Watch One, Do One? A Systematic Review and Educational Analysis of YouTube Microsurgery Videos, and a Proposal for a Quality Assurance Checklist

다국어 초록 (Multilingual Abstract)

Background Educational resourceson the internet are extensively used to obtainmedical information. YouTube is the most accessed video platform containing information to enhance the learning experience of medical professionals. This study systematically analyzed the educational value of microsurgery-related videos on this platform.
Methods A systematic review was conducted on YouTube from April 18 to May 18, 2020, using the following terms: “microsurgery,” “microsurgical,” “microsurgical anastomosis,” “free flap,” and “free tissue transfer.” The search was limited to the first 100 videos, and two independent reviewers screened for eligible entries and analyzed their educational value using validated scales, including a modified version of the DISCERN score (M-DISCERN), Journal of the American Medical Association (JAMAS) benchmark criteria, and the Global Quality Score (GQS). Evaluation of video popularity was also assessed with the video power index (VPI).
Results Of 356 retrieved videos, 75 (21%) were considered eligible. The educational quality of videos was highly variable, and the mean global scores for the M-DISCERN, JAMAS, and GQS for our sample were consistent with medium to low quality.
Conclusions A limited number of videos on YouTube for microsurgical education have higheducational quality. The majority scored low on the utilized criteria. Peer-reviewed resources seem to be a more reliable resource. Although the potential of YouTube should not be disregarded, videos shouldbe carefully appraisedbeforebeing used as an educational resource.

참고문헌 (Reference)

1 Jayakumar N, "e-Learning in surgical education : a systematic review" 72 (72): 1145-1157, 2015

2 RappAK, "YouTube is the most frequently used educational video source for surgical preparation" 73 (73): 1072-1076, 2016

3 Rodriguez HA, "Viewer discretion advised : is YouTube a friend or foe in surgical education?" 32 (32): 1724-1728, 2018

4 Mota P, "Video-based surgical learning : improving trainee education and preparation for surgery" 75 (75): 828-835, 2018

5 "Ulnar fasciocutaneous free flap"

6 Selber JC, "Tracking the learning curve in microsurgical skill acquisition" 130 (130): 550e-557e, 2012

7 Ward M, "The educational quality of neurosurgical resources on YouTube" 130 : e660-e665, 2019

8 "Radial forearm flap"

9 "Press - YouTube"

10 SadideenH, "Practical skills teaching in contemporary surgical education : how can educational theory be applied to promote effective learning?" 204 (204): 396-401, 2012

11 Almarghoub MA, "Plastic surgery on YouTube" 8 (8): e2586-, 2020

12 Azer SA, "Nervous system examination on YouTube" 12 (12): 126-, 2012

13 "Microsurgical technique for 1mm vessel end to end anastomosis by Yelena Akelina DVM"

14 "Microsurgical repair of the rat sciatic nerve"

15 Valsamis EM, "Learning curves in surgery : variables, analysis and applications" 94 (94): 525-530, 2018

16 "Latissimus dorsi free flap"

17 "Introduction to microsurgery part 1"

18 "Improving microvascular anastomosis efficiency by combining open-loop and airborne suture techniques"

19 "Fibular free flap"

20 Ferhatoglu MF, "Evaluation of the reliability, utility, and quality of the information in sleeve gastrectomy videos shared on open access video sharing platform YouTube" 29 (29): 1477-1484, 2019

21 Erdem MN, "Evaluating the accuracy and quality of the information in kyphosis videos shared on YouTube" 43 (43): E1334-E1339, 2018

22 "Elevation of thin anterolateral thigh flap on superficial fascia plane by Jp (Joon Pio) Hong"

23 Covington P, "Deep Neural Networks for YouTube Recommendations"

24 Charnock D, "DISCERN : an instrument for judging the quality of written consumer health information on treatment choices" 53 (53): 105-111, 1999

25 "Chang’s technique of sequential end-to-side microvascular anastomosis"

26 Berner JE, "Bases teóricas del uso simulación para el entrenamiento en cirugía" 70 (70): 2018

27 Silberg WM, "Assessing, controlling, and assuring the quality of medical information on the Internet : Caveant lector et viewor–Let the reader and viewer beware" 277 (277): 1244-1245, 1997

28 Derakhshan A, "Assessing the educational quality of ‘YouTube’ videos for facelifts" 40 (40): 156-159, 2019

29 Bernard A, "A systematic review of patient inflammatory bowel disease information resources on the World Wide Web" 102 (102): 2070-2077, 2007

30 Schneider LF, "A nationwide curriculum analysis of integrated plastic surgery training : is training standardized?" 132 (132): 1054e-1062e, 2013