Advertisement

A Needs Assessment of Video-based Education Resources Among General Surgery Residents

Published:February 27, 2021DOI:https://doi.org/10.1016/j.jss.2021.01.035

      Highlights

      • Video-based education (VBE) is increasingly utilized in medical education.
      • General surgery residents preferentially use VBE to learn the steps of an operation.
      • Residents prefer an open-access, peer-reviewed resource.
      • Publication of VBE modules should take residents' self-perceived needs into account.

      Abstract

      Background

      Video-based education (VBE) is an effective tool for knowledge and skill acquisition for medical students, but its utility is less clear for resident physicians. We sought to determine how to incorporate VBE into a general surgery resident operative curriculum.

      Methods

      We conducted a single-institution, survey-based needs assessment of general surgery residents to determine desired content and format of an operative VBE module.

      Results

      The response rate was 84% (53/63), with 66% senior (postgraduate year ≥3) resident respondents. VBE was the most commonly cited resource that residents used to prepare for an operation (93%) compared with surgical textbooks (89%) and text-based website content (57%). Junior residents were more likely to utilize text-based website content than senior residents (P < 0.01).
      The three most important operative video components were accuracy, length, and cost. Senior residents significantly preferred videos that were peer-reviewed (P < 0.05) and featured attending surgeons whom they knew (P = 0.03). A majority of residents (59%) believed 5-10 min is the ideal length of an operative video. Across all postgraduate year levels, residents indicated that detailed instruction of each operative step was the most important content of a VBE module. Senior residents believed that the overall indications and details of each step of the operation were the most important contents of VBE for a junior resident.

      Conclusions

      At this institution, general surgery residents preferentially use VBE resources for operative preparation. A centralized, standardized operative resource would likely improve resident studying efficiency, but would require personalized learning options to work for both junior and senior surgery residents.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Surgical Research
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Hirschl R.B.
        The making of a surgeon: 10,000 hours?.
        J Pediatr Surg. 2015; 50: 699-706
        • George B.C.
        • Bohnen J.D.
        • Williams R.G.
        Readiness of US general surgery residents for independent practice.
        Ann Surg. 2017; 266: 582-594
        • Elfenbein D.M.
        Confidence Crisis among general surgery residents: a systematic review and qualitative discourse analysis.
        JAMA Surg. 2016; 151: 1166-1175
        • Ruiz J.G.
        • Mintzer M.J.
        • Leipzig R.M.
        The impact of E-learning in medical education.
        Acad Med. 2006; 81: 207-212
        • Dinscore A.
        • Andres A.
        Surgical videos online: a survey of prominent sources and future trends.
        Med Ref Serv Q. 2010; 29: 10-27
        • Knowles M.S.
        The modern practice of adult education: from pedagogy to andragogy.
        2nd ed. Cambridge Books, New York, NY1980
        • Sell N.M.
        • Phitayakorn R.
        Developing and refining a surgical curriculum.
        Surgery. 2020; 167: 528-531
        • Journal of Medical Insight
        Journal of Medical Insight.
        https://jomi.com/
        Date accessed: April 2, 2020
      1. ACS Video Library. American College of Surgeons. https://www.facs.org/education/division-of-education/publications/videolibrary. Accessed April 2, 2020.

      2. SAGES TV: Home Of SAGES Surgical Videos. SAGES.
        https://sages.org/video/
        Date accessed: April 2, 2020
        • Ahmet A.
        • Gamze K.
        • Rustem M.
        Is video-based education an effective method in surgical education? A systematic review.
        J Surg Educ. 2018; 75: 1150-1158
        • Hamour A.F.
        • Mendez A.I.
        • Harris J.R.
        A high-definition video teaching module for thyroidectomy surgery.
        J Surg Educ. 2018; 75: 481-488
      3. ACS/APDS Surgery Resident Skills Curriculum. American College of Surgeons. https://www.facs.org/education/program/resident-skills. Accessed April 2, 2020.

        • De Win G.
        • Van Bruwaene S.
        • Aggarwal R.
        Laparoscopy training in surgical education: the utility of incorporating a structured preclinical laparoscopy course into the traditional apprenticeship method.
        J Surg Educ. 2013; 70: 596-605
        • Celentano V.
        • Smart N.
        • McGrath J.
        LAP-VEGaS practice guidelines for reporting of educational videos in laparoscopic surgery: a joint trainers and trainees consensus statement.
        Ann Surg. 2018; 268: 920-926
        • Egle J.P.
        • Smeenge D.M.
        • Kassem K.M.
        • Mittal V.K.
        The Internet School of Medicine: use of electronic resources by medical trainees and the reliability of those resources.
        J Surg Educ. 2015; 72: 316-320
        • Ferhatoglu M.F.
        • Kartal A.
        • Ekici U.
        • Gurkan A.
        Evaluation of the reliability, utility, and quality of the information in sleeve gastrectomy videos shared on open access video sharing platform YouTube.
        Obes Surg. 2019; 29: 1477-1484
        • Axelsson C.G.S.
        • Healy M.G.
        • Wolbrink T.A.
        • King J.
        • Sanders E.S.
        • Phitayakorn R.
        Applying a novel cost-evaluation framework to assess video-based neurosurgery education.
        Am J Surg. 2020; 220: 604-609