Paro John A M, Nazareli Rahim, Gurjala Anadev, Berger Aaron, Lee Gordon K
From the Division of Plastic Surgery, Stanford University, Stanford, CA.
Ann Plast Surg. 2015 May;74 Suppl 1:S71-4. doi: 10.1097/SAP.0000000000000423.
Professionals in a variety of specialties use video-based review as a method of constant self-evaluation. We believe critical self-reflection will allow a surgical trainee to identify methods for improvement throughout residency and beyond. We have used 2 new popular technologies to evaluate their role in accomplishing the previously mentioned objectives.
Our group investigated Google Glass and GoPro cameras. Medical students, residents, and faculty were invited to wear each of the devices during a scheduled operation. After the case, each participant was asked to comment on a number of features of the device including comfort, level of distraction/interference with operating, ease of video acquisition, and battery life. Software and hardware specifications were compiled and compared by the authors. A "proof-of-concept" was also performed using the video-conferencing abilities of Google Glass to perform a simulated flap check.
The technical specifications of the 2 cameras favor GoPro over Google Glass. Glass records in 720p with 5-MP still shots, and the GoPro records in 1080p with 12-MP still shots. Our tests of battery life showed more than 2 hours of continuous video with GoPro, and less than 1 hour for Glass. Favorable features of Google Glass included comfort and relative ease of use; they could not comfortably wear loupes while operating, and would have preferred longer hands-free video recording. The GoPro was slightly more cumbersome and required a nonsterile team member to activate all pictures or video; however, loupes could be worn. Google Glass was successfully used in the hospital for a simulated flap check, with overall audio and video being transmitted--fine detail was lost, however.
There are benefits and limitations to each of the devices tested. Google Glass is in its infancy and may gain a larger intraoperative role in the future. We plan to use Glass as a way for trainees to easily acquire intraoperative footage as a means to "review tape" and will use the GoPro to amass a video library of commonly performed operations.
多个专业领域的专业人员将基于视频的回顾作为持续自我评估的一种方法。我们认为批判性的自我反思将使外科住院医师在整个住院期间及以后确定改进方法。我们使用了两项新的流行技术来评估它们在实现上述目标中的作用。
我们的团队研究了谷歌眼镜和GoPro相机。邀请医学生、住院医师和教员在预定的手术过程中佩戴每种设备。术后,要求每位参与者对设备的一些特性进行评价,包括舒适度、对手术的干扰程度、视频采集的难易程度以及电池续航时间。作者对软件和硬件规格进行了整理和比较。还利用谷歌眼镜的视频会议功能进行了一次模拟皮瓣检查,以进行“概念验证”。
两款相机的技术规格显示,GoPro优于谷歌眼镜。谷歌眼镜以720p分辨率录制,静态照片为500万像素,而GoPro以1080p分辨率录制,静态照片为1200万像素。我们对电池续航时间的测试表明,GoPro可连续录制视频超过2小时,而谷歌眼镜则不到1小时。谷歌眼镜的有利特性包括舒适度和相对易用性;他们在手术时不能舒适地佩戴放大镜,并且希望有更长的免提视频录制时间。GoPro稍微更笨重一些,需要一名非无菌团队成员来激活所有照片或视频;然而,可以佩戴放大镜。谷歌眼镜在医院成功用于模拟皮瓣检查,音频和视频整体传输——不过,细节有所丢失。
所测试的每种设备都有其优点和局限性。谷歌眼镜尚处于初期阶段,未来可能在术中发挥更大作用。我们计划将谷歌眼镜作为学员轻松获取术中视频片段的一种方式,作为“回顾录像带”的手段,并将使用GoPro积累常见手术的视频库。