Hudali Tamer, Papireddy Muralidhar, Bhattarai Mukul, Deckard Alan, Hingle Susan
Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, United States.
Interact J Med Res. 2017 Jan 10;6(1):e1. doi: 10.2196/ijmr.6393.
Hospital medicine is a relatively new specialty field, dedicated to the delivery of comprehensive medical care to hospitalized patients. YouTube is one of the most frequently used websites, offering access to a gamut of videos from self-produced to professionally made.
The aim of our study was to determine the adequacy of YouTube as an effective means to define and depict the role of hospitalists.
YouTube was searched on November 17, 2014, using the following search words: "hospitalist," "hospitalist definition," "what is the role of a hospitalist," "define hospitalist," and "who is a hospitalist." Videos found only in the first 10 pages of each search were included. Non-English, noneducational, and nonrelevant videos were excluded. A novel 7-point scoring tool was created by the authors based on the definition of a hospitalist adopted by the Society of Hospital Medicine. Three independent reviewers evaluated, scored, and classified the videos into high, intermediate, and low quality based on the average score.
A total of 102 videos out of 855 were identified as relevant and included in the analysis. Videos uploaded by academic institutions had the highest mean score. Only 6 videos were classified as high quality, 53 as intermediate quality, and 42 as low quality, with 82.4% (84/102) of the videos scoring an average of 4 or less.
Most videos found in the search of a hospitalist definition are inadequate. Leading medical organizations and academic institutions should consider producing and uploading quality videos to YouTube to help patients and their families better understand the roles and definition of the hospitalist.
医院医学是一个相对较新的专业领域，致力于为住院患者提供全面的医疗护理。YouTube是最常用的网站之一，提供从自制到专业制作的各种视频。
我们研究的目的是确定YouTube作为定义和描述医院医生角色的有效手段是否足够。
2014年11月17日在YouTube上进行搜索，使用以下搜索词：“医院医生”、“医院医生的定义”、“医院医生的角色是什么”、“定义医院医生”以及“谁是医院医生”。仅纳入在每次搜索的前10页中找到的视频。排除非英语、非教育性和不相关的视频。作者根据医院医学协会采用的医院医生定义创建了一种新颖的7分评分工具。三位独立评审员根据平均得分对视频进行评估、评分，并将其分为高质量、中等质量和低质量。
在855个视频中，共有102个视频被确定为相关并纳入分析。学术机构上传的视频平均得分最高。只有6个视频被归类为高质量，53个为中等质量，42个为低质量，82.4%（84/102）的视频平均得分在4分及以下。
在搜索医院医生定义时找到的大多数视频都不够充分。领先的医学组织和学术机构应考虑制作并在YouTube上上传高质量视频，以帮助患者及其家属更好地理解医院医生的角色和定义。
