Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Watch One, Do One? A Systematic Review and Educational Analysis of YouTube Microsurgery Videos, and a Proposal for a Quality Assurance Checklist

  • Fernandez-Diaz, Oscar F. (St. Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital) ;
  • Navia, Alfonso (Plastic and Reconstructive Surgery Section, Surgery Division, School of Medicine, Pontificia Universidad Catolica de Chile) ;
  • Berner, Juan Enrique (Kellogg College, University of Oxford) ;
  • Ahmad, Fateh (St. Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital) ;
  • Guerra, Claudio (Plastic and Reconstructive Surgery Section, Surgery Division, School of Medicine, Pontificia Universidad Catolica de Chile) ;
  • Ragbir, Maniram (Plastic Surgery Department, Royal Victoria Infirmary, Newcastle upon Tyne)
  • Received : 2021.12.06
  • Accepted : 2022.02.17
  • Published : 2022.09.15
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Abstract

Background Educational resources on 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 high-educational 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 should be carefully appraised before being usedas an educational resource.

Keywords

References

  1. Schneider LF, Barr J, Saadeh PB. A nationwide curriculum analysis of integrated plastic surgery training: is training standardized? Plast Reconstr Surg 2013;132(06):1054e-1062e https://doi.org/10.1097/PRS.0b013e3182a8089c
  2. Jayakumar N, Brunckhorst O, Dasgupta P, Khan MS, Ahmed K. e-Learning in surgical education: a systematic review. J Surg Educ 2015;72(06):1145-1157 https://doi.org/10.1016/j.jsurg.2015.05.008
  3. Sadideen H, Kneebone R. Practical skills teaching in contemporary surgical education: how can educational theory be applied to promote effective learning? Am J Surg 2012;204(03):396-401 https://doi.org/10.1016/j.amjsurg.2011.12.020
  4. Valsamis EM, Chouari T, O'Dowd-Booth C, Rogers B, Ricketts D. Learning curves in surgery: variables, analysis and applications. Postgrad Med J 2018;94(1115):525-530 https://doi.org/10.1136/postgradmedj-2018-135880
  5. Almarghoub MA, Alghareeb MA, Alhammad AK, Alotaibi HF, Kattan AE. Plastic surgery on YouTube. Plast Reconstr Surg Glob Open 2020;8(01):e2586 https://doi.org/10.1097/GOX.0000000000002586
  6. Press - YouTube. Accessed August 19, 2020 at: https://blog.youtube/press/
  7. Selber JC, Chang EI, Liu J, et al. Tracking the learning curve in microsurgical skill acquisition. Plast Reconstr Surg 2012;130(04): 550e-557e https://doi.org/10.1097/PRS.0b013e318262f14a
  8. Berner JE, Ewertz E. Bases teoricas del uso simulacion para el entrenamiento en cirugia. Rev Cir 2018;70(04):
  9. Ferhatoglu MF, 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(05):1477-1484 https://doi.org/10.1007/s11695-019-03738-2
  10. Rodriguez HA, Young MT, Jackson HT, Oelschlager BK, Wright AS. Viewer discretion advised: is YouTube a friend or foe in surgical education? Surg Endosc 2018;32(04):1724-1728 https://doi.org/10.1007/s00464-017-5853-x
  11. Derakhshan A, Lee L, Bhama P, Barbarite E, Shaye D. Assessing the educational quality of 'YouTube' videos for facelifts. Am J Otolaryngol 2019;40(02):156-159 https://doi.org/10.1016/j.amjoto.2019.01.001
  12. Azer SA, Aleshaiwi SM, Algrain HA, Alkhelaif RA. Nervous system examination on YouTube. BMC Med Educ 2012;12(01):126 https://doi.org/10.1186/1472-6920-12-126
  13. Erdem MN, Karaca S. Evaluating the accuracy and quality of the information in kyphosis videos shared on YouTube. Spine 2018;43 (22):E1334-E1339 https://doi.org/10.1097/BRS.0000000000002691
  14. Bernard A, Langille M, Hughes S, Rose C, Leddin D, Veldhuyzen van Zanten S. A systematic review of patient inflammatory bowel disease information resources on the World Wide Web. Am J Gastroenterol 2007;102(09):2070-2077 https://doi.org/10.1111/j.1572-0241.2007.01325.x
  15. Silberg WM, Lundberg GD, Musacchio RA. Assessing, controlling, and assuring the quality of medical information on the Internet: Caveant lector et viewor-Let the reader and viewer beware. JAMA 1997;277(15):1244-1245 https://doi.org/10.1001/jama.1997.03540390074039
  16. Charnock D, Shepperd S, Needham G, Gann R. DISCERN: an instrument for judging the quality of written consumer health information on treatment choices. J Epidemiol Community Health 1999;53(02):105-111 https://doi.org/10.1136/jech.53.2.105
  17. Mota P, Carvalho N, Carvalho-Dias E, Joao Costa M, Correia-Pinto J, Lima E. Video-based surgical learning: improving trainee education and preparation for surgery. J Surg Educ 2018;75(03): 828-835 https://doi.org/10.1016/j.jsurg.2017.09.027
  18. Rapp AK, Healy MG, Charlton ME, Keith JN, Rosenbaum ME, Kapadia MR. YouTube is the most frequently used educational video source for surgical preparation. J Surg Educ 2016;73(06):1072-1076 https://doi.org/10.1016/j.jsurg.2016.04.024
  19. Covington P, Adams J, Sargin E. Deep Neural Networks for YouTube Recommendations. Accessed August 19, 2022 at: https://dl.acm.org/doi/pdf/10.1145/2959100.2959190
  20. Ward M, Ward B, Abraham M, et al. The educational quality of neurosurgical resources on YouTube. World Neurosurg 2019;130: e660-e665 https://doi.org/10.1016/j.wneu.2019.06.184
  21. Microsurgical technique for 1 mm vessel end to end anastomosis by Yelena Akelina DVM. Accessed August 19, 2022 at: https://www.youtube.com/watch?v=1yRN-iNfwzo
  22. Chang's technique of sequential end-to-side microvascular anastomosis. Accessed August 19, 2022 at: https://www.youtube.com/watch?v=89DsEIf_h_M
  23. Microsurgical repair of the rat sciatic nerve. Accessed August 19, 2022 at: https://www.youtube.com/watch?v=jKgd1yT0RfQ
  24. Improving microvascular anastomosis efficiency by combining open-loop and airborne suture techniques. Accessed August 19, 2022 at: https://www.youtube.com/watch?v=QnOITmbFYo8
  25. Introduction to microsurgery part 1. Accessed August 19, 2022 at: https://www.youtube.com/watch?v=tVDVdA0zPns
  26. Elevation of thin anterolateral thigh flap on superficial fascia plane by Jp (Joon Pio) Hong. Accessed August 19, 2022 at: https://www.youtube.com/watch?v=vEB6UsaO-AM
  27. Fibular free flap. Accessed August 19, 2022 at: https://www.youtube.com/watch?v=dkJ8XRFziJc
  28. Latissimus dorsi free flap. Accessed August 19, 2022 at: https://www.youtube.com/watch?v=-9rB4Te67UY
  29. Ulnar fasciocutaneous free flap. Accessed August 19, 2022 at: https://www.youtube.com/watch?v=BoCtGtJLqgg
  30. Radial forearm flap. Available at: https://www.youtube.com/watch?v=i4Spw9o40Xs&t=770s