Fan Timothy, Workman Alan D, Koch George, Rathi Vinay K, Scangas George A, Metson Ralph
Texas A&M College of Medicine Bryan Texas USA.
Department of Otolaryngology-Head and Neck Surgery Massachusetts Eye and Ear Boston Massachusetts USA.
Laryngoscope Investig Otolaryngol. 2021 Mar 24;6(2):195-199. doi: 10.1002/lio2.551. eCollection 2021 Apr.
Surgical education has undergone major changes in recent years, as hands-on learning opportunities have been replaced or supplemented with online tools. The goal of this project is to examine the educational impact of a surgical training website, SinusVideos.com, on otolaryngologists at various levels of training.
Visitors to the website were asked to complete a survey after viewing a narrated video of a surgical procedure. Surveys were analyzed for demographics, needs assessment, and educational impact.
A total of 105 completed surveys were completed by 68 (64.8%) attendings/practicing physicians, 32 residents/fellows (30.5%), and 5 medical students (4.8%). Whereas 14.3% of viewers reported online videos as their primary source for surgical preparation, 70.5% considered them important secondary supplements. After viewing a video, 92.4% of respondents reported a gained confidence in performing the surgery, and 62.9% said the video altered how they would perform the surgery in the future. Viewers' ratings of their knowledge (on a 1-7 Likert scale) of a particular surgical procedure before vs after watching the observed procedure increased significantly for participants at all levels of training-medical students (2.8 before vs 5.4 after, < .01), residents/fellows (4.8 before vs 5.8 after, < .0001), and attendings/practicing physicians (5.6 before vs 6.4 after, < .0001).
High quality online surgical videos appear to be an effective learning tool for surgical trainees and practicing physicians alike. The educational benefit of such tools, as well as their widespread accessibility, makes them a powerful instrument for the training of surgeons worldwide.
Level 5.
近年来，随着实践学习机会被在线工具所取代或补充，外科教育发生了重大变革。本项目的目标是研究外科培训网站SinusVideos.com对不同培训水平的耳鼻喉科医生的教育影响。
要求该网站的访问者在观看一段手术过程的旁白视频后完成一项调查。对调查结果进行人口统计学、需求评估和教育影响分析。
共有105份完整的调查问卷由68名（64.8%）主治医师/执业医师、32名住院医师/研究员（30.5%）和5名医学生（4.8%）完成。虽然14.3%的观看者报告在线视频是他们手术准备的主要来源，但70.5%的人认为它们是重要的次要补充。观看视频后，92.4%的受访者表示对进行该手术的信心增强，62.9%的人表示该视频改变了他们未来进行该手术的方式。对于所有培训水平的参与者——医学生（观看前2.8分，观看后5.4分，P＜0.01）、住院医师/研究员（观看前4.8分，观看后5.8分，P＜0.0001）以及主治医师/执业医师（观看前5.6分，观看后6.4分，P＜0.0001），他们对特定手术过程的知识评分（采用1-7李克特量表）在观看前后均显著提高。
高质量的在线外科手术视频对外科实习生和执业医师似乎都是一种有效的学习工具。此类工具的教育益处及其广泛的可及性使其成为全球外科医生培训的有力手段。
5级。
