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新一代评估:基于视频的手术评估:技术更新。

New generation evaluations: video-based surgical assessments : A technology update.

机构信息

Digestive Health Institute, AdventHealth Tampa, 3000 Medical Park Dr. Suite 500, Tampa, FL, 33613, USA.

Arizona Premier Surgery, Chandler, AZ, USA.

出版信息

Surg Endosc. 2023 Oct;37(10):7401-7411. doi: 10.1007/s00464-023-10311-7. Epub 2023 Aug 22.

DOI:10.1007/s00464-023-10311-7
PMID:37608232
Abstract

BACKGROUND

Surgical skill training, assessment, and feedback are the backbone of surgical training. High-quality skills require expert supervision and evaluation throughout a resource-intensive multi-year training process. As technological barriers to internet access and the ability to save and upload surgical videos continue to improve, video-based assessment technology is emerging as a tool that could reshape surgical training for the next generation of surgeons. Video-based assessment platforms have the potential to allow surgeons from across the globe to upload their surgical videos online and receive high-quality, standardized, and unbiased feedback. They combine visual recordings of a surgeon's operative technique, with standardized grading tools that have the potential to significantly impact surgical training and technical skill acquisition across the world.

METHOD

The platforms included in this review are in various stages of development after a thorough discussion with national experts on the SAGES TAVAC (Technology and Value Assessments) Committee. For each VBA program, a description of its platform was given and a literature review was obtained using a PubMed search performed from inception until December 2021.

RESULTS

The study reviewed all video-based assessment programs currently available in the market, identified their strengths and weaknesses, and how they can be optimized in future.

CONCLUSION

The technological platforms will play a key role in the training and technical skill acquisition of the next generation of surgeons and can have an immense impact on patient care across the world. There is immense potential for all these platforms to grow and become incorporated within the framework of an effective surgical training program.

摘要

背景

手术技能培训、评估和反馈是外科培训的核心。高质量的技能需要在资源密集型的多年培训过程中得到专家的监督和评估。随着互联网接入和保存、上传手术视频技术障碍的不断提高,基于视频的评估技术正在成为一种工具,可以为下一代外科医生重塑外科培训。基于视频的评估平台有可能使来自世界各地的外科医生能够在线上传他们的手术视频,并获得高质量、标准化和无偏见的反馈。它们将外科医生手术技术的视觉记录与标准化的评分工具相结合,有可能在全球范围内显著影响外科培训和技术技能的获取。

方法

在与 SAGES TAVAC(技术和价值评估)委员会的国家专家进行了深入讨论后,本研究纳入了目前处于不同开发阶段的平台。对于每个 VBA 项目,都对其平台进行了描述,并通过从开始到 2021 年 12 月的 PubMed 搜索获取文献综述。

结果

本研究回顾了目前市场上所有现有的基于视频的评估程序,确定了它们的优缺点,以及如何在未来进行优化。

结论

技术平台将在外科医生下一代的培训和技术技能获取中发挥关键作用,并对全球的患者护理产生巨大影响。所有这些平台都有巨大的发展潜力,可以在有效的外科培训计划框架内得到应用。

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引用本文的文献

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Situating Artificial Intelligence in Surgery: A Focus on Disease Severity.将人工智能置于手术中:关注疾病严重程度。
Ann Surg. 2020 Sep 1;272(3):523-528. doi: 10.1097/SLA.0000000000004207.
2
Integration of aquablation through telemetry: an alternative to onsite proctoring?经遥测实现的水刀消融:现场监考的替代方案?
World J Urol. 2021 Sep;39(9):3473-3479. doi: 10.1007/s00345-021-03603-x. Epub 2021 Feb 6.
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Impact of data on generalization of AI for surgical intelligence applications.数据对外科智能应用中人工智能泛化的影响。
Sci Rep. 2020 Dec 17;10(1):22208. doi: 10.1038/s41598-020-79173-6.
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Reconstructive perineal surgery in the era of robotic surgical systems: Embracing the new technology.机器人手术系统时代的重建性会阴手术:拥抱新技术。
J Plast Reconstr Aesthet Surg. 2021 May;74(5):1101-1160. doi: 10.1016/j.bjps.2020.10.093. Epub 2020 Nov 8.
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Association Between Surgeon Technical Skills and Patient Outcomes.外科医生技术技能与患者预后的关系。
JAMA Surg. 2020 Oct 1;155(10):960-968. doi: 10.1001/jamasurg.2020.3007.
6
Effects of Gender Bias and Stereotypes in Surgical Training: A Randomized Clinical Trial.手术培训中的性别偏见和刻板印象的影响:一项随机临床试验。
JAMA Surg. 2020 Jul 1;155(7):552-560. doi: 10.1001/jamasurg.2020.1127.
7
National Evaluation of Racial/Ethnic Discrimination in US Surgical Residency Programs.美国外科住院医师培训项目中种族/民族歧视的全国性评估。
JAMA Surg. 2020 Jun 1;155(6):526-528. doi: 10.1001/jamasurg.2020.0260.
8
Gender Bias in Resident Assessment in Graduate Medical Education: Review of the Literature.医学研究生教育中住院医师评估的性别偏见:文献综述。
J Gen Intern Med. 2019 May;34(5):712-719. doi: 10.1007/s11606-019-04884-0.
9
Technical skill improvement with surgical preparatory courses: What advantages are reflected in residency?外科预备课程对技术技能的提升:住院医师培训中反映出哪些优势?
Am J Surg. 2018 Jul;216(1):155-159. doi: 10.1016/j.amjsurg.2017.10.037. Epub 2017 Nov 1.
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Direct Observation vs. Video-Based Assessment in Flexible Cystoscopy.直接观察与基于视频的评估在软性膀胱镜检查中的比较。
J Surg Educ. 2018 May-Jun;75(3):671-677. doi: 10.1016/j.jsurg.2017.10.005. Epub 2017 Nov 6.