Addar Abdullah, Marwan Yousef, Algarni Nizar, Berry Gregory
Division of Orthopaedic Surgery, McGill University Health Centre, Montreal, Quebec, Canada.
Division of Orthopaedic Surgery, McGill University Health Centre, Montreal, Quebec, Canada.
J Surg Educ. 2017 Sep-Oct;74(5):799-804. doi: 10.1016/j.jsurg.2017.03.002. Epub 2017 Mar 27.
Distal radius fractures (DRFs) are the most common orthopedic fractures, with >70% of cases treated by closed immobilization using a short arm cast or a sugar tong splint. However, inadequate immobilization is a risk factor for loss of reduction requiring repeat reduction or surgical treatment. Therefore, education of clinical skills for appropriate immobilization of DRFs is important. With the increasing use of web-based information by medical learners, our aim was to assess the quality and quantity of videos regarding closed immobilization of DRFs on YouTube.
Retrospective review of YouTube videos on distal radius fracture immobilization using specific search terms.
Identified videos were analyzed for their educational value, quality of the technical skill demonstrated, and overall metrics. Educational value was scored on a 5-point scale, with "1" indicative of low quality and "5" of high quality.
Not applicable.
Among the 68,366 videos identified, 16 met our inclusion criteria of being in English; performed by a health care professional or institution; and with casting being the major theme of the educational information provided. Of these 16 videos, 6 had an educational value score of 4 or 5, with the remaining 10 having a score ≤3. Although immobilization was demonstrated by cast technician specialized in orthopedics, skills were also performed by orthopedic attendants, urgent care physicians, orthopedic residents, and nurse practitioners. The credentials of the performer in 3 videos were not identified.
There is a need to promote high-quality educational videos produced by established medical school faculty members on open, web-based, portals.
桡骨远端骨折（DRF）是最常见的骨科骨折，超过70%的病例采用短臂石膏或糖钳夹板进行闭合固定治疗。然而，固定不充分是导致复位丢失从而需要再次复位或手术治疗的一个危险因素。因此，开展关于DRF恰当固定的临床技能教育很重要。随着医学学习者对网络信息的使用日益增加，我们的目的是评估YouTube上有关DRF闭合固定的视频的质量和数量。
使用特定搜索词对YouTube上关于桡骨远端骨折固定的视频进行回顾性分析。
对识别出的视频分析其教育价值、所展示技术技能的质量以及总体指标。教育价值采用5分制评分，“1”表示低质量，“5”表示高质量。
不适用。
在识别出的68366个视频中，16个符合我们的纳入标准，即视频为英文；由医疗保健专业人员或机构制作；且所提供教育信息的主要主题为石膏固定。在这16个视频中，6个的教育价值评分为4或5，其余10个评分≤3。尽管固定操作由骨科专业的石膏技师演示，但骨科护理人员、急诊医生、骨科住院医师和执业护士也进行了相关操作。3个视频中表演者的资质未明确。
有必要推广由知名医学院教员在开放的网络平台上制作的高质量教育视频。
