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van Bonn SM, Grajek JS, Schneider A, Oberhoffner T, Mlynski R, Weiss NM. Interactive live-stream surgery contributes to surgical education in the context of contact restrictions. Eur Arch Otorhinolaryngol 2021; 279:2865-2871. [PMID: 34424381 PMCID: PMC8381709 DOI: 10.1007/s00405-021-06994-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Accepted: 07/13/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Attendance teaching is the predominant teaching method at universities but needs to be questioned in the context of digital transformation. This study establishes and evaluates a method to accomplish electronic learning to supplement traditional attendance courses. MATERIALS AND METHODS Surgery was transmitted in real-time conditions via an online live stream from the surgical theater. Visualization was transferred from a fully digital surgical microscope, an endoscope or an environmental camera in high definition quality. Students were able to participate at home from their personal computer. After following the surgery, they participated in an online-evaluation. RESULTS A total of 65 students participated in the live stream. The majority of students (61.54%) indicated a significant subjective increase in knowledge after participation. The majority of students (53.85%) indicated that live surgeries should be offered as a permanent component in addition to classroom teaching. Likewise, a broader offer was desired by many students (63.08%). CONCLUSIONS Live streaming of surgery is a promising approach as an alternative or supplement to traditional attendance teaching. An expansion of digital teaching can be explicitly supported on the basis of this study.
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Affiliation(s)
- Sara M van Bonn
- Department of Otorhinolaryngology, Head and Neck Surgery, Otto Körner", Rostock University Medical Center, Doberaner Strasse 137-139, D-18057, Rostock, Germany
| | - Jan S Grajek
- Department of Otorhinolaryngology, Head and Neck Surgery, Otto Körner", Rostock University Medical Center, Doberaner Strasse 137-139, D-18057, Rostock, Germany
| | - Armin Schneider
- Munich Surgical Imaging GmbH, Türkenstraße 89, 80799, Munich, Germany
- Research Group Minimally Invasive Interdisciplinary Therapeutical Intervention (MITI), KlinikumRechts Der Isar", Technical University Munich (TUM), Munich, Germany
| | - Tobias Oberhoffner
- Department of Otorhinolaryngology, Head and Neck Surgery, Otto Körner", Rostock University Medical Center, Doberaner Strasse 137-139, D-18057, Rostock, Germany
| | - Robert Mlynski
- Department of Otorhinolaryngology, Head and Neck Surgery, Otto Körner", Rostock University Medical Center, Doberaner Strasse 137-139, D-18057, Rostock, Germany
| | - Nora M Weiss
- Department of Otorhinolaryngology, Head and Neck Surgery, Otto Körner", Rostock University Medical Center, Doberaner Strasse 137-139, D-18057, Rostock, Germany.
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Bailey CE, Grauer JS, Chen PG, Rangarajan SV, Chan Y, Tewfik MA, Marino MJ, Torabi M, Le CH, Chang EH. Development of a self-directed sinonasal surgical anatomy video curriculum: Phase 1 validation. Int Forum Allergy Rhinol 2021; 11:1570-1576. [PMID: 34021535 DOI: 10.1002/alr.22814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 04/12/2021] [Accepted: 04/17/2021] [Indexed: 11/06/2022]
Abstract
BACKGROUND Sinusitis is a common outpatient diagnosis made by physicians and is a reason for referral to otolaryngologists. A foundation in basic sinonasal anatomy is critical in understanding sinus pathophysiology and avoiding complications. Our objective in this study was to develop and to validate a self-directed surgical anatomy video for medical students. METHODS Two multimedia videos were developed highlighting sinonasal anatomy. In Video 1 we included audio narration and radiologic imaging. Video 2 incorporated highlighted images from a sinus surgery video. An assessment was developed to test sinonasal anatomy landmarks, spatial recognition of structures, and their clinical relevance. An expert panel of rhinologists scored face and content validity of the curriculum videos and assessment. Factor analysis was used to separate questions into face and content validity domains, and a one-sample t test was performed. RESULTS The panel scored face validity (Videos 1 and 2: 4.4/5) and content validity (Video 1: 4.5/5, 0.83; Video 2: 4.3/5, 0.75) significantly higher than a neutral response. There were no statistical differences for face or content validity between videos. The assessment was rated suitable (29%) or very suitable (57%) for testing basic sinonasal surgical anatomy, and the majority (71%) of respondents agreed (14%) or strongly agreed (57%) that the assessment thoroughly covered the sinus anatomy content with which medical students should be familiar. CONCLUSION We have developed two videos and an assessment that highlight and test sinonasal anatomy. Future studies will aim to identify whether the use of a self-directed video curriculum improves sinonasal anatomy awareness and whether incorporation of surgical endoscopic videos augments training.
