School of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Center for Outcomes Research, Analytics and Evaluation, Vattikuti Urology Institute, Henry Ford Hospital, Detroit, MI, USA.
Nat Rev Urol. 2019 Apr;16(4):261-267. doi: 10.1038/s41585-018-0138-2.
Interest is growing within the urological surgery community for objective assessments of technical skill. Surgical video review relies on the use of objective assessment tools to evaluate both global and procedure-specific skill. These evaluations provide structured feedback to surgeons with the aim of improving technique, which has been associated with patient outcomes. Currently, skill assessments can be performed by using expert peer-review, crowdsourcing or computer-based methods. Given the relationship between skill and patient outcomes, surgeons might be required in the future to provide empirical evidence of their technical skill for certification, employment, credentialing and quality improvement. Interventions such as coaching and skills workshops incorporating video review might help surgeons improve their skill, with the ultimate goal of improving patient outcomes.
泌尿外科领域的专家越来越关注客观评估手术技术。手术视频审查依赖于客观评估工具，以评估整体和特定程序的技能。这些评估为外科医生提供了结构化的反馈，旨在改进技术，从而改善患者的预后。目前，可以通过专家同行评审、众包或基于计算机的方法来进行技能评估。鉴于技能与患者预后之间的关系，未来外科医生可能需要提供其技术技能的经验证据，以获得认证、就业、资质和质量改进。结合视频审查的辅导和技能研讨会等干预措施可能有助于外科医生提高技能，最终目标是改善患者的预后。
