deepika; Habboosh, Noor; DeAngelis, Erik J.; Amdur, Richard L.; Estroff, Jordan; Quintana, Megan T.; Lin, Paul; Vaziri, Khashayar; Lee, Juliet

doi:10.1007/s00464-021-08751-0

Cited by 14 publications

(13 citation statements)

References 23 publications

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“…One study characterized only half of the videos as “good,” 25 while others have shown that the most-viewed videos consistently demonstrate concerning maneuvers or fail to achieve the Critical View of Safety (CVS). 17,18 Videos of the laparoscopic appendectomy are also described as being of low quality, with attending evaluations showing low overall utility and lack of standard quality. 16 Studies across multiple surgical specialties have repeatedly demonstrated that, among videos selected for analysis, the quality varies greatly and is rarely correlated with the number of views a video has.…”

Section: Discussionmentioning

confidence: 99%

“…Instead, many studies focus on elective laparoscopic and endoscopic procedures, which benefit from having a variety of validated tools developed to assess quality. 9,[12][13][14][15][16][17][18] These include the GOALS score, 13 visual analog scales for case difficulty (VAS-CD) and operator competence (VAS-OC), 13 and LAP-VEGas practice guidelines. 19 Many of the factors measured in these assessments are inherent to laparoscopic procedures, and cannot be used to evaluate emergency surgeries.…”

Section: Introductionmentioning

confidence: 99%

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Cricothyrotomy Online: Quality Assessment of Educational Videos on YouTube

Zwemer

Pierce

Wanersdorfer

et al. 2023

The American Surgeon™

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Background Medical learners may use YouTube® videos to prepare for procedures. Videos are convenient and readily available, but without any uploading standards, their accuracy and quality for education are uncertain. We assessed the quality of emergency cricothyrotomy videos on YouTube through an expert panel of surgeons with objective quality metrics. Methods A YouTube® search for “emergency cricothyrotomy” was performed and results were filtered to remove animations and lectures. The 4 most-viewed videos were sent to a panel of trauma surgeons for evaluation. An educational quality (EQ) score was generated for each video based on its ability to explain the procedure indications, orient the viewer to the patient, provide accurate narration, provide clear views of procedure, identify relevant instrumentation and anatomy, and explain critical maneuvers. Reviewers were also asked if safety concerns were present and encouraged to give feedback in a free-response field. Results Four surgical attendings completed the survey. The median EQ score was 6 on a 7-point scale (95% CI [6, 6]). All but one of the individual parameters had a median EQ score of 6 (95% CI: indications [3, 7], orientation [5, 7], narration [6, 7], clarity [6, 7], instruments [6, 7], anatomy [6, 6], critical maneuvers [5, 6]). Safety received a lower EQ score (5.5, 95% CI [2, 6]). Conclusions The most-viewed cricothyrotomy videos were rated positively by surgical attendings. Still, it is necessary to know if medical learners can distinguish high from low quality videos. If not, this suggests a need for surgical societies to create high-quality videos that can be reliably and efficiently accessed on YouTube®.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cricothyrotomy Online: Quality Assessment of Educational Videos on YouTube

Zwemer

Pierce

Wanersdorfer

et al. 2023

The American Surgeon™

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“…This is based on outcome measures such as trainee satisfaction gauged by participant questionnaires and improved operative performance [ 23 – 25 ]. Such findings suggest a high-quality and standardised video library is valuable to current trainees, with research showing public video-sharing platforms such as YouTube to be the most popular resource for case preparation [ 26 ].…”

Section: Methodsmentioning

confidence: 99%

Evolution of the digital operating room: the place of video technology in surgery

Youssef

Haram²,

Noël

et al. 2023

Langenbecks Arch Surg

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Purpose The aim of this review was to collate current evidence wherein digitalisation, through the incorporation of video technology and artificial intelligence (AI), is being applied to the practice of surgery. Applications are vast, and the literature investigating the utility of surgical video and its synergy with AI has steadily increased over the last 2 decades. This type of technology is widespread in other industries, such as autonomy in transportation and manufacturing. Methods Articles were identified primarily using the PubMed and MEDLINE databases. The MeSH terms used were “surgical education”, “surgical video”, “video labelling”, “surgery”, “surgical workflow”, “telementoring”, “telemedicine”, “machine learning”, “deep learning” and “operating room”. Given the breadth of the subject and the scarcity of high-level data in certain areas, a narrative synthesis was selected over a meta-analysis or systematic review to allow for a focussed discussion of the topic. Results Three main themes were identified and analysed throughout this review, (1) the multifaceted utility of surgical video recording, (2) teleconferencing/telemedicine and (3) artificial intelligence in the operating room. Conclusions Evidence suggests the routine collection of intraoperative data will be beneficial in the advancement of surgery, by driving standardised, evidence-based surgical care and personalised training of future surgeons. However, many barriers stand in the way of widespread implementation, necessitating close collaboration between surgeons, data scientists, medicolegal personnel and hospital policy makers.

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“…Studies examining content on YouTube, the most common source for surgical videos, report substantial variability in educational value due to nonuniform production quality, unclear intent (education or marketing), lack of a peer-review process, and many times suboptimal techniques and maneuvers. [33][34][35] The learning method using instructional videos has shown to be less effective than hand-on learning using a simulator for microsurgery training, especially in understanding the procedure. However, traditional video instruction can increase the effectiveness of the training curriculum for novices when videos follow recommendations such as the LAP-VEGaS practice guidelines for surgical educational videos.…”

Section: Videos and Websitesmentioning

confidence: 99%

The importance of simulation training in surgical sciences

et al. 2022

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Simulators have been used throughout history to practice complicated procedures before performing them on human beings. The earliest simulation attempts were in cadavers. Donor bodies are still used for teaching and research but involve costly infrastructure, ethical and legal issues, as well as animal models. Training models need to be purposefully designed. These can be physical models, 3-D printed, simulators with virtual reality, augmented reality, or a hybrid simulation. The inert model is an alternative for animal tissue models, based on a trial-and-error method, the learning curve is approximately 65 procedures for a laparoscopist. Simulations models with virtual and augmented reality have shown that can reduce the time of practitioners with experience in laparoscopy, with an approximate reduction of 30 to 58%. Video-based learning method has been adopted in recent years but has shown to be less effective than hand-on learning using a simulator. Simulation can be involved to simulate specific scenarios, recreate simulated trauma patients, help develop a doctor-patient relationship and prepare complex approaches. Patient safety concerns call for the need to train medical personnel in simulated settings to reduce cost and patient morbidity because the ability to acquire surgical skills requires consistent practice. Simulation represents ideal teaching methods to optimize the knowledge and skill of residents before they are entrusted with procedures with real patients.

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Attending guidance advised: educational quality of surgical videos on YouTube

Cited by 14 publications

References 23 publications

Cricothyrotomy Online: Quality Assessment of Educational Videos on YouTube

Cricothyrotomy Online: Quality Assessment of Educational Videos on YouTube

Evolution of the digital operating room: the place of video technology in surgery

The importance of simulation training in surgical sciences

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