评估YouTube作为在线教育工具在腹腔镜Roux-en-Y胃旁路术教学:一项LAP-VEGaS研究

IF 0.6 Q4 SURGERY Surgery in practice and science Pub Date : 2023-09-01 DOI:10.1016/j.sipas.2023.100199
Armaun D. Rouhi , Jeffrey L. Roberson , Emily Kindall , Yazid K. Ghanem , William S. Yi , Noel N. Williams , Kristoffel R. Dumon
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引用次数: 0

摘要

普通外科住院医师经常访问YouTube®以获得外科手术的教育演练。本研究的目的是使用经过验证的视频评估工具评估YouTube®腹腔镜Roux-en-Y胃旁路术(LRYGB)视频演练的教育质量。方法回顾性分析“腹腔镜Roux-en-Y胃旁路术”、“腹腔镜RYGB胃旁路术”和“腹腔镜胃旁路术”的YouTube视频。从三个YouTube®搜索中收集前100个视频,并删除重复的视频。纳入的视频被分类为医师(由医生个人制作)、学术(大学/医学院)或社会(专业外科学会),并由三名独立调查员使用腹腔镜手术视频教育指南(LAP-VEGaS)视频评估工具(0-18)进行评分。数据分析采用Bonferroni校正和Spearman相关检验的单因素方差分析。结果在收集到的300个视频中,有31个独特的视频符合选择标准并进行了分析。平均LAP-VEGaS评分为8.67 (SD 3.51)。社会视频的LAP-VEGaS平均评分明显高于医师视频(p = 0.023)。大多数视频缺乏正式的病例介绍(71%),术中发现(81%)和手术时间(76%)。LAP-VEGaS评分与点赞或观看次数、视频长度或上传日期之间没有相关性。结论:YouTube®上的slrygb培训视频通常不遵守LAP-VEGaS指南,教育质量较差,这表明教育工作者需要改进。
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Assessment of YouTube as an online educational tool in teaching laparoscopic Roux-en-Y gastric bypass: A LAP-VEGaS study

Background

General surgery residents frequently access YouTube® for educational walkthroughs of surgical procedures. The aim of this study is to evaluate the educational quality of YouTube® video walkthroughs on Laparoscopic Roux-en-Y gastric bypass (LRYGB) using a validated video assessment tool.

Methods

A retrospective review of YouTube® videos was conducted for “laparoscopic Roux-en-Y gastric bypass”, “laparoscopic RYGB”, and “laparoscopic gastric bypass.” The top 100 videos from three YouTube® searches were gathered and duplicates were removed. Included videos were categorized as Physician (produced by individual physician), Academic (university/medical school), or Society (professional surgical society) and rated by three independent investigators using the LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) video assessment tool (0–18). The data were analyzed using one-way ANOVA with Bonferroni correction and Spearman's correlation test.

Results

Of 300 videos gathered, 31 unique videos met selection criteria and were analyzed. The average LAP-VEGaS score was 8.67 (SD 3.51). Society videos demonstrated a significantly higher mean LAP-VEGaS score than Physician videos (p = 0.023). Most videos lacked formal case presentation (71%), intraoperative findings (81%), and operative time (76%). No correlation was demonstrated between LAP-VEGaS scores and number of likes or views, video length, or upload date.

Conclusions

LRYGB training videos on YouTube® generally do not adhere to the LAP-VEGaS guidelines and are of poor educational quality, signaling areas of improvement for educators.

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