Abstract
BackgroundWe evaluated the utility and quality of surgical videos posted on the main retinal YouTube channels by surgeons at different career stages and assessed how well the steps of the vitrectomy videos conformed to the parameters in the Casey Eye Institute Vitrectomy Indices Tool for Skills assessment (CEIVITS) scale.MethodsForty-five videos were included from nine retinal YouTube channels posted from 2011 to 2021. For each surgeon, 10 videos were randomized and the utility, quality, and educational content were assessed. For each video, the surgeons also assessed how the validated CEIVITS items were presented in the videos. The surgeons were divided based on years of experience: fellows (0–3 years), young surgeons (4–10 years), and senior surgeons (more than 10 years).ResultsThe video image quality was rated as good in 63.52% of evaluations, moderate in 30.37%, and poor in 6.11%. The quality assessment of the videos among the groups did not differ. The fellows rated the use of the videos as educational tools higher (3.99) than the young (3.87) and senior surgeons (3.47) (p < 0.0002, Kruskal–Wallis test); 34.76% of the fellows reported learning something new from the videos compared with 19.17% of the senior surgeons (p < 0.05). The CEIVITS scale item that was seen more frequently was related to core vitrectomies (72.29%) and the least represented was about checking infusion lines (80.17%).ConclusionsVitreoretinal surgical videos are useful educational tools during all stages of surgeons’ careers, and the evaluation of the quality of the images did not differ significantly among the groups, however, surgeons with expertise shorter than 10 years report significantly greater use of videos than experienced surgeons. Videos posted to the public domain on different social media, most often YouTube, are widespread and unregulated for providing complimentary surgical education. Retinal societies should formulate guidelines and improve the educational value of the surgical videos posted on the Internet.Trial Registration The Federal University of São Paulo institution’s Research Ethics Committee reviewed and approved this study protocol (Approval Number, 4.726.589).
Highlights
We evaluated the utility and quality of surgical videos posted on the main retinal YouTube channels by surgeons at different career stages and assessed how well the steps of the vitrectomy videos conformed to the parameters in the Casey Eye Institute Vitrectomy Indices Tool for Skills assessment (CEIVITS) scale
Constant technologic evolution in the medical field, results in trainees dealing with surgical techniques of greater complexity and the necessity to acquire a greater volume of Lucatto et al International Journal of Retina and Vitreous (2022) 8:9 knowledge during their training
The characteristics of the YouTube channels in the vitreoretinal surgeries and of each of the 45 selected videos are shown in Additional file 1: Table S1
Summary
We evaluated the utility and quality of surgical videos posted on the main retinal YouTube channels by surgeons at different career stages and assessed how well the steps of the vitrectomy videos conformed to the parameters in the Casey Eye Institute Vitrectomy Indices Tool for Skills assessment (CEIVITS) scale. Surgical training has been undertaken with the mentor and mentee participating in face-toface training during a procedure. Constant technologic evolution in the medical field, results in trainees dealing with surgical techniques of greater complexity and the necessity to acquire a greater volume of Lucatto et al International Journal of Retina and Vitreous (2022) 8:9 knowledge during their training. Opportunities to observe and learn surgical procedures can be hampered by geographic barriers and political institutions that emphasize operating room efficiency [1]. The learning curve associated with vitreoretinal surgery can be long and requires the development of key surgical skills. Surgical videos are an example in which the combination of figures, captions, and diagrams can be added to facilitate learning
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