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Affiliation(s)
- C Eric Bailey
- Department of Otolaryngology-Head and Neck Surgery, University of Arizona College of Medicine, Tucson, AZ
| | - Jordan S Grauer
- Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL
| | - Philip G Chen
- Department of Otolaryngology-Head and Neck Surgery, University of Texas Health San Antonio, San Antonio, TX
| | - Sanjeet V Rangarajan
- Department of Otolaryngology-Head and Neck Surgery, University of Tennessee Health Science Center, Memphis, TN
| | - Yvonne Chan
- Department of Otolaryngology-Head & Neck Surgery, University of Toronto, Toronto, ON, Canada
| | - Marc A Tewfik
- Department of Otolaryngology-Head and Neck Surgery, McGill University, Montréal, QC, Canada
| | - Michael J Marino
- Department of Otolaryngology-Head and Neck surgery, Mayo Clinic, Phoenix, AZ
| | - Mohammad Torabi
- University Information Technology Services, University of Arizona, Tucson, AZ
| | - Christopher H Le
- Department of Otolaryngology-Head and Neck Surgery, University of Arizona College of Medicine, Tucson, AZ
| | - Eugene H Chang
- Department of Otolaryngology-Head and Neck Surgery, University of Arizona College of Medicine, Tucson, AZ
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Fan T, Workman AD, Koch G, Rathi VK, Scangas GA, Metson R. Educational utility of an online video-based teaching tool for sinus and skull base surgery. Laryngoscope Investig Otolaryngol 2021; 6:195-199. [PMID: 33869751 PMCID: PMC8035933 DOI: 10.1002/lio2.551] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 01/24/2021] [Accepted: 03/12/2021] [Indexed: 12/11/2022] Open
Abstract
OBJECTIVE Surgical education has undergone major changes in recent years, as hands-on learning opportunities have been replaced or supplemented with online tools. The goal of this project is to examine the educational impact of a surgical training website, SinusVideos.com, on otolaryngologists at various levels of training. METHODS Visitors to the website were asked to complete a survey after viewing a narrated video of a surgical procedure. Surveys were analyzed for demographics, needs assessment, and educational impact. RESULTS A total of 105 completed surveys were completed by 68 (64.8%) attendings/practicing physicians, 32 residents/fellows (30.5%), and 5 medical students (4.8%). Whereas 14.3% of viewers reported online videos as their primary source for surgical preparation, 70.5% considered them important secondary supplements. After viewing a video, 92.4% of respondents reported a gained confidence in performing the surgery, and 62.9% said the video altered how they would perform the surgery in the future. Viewers' ratings of their knowledge (on a 1-7 Likert scale) of a particular surgical procedure before vs after watching the observed procedure increased significantly for participants at all levels of training-medical students (2.8 before vs 5.4 after, P < .01), residents/fellows (4.8 before vs 5.8 after, P < .0001), and attendings/practicing physicians (5.6 before vs 6.4 after, P < .0001). CONCLUSION High quality online surgical videos appear to be an effective learning tool for surgical trainees and practicing physicians alike. The educational benefit of such tools, as well as their widespread accessibility, makes them a powerful instrument for the training of surgeons worldwide. LEVEL OF EVIDENCE Level 5.
