Evaluating YouTube Videos for Resident Education in Free Flap Surgery

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY Laryngoscope Investigative Otolaryngology Pub Date : 2025-02-14 DOI:10.1002/lio2.70079

Andrew Meci, Craig Bollig, Christopher C. Tseng, Neerav Goyal

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Abstract

Objective

The ease of access of online videos and the popularity of visual learning have made YouTube a popular educational resource. We analyzed the utility of YouTube videos for graduate medical education about free flap surgery using a cross-sectional study design.

Methods

Using the phrases “free flap surgery” and “free flap head and neck,” YouTube videos for inclusion were identified. Videos were analyzed by free flap surgeons using Modified DISCERN, Global Quality Score (GQS), and JAMA Benchmark metrics of video quality, educational value, and transparency, respectively. Statistical analysis of video metadata and expert-determined scores was performed.

Results

In total, 44 videos with 517,227 combined views were analyzed. Most videos were intra-operative (63.6%), published by physicians (34.1%) or medical institutions (22.7%), and had health professional target audiences (95.5%). The mean Modified DISCERN score was 15.4/25, with most videos classified as “fair” (54.6%). The mean GQS was 4.17/5 and the mean JAMA Benchmark was 2.7/4. Higher Modified DISCERN scores were significantly associated with health professional target audiences (p = 0.04) and webinars (p = 0.03). Higher GQS was also significantly associated with a health professional target audience (p < 0.01), and higher JAMA scores with YouTube verification (p = 0.04).

Conclusion

Routine YouTube searches may not yield results ideal for resident education in head and neck free flap surgery. While many videos are of good educational value, lower transparency and reliability scores raise concerns of biased information. It is important to consider vetted educational or health care sources for resident surgical education.

Level of Evidence

Level IV (cross-sectional study).

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评价YouTube视频对居民游离皮瓣手术教育的作用

目的网络视频的易访问性和视觉学习的普及使YouTube成为一个受欢迎的教育资源。我们采用横断面研究设计分析了YouTube视频对研究生自由皮瓣手术医学教育的效用。方法使用短语“free flap surgery”和“free flap head and neck”对YouTube视频进行筛选。视频由自由皮瓣外科医生分别使用Modified DISCERN、Global Quality Score （GQS）和JAMA Benchmark指标对视频质量、教育价值和透明度进行分析。对视频元数据和专家评分进行统计分析。结果共分析44个视频，总浏览量517,227次。视频以术中视频（63.6%）、医生视频（34.1%）和医疗机构视频（22.7%）为主，以卫生专业人群为主（95.5%）。修正辨别的平均得分为15.4/25，大多数视频被评为“一般”（54.6%）。GQS平均值为4.17/5，JAMA Benchmark平均值为2.7/4。更高的修正辨别分数与卫生专业目标受众（p = 0.04）和网络研讨会（p = 0.03）显著相关。GQS越高，目标受众越健康（p < 0.01）， YouTube验证后JAMA评分越高（p = 0.04）。结论常规的YouTube搜索可能无法获得理想的头颈部游离皮瓣住院医师教育结果。虽然许多视频具有良好的教育价值，但较低的透明度和可靠性分数引起了人们对信息偏见的担忧。重要的是要考虑审查教育或卫生保健来源的住院医师外科教育。证据水平IV级（横断面研究）。

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