Christopher Eric Bailey, Cristina Cabrera-Muffly, Philip G Chen, Nyssa Farrell, Sanjeet V Rangarajan, Michael Yim, Joseph Irish, Christopher H Le, Eugene H Chang
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引用次数: 0
Abstract
Objective: To determine if a short 10-minute video of either CT images (Video1: V1) or CT and endoscopic surgical videos (Video 2: V2) could be used to improve sinonasal anatomy knowledge in medical students (Med) and otolaryngology residents (OtoR).
Background: YouTube is a widely used platform for surgical training, yet many educational videos are of poor quality. We developed and validated two 10-minute narrated videos of sinus anatomy, the first (V1) incorporated CT images of critical structures while the second (V2) combined CT images and surgical endoscopic video. In tandem, we developed a sinonasal assessment used to test sinonasal anatomy, surgical landmarks, and situational awareness.
Methods: We performed a multicenter, randomized IRB-approved educational study evaluating the efficacy of the V1 and V2 videos by comparing pre-test (PrT) and post-test (PoT) scores in Med and OtoR subject groups. Subjects then watched the alternate video and preferences were assessed.
Results: A total of 30 Med and 37 OtoR successfully completed the study at 6 different institutions. There were significant differences in pre-test knowledge with OtoR scoring higher than Med in all 3 pre-test subdomains [(S1: 4.3 v s2.9, P < .0001, S2: 4.4 vs 3.1, P < .0001, and S3: 4.6 vs 3.2, P < .0001)]. In the Med group, both V1 and V2 educational videos significantly improved post-test scores compared to pre-test scores (V1: 10.06 vs 12.59, P = .0005; V2: 8.23 vs 11.08, P = .0008). In the OtoR group, only the V2 educational video showed significant improvement (13.24 vs 14.76, P < .0001). Both groups thought the videos were helpful and improved their spatial awareness of sinus anatomy.
Conclusions: Short, validated videos significantly improve sinonasal education and should be incorporated in modern training programs.
期刊介绍:
The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.