Presentation Description
Jongweon Shin1
1 Department of Plastic and Reconstructive Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea
1 Department of Plastic and Reconstructive Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea
Background:
Widespread use of smartphones and wireless internet have made YouTube an easily accessible educational modality. Many residents use YouTube to acquire knowledge regarding microsurgical techniques; however, its quality and effect has not been verified.
Widespread use of smartphones and wireless internet have made YouTube an easily accessible educational modality. Many residents use YouTube to acquire knowledge regarding microsurgical techniques; however, its quality and effect has not been verified.
Summary of Work:
The authors included 22 residents working in the Department of Plastic and Reconstructive Surgery at our institute. Using block randomization, seven were allocated to a textbook group (TG), eight to a free-searching group (FSG), and seven to a designated- video group (DVG). After reviewing textbooks, YouTube videos, or designated videos, respectively, each group performed microsurgical anastomosis using artificial vessels. The total procedure time, Objective Structured Assessment of Technical Skills (OSATS), operative errors, and degree of leakage were assessed by blinded evaluators. Self-confidence rates were also compared.
The authors included 22 residents working in the Department of Plastic and Reconstructive Surgery at our institute. Using block randomization, seven were allocated to a textbook group (TG), eight to a free-searching group (FSG), and seven to a designated- video group (DVG). After reviewing textbooks, YouTube videos, or designated videos, respectively, each group performed microsurgical anastomosis using artificial vessels. The total procedure time, Objective Structured Assessment of Technical Skills (OSATS), operative errors, and degree of leakage were assessed by blinded evaluators. Self-confidence rates were also compared.
Results:
The YouTube groups (FSG and DVG) performed better than the TG. Although procedure time was significantly longer in the DVG (p=.006), the performance of DVG was better than that of TG in all assessments (OSATS: p=.012; operative errors: p=.002; leakage: p=.010). FSG showed more operative errors (p=.004) and leakage (p=.007) compared to DVG but had higher OSATS (p=.008) and fewer operative errors (p=.002) than TG. The post- intervention confidence rates were significantly higher in FSG and DVG compared to TG (p=.002 and p=.001, respectively).
The YouTube groups (FSG and DVG) performed better than the TG. Although procedure time was significantly longer in the DVG (p=.006), the performance of DVG was better than that of TG in all assessments (OSATS: p=.012; operative errors: p=.002; leakage: p=.010). FSG showed more operative errors (p=.004) and leakage (p=.007) compared to DVG but had higher OSATS (p=.008) and fewer operative errors (p=.002) than TG. The post- intervention confidence rates were significantly higher in FSG and DVG compared to TG (p=.002 and p=.001, respectively).
Discussion:
Microsurgery videos on YouTube had positive effects on microsurgery practice judging by the fact that both FSG and DVG showed better results than TG, although there are concerns regarding the reliability of YouTube videos. Also, considering that DVG showed better results than FSG, the educational effects may be enhanced if a quality control system is introduced for YouTube videos.
Conclusions:
YouTube may help to improve the microsurgical skills of residents.
YouTube may help to improve the microsurgical skills of residents.
Implications for further research or practice:
Methodology for improving the quality of educational contents of media.
Methodology for improving the quality of educational contents of media.
References (maximum three)
- Margulies IG, Xu H, Henderson PW. Microsurgery Training in the Digital Era: A Systematic Review of Accessible Digital Resources. Ann Plast Surg. 2020.
- Mota P, Carvalho N, Carvalho-Dias E, et al. Video-Based Surgical Learning: Improving Trainee Education and Preparation for Surgery. J Surg Educ. 2018;75:828- 835.
- Satterwhite T, Son J, Carey J, et al. Microsurgery education in residency training: validating an online curriculum. Ann Plast Surg. 2012;68:410-414.