Pilot Study Evaluating the Impact of Otology Surgery Videos on Otolaryngology Resident Education

Poon, C. M.; Stevens, Shawn M.; Golub, Justin S.; Pensak, Myles L.; Samy, Ravi N.

doi:10.1097/mao.0000000000001303

Cited by 23 publications

(40 citation statements)

References 14 publications

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“…), selected initial propositions based on personal experience, video guidelines of major journals, and a literature review. 3,5,10,[12][13][14][15][17][18][19][20][21][22][23] A Delphi questionnaire was created, and the propositions were reviewed online by the entire consensus committee in three rounds. Blinded feedback was shared among respondents between each round, and the respondents were able to suggest new propositions at the end of round 1.…”

Section: Methodsmentioning

confidence: 99%

“…Educational videos have been shown to increase surgical skills and, as such, are increasingly included in the resident curriculum to expedite the training of young surgeons. [1][2][3][4][5][6][7][8][9][10] Many different video platforms exist, the most used being YouTube, but also specialized surgery-orientated platforms or online medical journal platforms. 4,[10][11][12] Educational surgery videos that are available online are too often of insufficient quality and are rarely peer reviewed.…”

Section: Introductionmentioning

confidence: 99%

“…4,[10][11][12] Educational surgery videos that are available online are too often of insufficient quality and are rarely peer reviewed. 5,11,[13][14][15][16] Guidelines are available for other specialties, such as general surgery, to help improve the quality of the videos, but none are available in otorhinolaryngology. 17,18 Our specialty is well suited to the creation of surgical videos, particularly when using endoscopes or microscopes in otology, rhinology, or laryngology, as first-person surgical films are readily available.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

IVORY Guidelines (Instructional Videos in Otorhinolaryngology by YO‐IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat

et al. 2020

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Objectives/Hypothesis: Otolaryngology instructional videos available online are often of poor quality. The objective of this article was to establish international consensus recommendations for the production of educational surgical videos in otolaryngology. Study Design: DELPHI survey. Methods: Twenty-seven international respondents participated in this study from 12 countries. Consensus was reached after three rounds of questionnaires following the Delphi methodology. The proposals having reached the 80% agreement threshold in the third round were retained. Results: The main recommendations are as follows: 1) Ethics: patients must be anonymized and unrecognizable (apart from plastic surgery if necessary). A signed authorization must be obtained if the person is recognizable. 2) Technical aspects: videos should be edited and in high-definition (HD) quality if possible. Narration or subtitles and didactic illustrations are recommended. 3) Case presentation: name of pathology and procedure must be specified; the case should be presented with relevant workup. 4) Surgery: surgical procedures should be divided into several distinct stages and include tips and pitfalls. Pathology should be shown if relevant. Key points should be detailed at the end of the procedure. 5) Organ-specific: type of approach and bilateral audiometry should be specified in otology. Coronal plane computed tomography scans should be shown in endonasal surgery. It is recommended to show pre-and postoperative videos in voice surgery and preoperative drawings and photos of scars in plastic surgery, as well as the ventilation method in airway surgery.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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IVORY Guidelines (Instructional Videos in Otorhinolaryngology by YO‐IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat

et al. 2020

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“…The scoping review indicated that a large number of YouTube videos exist across a variety of medical topic areas, including: nephrology [36], geriatric care [16], anatomy [35], otology/neurotology [37], surgery [29], and heart failure [22]. Generally, only a small number of studies demonstrated the effectiveness of YouTube videos at higher evaluative outcome levels as an effective educational resource in medical education.…”

Section: Discussionmentioning

confidence: 99%

“…Studies that involved an educational intervention which reported evaluative outcomes (n=6) explored the use of YouTube in providing educational content across a variety of subject areas, including: nephrology [36], geriatric care [16], anatomy [35], otology/neurotology [37], surgery [29], and heart failure [22]. summarizing the content of a recent guideline on the management of heart failure, in an effort to increase the dissemination of guidelines among physicians.…”

Section: Papers Identified Inmentioning

confidence: 99%

YouTube as an Educational Resource in Medical Education: A Scoping Review (Preprint)

Curran¹,

Simmons²,

Fleet³

et al. 2017

Preprint

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Using Intraoperative Recordings to Evaluate Surgical Technique and Performance in Mastoidectomy

Lee

Liu

et al. 2020

JAMA Otolaryngol Head Neck Surg

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currently lack rigorous methods for assessing surgical skill and often rely on biased tools of evaluation.OBJECTIVES To evaluate which techniques used in mastoidectomy can serve as indicators of surgeon level (defined as the level of training) and whether these determinations of technique can be made based solely on the movement of the drill head or suction. DESIGN, SETTING, AND PARTICIPANTSIn this prospective, observational study conducted from January 1, 2015, to December 31, 2019, at a single tertiary care institution, 3 independent observers made blinded evaluations on 24 intraoperative recordings of surgeons (6 junior residents, 4 senior residents, and 2 attending surgeons) performing mastoidectomies. MAIN OUTCOMES AND MEASURESObservers assessed drill stroke count, drilling efficiency, stroke pattern, use of suction and irrigation, and estimated surgeon level. Assessments were made on both original videos and animated videos that show only the path of the burr head or suction as dots against a white background. RESULTS Among the 24 recorded mastoidectomies performed by the 12 study surgeons, intraclass correlation was excellent for original video assessment of drill stroke count (0.98 [95% CI, 0.97-1.00]), use of suction (0.75 [95% CI, 0.52-0.89]), use of irrigation (0.83 [95% CI, 0.66-0.92]), and estimated surgeon level (0.82 [95% CI, 0.64-0.92]) and fair for drilling efficiency (0.54 [95% CI, 0.09-0.79]) and stroke pattern (0.49 [95% CI, −0.02 to 0.76]). Intraclass correlation was excellent for animated video assessment of drill stroke count per unit time (0.98 [95% CI, 0.96-0.99]) and drilling efficiency (0.80 [95% CI, 0.60-0.91]), good for stroke pattern (0.68 [95% CI,) and estimated surgeon level (based on path of drill) (0.69 [95% CI, 0.38-0.85]), and fair for use of suction (0.58 [95% CI, 0.16-0.80]) and estimated surgeon level (based on path of suction) (0.58 [95% CI, 0.17-0.80]). On evaluation of original videos, junior residents had lower drill stroke count compared with senior residents and attending surgeons (6.0 [interquartile range (IQR), 3.

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Pilot Study Evaluating the Impact of Otology Surgery Videos on Otolaryngology Resident Education

Cited by 23 publications

References 14 publications

IVORY Guidelines (Instructional Videos in Otorhinolaryngology by YO‐IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat

IVORY Guidelines (Instructional Videos in Otorhinolaryngology by YO‐IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat

YouTube as an Educational Resource in Medical Education: A Scoping Review (Preprint)

Using Intraoperative Recordings to Evaluate Surgical Technique and Performance in Mastoidectomy

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