University of Pittsburgh, Pittsburgh, Pennsylvania.
University of Texas Southwestern Medical Center, Dallas, Texas.
J Surg Educ. 2019 May-Jun;76(3):745-755. doi: 10.1016/j.jsurg.2018.10.011. Epub 2019 Feb 19.
Explore the methods used and costs necessary for the creation and maintenance of a surgical video library with an emphasis on its applications in surgical education and scholarship.
A methodology paper highlighting how to develop and utilize a surgical video library for trainee operative preparation, development of research projects, and surgeon credentialing.
The study was conducted at the University of Pittsburgh Medical Center, a tertiary care medical center.
Not applicable.
The video library includes all recorded robotic operations performed by the Division of Surgical Oncology at the University of Pittsburgh from 2010 to 2018. It includes 929 videos of which 110 selected videos are uploaded for trainee review online to prepare for upcoming operations. These procedures are broken into steps to create intraoperative time metrics for trainee integration. Fellows operated from console in 85% of robotic cases and all 30 fellows could obtain robotic privileges based on case logs. To date 102 short scholarly videos have been created: 7 for manuscripts, 13 as video submissions, 27 in book chapters, and 55 for presentations. Three papers have been published using video review to determine clinical outcomes with four more under evaluation. The cost of the program is <$10,000 annually.
Video libraries can be efficiently created utilizing intraoperative recorders for minimally invasive surgery. Breaking surgeries into distinct steps can aid in deliberate integration and answer clinical questions. Overall video libraries are cost effective tools for trainee education, research, and ultimately surgeon credentialing.
探索创建和维护手术视频库的方法和所需成本，重点介绍其在手术教育和学术中的应用。
一篇方法学论文，重点介绍如何为学员手术准备、研究项目开发和外科医生认证开发和利用手术视频库。
该研究在匹兹堡大学医学中心（三级保健医疗中心）进行。
不适用。
视频库包括 2010 年至 2018 年匹兹堡大学外科肿瘤学分部进行的所有记录的机器人手术。其中包括 929 个视频，其中 110 个精选视频上传到网上供学员在线复习，为即将进行的手术做准备。这些手术被分解成步骤，为学员的整合创造术中时间指标。住院医师在 85%的机器人手术中从控制台操作，所有 30 名住院医师都可以根据病例记录获得机器人手术权限。迄今为止，已经创建了 102 个简短的学术视频：7 个用于手稿，13 个用于视频提交，27 个用于章节，55 个用于演示。使用视频审查确定临床结果的 3 篇论文已发表，另有 4 篇正在评估中。该项目的成本为每年<10000 美元。
可以使用微创手术中的术中记录器高效地创建视频库。将手术分解成不同的步骤可以帮助学员进行深思熟虑的整合并回答临床问题。总的来说，视频库是学员教育、研究以及最终外科医生认证的经济有效的工具。
