Video review for measuring and improving skill in urological surgery

Prebay, Zachary; Peabody, James O.; Miller, David C.; Ghani, Khurshid R.

doi:10.1038/s41585-018-0138-2

Cited by 32 publications

(11 citation statements)

References 59 publications

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“…In accordance with the NPCR, MUSIC argues that objective identification of surgeons who achieve better outcomes will provide insight into specific techniques associated with those better outcomes (30)(31)(32). It has been suggested that peer reviewing of surgical videos and coaching may improve surgical skills and, hopefully, patient outcomes (33,34).…”

Section: Effects Of Qaps In Pca Carementioning

confidence: 99%

Improving Prostate Cancer Care through Quality Assurance Programs

Veerman¹,

Hagens²,

Vis³

et al. 2022

Urologic Cancers

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Continuous quality assurance assessment and control in healthcare is essential to provide patients with the best possible care. Quality assurance programs have been developed to improve future healthcare by thoroughly studying patient outcomes on a physician-or institutional-level. Through the continuous and cyclical process of data registration, evaluation and adaptation, opportunities are sought to improve (individual) patient outcomes. Over the past decade, quality assurance programs have been initiated within urological clinical practice, mainly focusing on the diagnosis and surgical treatment of prostate cancer. While they all share the same philosophy to improve healthcare, existing quality assurance programs differ greatly. To date, little is known about their effects on the outcomes of prostate cancer care. In this chapter, we summarize the current knowledge regarding quality assurance program within prostate cancer care. We provide insights into how quality Assurance programs can improve and assure future diagnosis and treatment of prostate cancer.

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Section: Effects Of Qaps In Pca Carementioning

confidence: 99%

Improving Prostate Cancer Care through Quality Assurance Programs

Veerman¹,

Hagens²,

Vis³

et al. 2022

Urologic Cancers

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“…By obtaining an adequately large volume of information from a heterogeneous group of blinded, unbiased lay people, a generalizable result may be attained. This approach has been used to assess surgical skills (Holst et al, 2015; Dai et al, 2017; Prebay et al, 2019) and esthetic outcomes of cleft lip repair (Tse et al, 2016). It has also been used to assess speech characteristics in the noncleft population, where it was found to be efficient, valid, and reliable (McAllister Byun et al, 2015; Lansford et al, 2016; Harel et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Crowdsourcing to Assess Speech Quality Associated With Velopharyngeal Dysfunction

Paulsgrove

Miller

Seidel

et al. 2020

The Cleft Palate-Craniofacial Journal

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Objective: To assess crowdsourced responses in the evaluation of speech outcomes in children with velopharyngeal dysfunction (VPD). Design: Fifty deidentified speech samples were compiled. Multiple pairwise comparisons obtained by crowdsourcing were used to produce a rank order of speech quality. Ratings of overall and specific speech characteristics were also collected. Twelve speech-language pathologists (SLPs) who specialize in VPD were asked to complete the same tasks. Crowds and experts completed each task on 2 separate occasions at least 1 week apart. Setting: On-line crowdsourcing platform. Participants: Crowdsource raters were anonymous and at least 18 years of age, North American English speakers with self-reported normal hearing. Speech-language pathologists were recruited from multiple cleft/craniofacial teams. Interventions: None. Main Outcome Measure(s): Correlation of repeated assessments and comparison of crowd and SLP assessments. Results: We obtained 6331 lay person assessments that met inclusion criteria via crowdsourcing within 8 hours. The crowds provided reproducible Elo rankings of speech quality, ρ(48) = .89; P <.0001, and consistent ratings of intelligibility and acceptability (intraclass correlation coefficient [ICC] = .87 and .92) on repeated assessments. There was a significant correlation of those crowd rankings, ρ(10) = .86; P = .0003, and ratings (ICC = .75 and .79) with those of SLPs. The correlation of more specific speech characteristics by the crowds and SLPs was moderate to weak (ICC < 0.65). Conclusions: Crowdsourcing shows promise as a rapid way to obtain large numbers of speech assessments. Reliability of repeated assessments was acceptable. Large groups of naive raters yield comparable evaluations of overall speech acceptability, intelligibility, and quality, but are not consistent with expert raters for specific speech characteristics such as resonance and nasal air emission.

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“…Various approaches to educating new and inexperienced surgeons regarding ES have been reported, including the use of textbooks, published papers, videos, simulators, surrogate animals, and cadavers [7,8]. Among them, highquality videos of ES procedures, which allow surgeons to watch an operation recorded in progress, have great potential to enhance surgical education [9][10][11][12]. The conference, in which expert surgeons review ES videos and instruct the precise procedure to the audience, could not only improve the trainee's surgical skill and knowledge, but educate the conference participants as well.…”

Section: Introductionmentioning

confidence: 99%

Regional education on endoscopic surgery using a teleconference system with high-quality video via the internet: Saga surgical videoconferences

et al. 2020

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Background Effective education about endoscopic surgery (ES) is greatly needed for unskilled surgeons, especially at low-volume institutions, to maintain the safety of patients. We have tried to establish the remote educational system using videoconference system through the internet for education about ES to surgeons belonging to affiliate institutions. The aim of this manuscript was to report the potential to establish a comfortable remote educational system and to debate its advantages. Methods We established a local remote educational conference system by combining the use of a general web conferencing system and a synchronized remote video playback system with annotation function through a high-speed internet. Results During 2014–2019, we conducted 14 videoconferences to review and improve surgeons’ skills in performing ES at affiliated institutions. At these conferences, while an uncut video of ES that had been performed at one of the affiliated institutions was shown, the surgical procedure was discussed frankly, and expert surgeons advised improvements. The annotation system is useful for easy, prompt recognition among the audience regarding anatomical structures and procedures that are difficult to explain verbally. Conclusions This system is of low initial cost and offers easy participation and high-quality videos. It would therefore be a useful tool for regional ES education.

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Video review for measuring and improving skill in urological surgery

Cited by 32 publications

References 59 publications

Improving Prostate Cancer Care through Quality Assurance Programs

Improving Prostate Cancer Care through Quality Assurance Programs

Crowdsourcing to Assess Speech Quality Associated With Velopharyngeal Dysfunction

Regional education on endoscopic surgery using a teleconference system with high-quality video via the internet: Saga surgical videoconferences

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