Gupta Tarun, Haidery Tariq H, Sharma Ripudaman, Sharma Sandeep, Kumar Arvind
Surgery, Hamdard Institute of Medical Sciences and Research, New Delhi, IND.
College of Medicine, Hamdard Institute of Medical Sciences and Research, New Delhi, IND.
Cureus. 2023 Feb 7;15(2):e34718. doi: 10.7759/cureus.34718. eCollection 2023 Feb.
Introduction YouTube is one of the top-searched online video streaming platforms. However, the content of YouTube may not match the standards required for clinical skills learning. Therefore, we investigated the quality of top-viewed YouTube videos related to three basic surgical procedures that need to be performed by general surgery residents in their first year of training in our institute. Methods We searched YouTube for the top 10 viewed demonstration videos related to ultrasound-guided abscess drainage, chest tube insertion, and central line insertion. For the eligible videos, we calculated the likes ratio, view ratio, and video power index. The videos' quality was assessed using LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) scores. The videos were categorized into high-quality (LAP-VEGaS score ≥ 11) and low-quality videos (LAP-VEGaS score < 11). The different descriptive (view counts, duration, and likes-dislikes) and calculated parameters stated above were compared between the two video quality-based groups. Results The selected videos were uploaded between July 2008 and March 2022. Their mean view counts were 460391.13±373760.19. Their mean video duration was 8.12±4.26 minutes. Their mean likes and dislikes were 2578.38±2977.43 and 144.10±129.80, respectively. The mean like ratio and the mean view ratio were 93.42±13.53 and 317.76±827.79, respectively. The mean video power index was 310.67±827.96. The mean LAP-VEGaS scores for ultrasound-guided abscess drainage, chest tube insertion, and central line insertion-related videos were 6.80, 11.10, and 11.20, respectively. The numbers of likes and dislikes were significantly higher for high-quality videos. Conversely, the view counts, the view ratio, and the video power index were significantly lower for high-quality videos. Conclusion Top-viewed videos related to general surgery procedural demonstrations are of low quality. The video view counts, popularity, and likes-dislikes are highly unreliable indicators of surgical video's usefulness. There is a need for regulatory mechanisms to screen the YouTube content suitable for general surgery residents learning. The residents should therefore be cautious while making inferences based on YouTube videos.
引言
YouTube是搜索量排名靠前的在线视频流媒体平台之一。然而，YouTube上的内容可能不符合临床技能学习所需的标准。因此，我们调查了与我院普通外科住院医师第一年培训中需要进行的三种基本外科手术相关的热门YouTube视频的质量。
方法
我们在YouTube上搜索了与超声引导下脓肿引流、胸腔闭式引流管置入和中心静脉置管相关的观看次数排名前十的演示视频。对于符合条件的视频，我们计算了点赞率、观看率和视频影响力指数。使用腹腔镜手术视频教育指南（LAP-VEGaS）评分评估视频质量。视频分为高质量（LAP-VEGaS评分≥11）和低质量视频（LAP-VEGaS评分<11）。在基于视频质量的两组之间比较上述不同的描述性参数（观看次数、时长和点赞-差评）和计算出的参数。
结果
所选视频于2008年7月至2022年3月期间上传。它们的平均观看次数为460391.13±373760.19。它们的平均视频时长为8.12±4.26分钟。它们的平均点赞数和差评数分别为2578.38±2977.43和144.10±129.80。平均点赞率和平均观看率分别为93.42±13.53和317.76±8,27.79。平均视频影响力指数为310.67±827.96。超声引导下脓肿引流、胸腔闭式引流管置入和中心静脉置管相关视频的平均LAP-VEGaS评分分别为 6.80、11.10和11.20。高质量视频的点赞数和差评数明显更高。相反，高质量视频的观看次数、观看率和视频影响力指数明显更低。
结论
与普通外科手术演示相关的热门视频质量较低。视频的观看次数、受欢迎程度和点赞-差评是手术视频实用性的极不可靠指标。需要监管机制来筛选适合普通外科住院医师学习的YouTube内容。因此，住院医师在基于YouTube视频进行推断时应谨慎。
