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评估 YouTube 在甲状腺和甲状旁腺手术教学中的教育工具作用。

Assessment of YouTube as an educational tool in teaching thyroidectomy and parathyroidectomy.

机构信息

Department of Otorhinolaryngology - Head and Neck Surgery, Philadelphia, USA.

Perelman School of Medicine, Philadelphia, USA.

出版信息

J Laryngol Otol. 2022 Oct;136(10):952-960. doi: 10.1017/S0022215121004096. Epub 2021 Dec 13.

DOI:10.1017/S0022215121004096
PMID:34895376
Abstract

OBJECTIVE

YouTube has become the preferred resource for trainees to learn and prepare for surgical cases. This study evaluated the educational quality of YouTube videos detailing thyroidectomy and parathyroidectomy.

METHOD

YouTube was systematically searched using 11 terms related to thyroidectomy and parathyroidectomy. Four independent clinical reviewers assessed the videos using Laparoscopic Surgery Video Educational Guidelines as well as modified Laparoscopic Surgery Video Educational Guidelines subgroup tools.

RESULTS

Sixty-five videos were identified and evaluated. Overall Laparoscopic Surgery Video Educational Guidelines score was 8.58 ± 3.85 (mean subgroup score, 5.67 ± 2.40). Twenty-eight of 65, 25 of 65 and 12 of 65 videos were deemed medium, low and high quality, respectively. Inter-rater reliability was good for both attending surgeons and residents. Presence of audio or visual commentary had a positive correlation with total Laparoscopic Surgery Video Educational Guidelines scores (=0.38). Videos produced by otolaryngologists and US-based physicians scored higher on total scores compared to non-otolaryngology and non-US based physicians.

CONCLUSION

Some YouTube videos on thyroidectomy and parathyroidectomy exhibit high educational value. Future efforts should increase the number of high-quality YouTube videos containing both audio and visual commentary or create an online repository of videos for medical students and residents to augment their surgical training.

摘要

目的

YouTube 已成为受训者学习和准备外科手术的首选资源。本研究评估了详细介绍甲状腺切除术和甲状旁腺切除术的 YouTube 视频的教育质量。

方法

使用 11 个与甲状腺切除术和甲状旁腺切除术相关的术语对 YouTube 进行系统搜索。四名独立的临床审查员使用腹腔镜手术视频教育指南以及修改后的腹腔镜手术视频教育指南子组工具评估视频。

结果

确定并评估了 65 个视频。腹腔镜手术视频教育指南总分为 8.58±3.85(平均子组得分 5.67±2.40)。65 个视频中,28 个为中质量,25 个为低质量,12 个为高质量。主治外科医生和住院医师的组内评分一致性良好。音频或视频评论的存在与腹腔镜手术视频教育指南总分呈正相关(=0.38)。与非耳鼻喉科和非美国医生相比,耳鼻喉科医生和美国医生制作的视频在总分上得分更高。

结论

一些关于甲状腺切除术和甲状旁腺切除术的 YouTube 视频具有很高的教育价值。未来的工作应增加包含音频和视频评论的高质量 YouTube 视频数量,或创建一个在线视频库,供医学生和住院医师使用,以增强他们的手术培训。

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