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Affiliation(s)
| | - Alan D. Workman
- Department of Otolaryngology‐Head and Neck SurgeryMassachusetts Eye and EarBostonMassachusettsUSA
- Harvard Medical SchoolBostonMassachusettsUSA
| | - George Koch
- Department of Otolaryngology‐Head and Neck SurgeryMassachusetts Eye and EarBostonMassachusettsUSA
| | - Vinay K. Rathi
- Department of Otolaryngology‐Head and Neck SurgeryMassachusetts Eye and EarBostonMassachusettsUSA
- Harvard Medical SchoolBostonMassachusettsUSA
| | - George A. Scangas
- Department of Otolaryngology‐Head and Neck SurgeryMassachusetts Eye and EarBostonMassachusettsUSA
- Harvard Medical SchoolBostonMassachusettsUSA
| | - Ralph Metson
- Department of Otolaryngology‐Head and Neck SurgeryMassachusetts Eye and EarBostonMassachusettsUSA
- Harvard Medical SchoolBostonMassachusettsUSA
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Maeda Y, Takeda K, Hayama M, Tsuda T, Shikina T, Nishiike S, Kawashima K, Inohara H. Experience with online lectures about endoscopic sinus surgery using a video conferencing app. Auris Nasus Larynx 2020; 47:1083-1085. [PMID: 32792117 PMCID: PMC7386604 DOI: 10.1016/j.anl.2020.07.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2020] [Revised: 07/09/2020] [Accepted: 07/22/2020] [Indexed: 10/27/2022]
Affiliation(s)
- Yohei Maeda
- Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita City, Osaka 565-0871, Japan.
| | - Kazuya Takeda
- Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita City, Osaka 565-0871, Japan; Department of Otolaryngology, Kindai University Faculty of Medicine, Osakasayama City, Osaka, Japan
| | - Masaki Hayama
- Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita City, Osaka 565-0871, Japan
| | - Takeshi Tsuda
- Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita City, Osaka 565-0871, Japan; Department of Otolaryngology-Head and Neck Surgery, National Hospital Organization Osaka National Hospital, Osaka City, Osaka, Japan
| | | | - Suetaka Nishiike
- Department of Otorhinolaryngology-Head and Neck Surgery, Osaka Rosai Hospital, Sakai City, Osaka, Japan
| | - Kayoko Kawashima
- Department of Otorhinolaryngology, Osaka Habikino Medical Center, Osaka Prefectural Hospital Organization, Habikino City, Osaka, Japan
| | - Hidenori Inohara
- Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita City, Osaka 565-0871, Japan
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Ghersin ZJ, Yager P, Cummings BM, Hersh M C, Cayer M, Callans KM, Zablah EJ, Gallagher T, Abrego S, Bonilla J, Vela OS, Guzman L, Aguilar A, Hartnick CJ. A multidisciplinary, video-based, curriculum for management of the intubated and surgical airway patient for a pediatric hospital in El Salvador. Int J Pediatr Otorhinolaryngol 2020; 128:109732. [PMID: 31644996 DOI: 10.1016/j.ijporl.2019.109732] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Revised: 10/13/2019] [Accepted: 10/13/2019] [Indexed: 10/25/2022]
Abstract
OBJECTIVE Primary objective is to determine the rate of intubation with inappropriately sized endotracheal tubes (ETTs) in a pediatric intensive care unit (PICU) in El Salvador. Secondary objective is to determine effectiveness of a video-based curriculum to teach local providers on pediatric advanced airway management and surgical approach to patients requiring airway reconstruction. METHODS Data for 296 intubated pediatric patients was collected over a six month period in a 16-bed PICU in El Salvador. Results of a learning behavior assessment survey completed by local healthcare workers informed a curriculum to complement on-site education during annual surgical airway mission trips. The video-based curriculum addressed proper sizing and use of cuffed endotracheal tubes, care of the intubated child and perioperative considerations of the surgical airway patient. Providers completed pre and post-curriculum quizzes to measure knowledge acquisition. RESULTS Over 6-months, 281 patients were intubated. Sixty-three percent had improperly sized ETTs. Thirty-one percent had a failed or accidental extubation. All-cause mortality was 24%. One hundred and fifty-nine Salvadorian providers completed a learning behavior survey informing a video-based curriculum. Sixty-four providers completed the curriculum. Post-curriculum quiz scores increased by 18.7%. Surgeons, anesthesiologist, intensivists and speech pathologists demonstrated significant improvement (p < 0.05). CONCLUSION Nearly two-thirds of intubated patients in a PICU in El Salvador have improperly sized ETTs and one-third require reintubation following planned or accidental extubation. The development of this first of its kind video-based curriculum for critical care and surgical training regarding how to properly care for the intubated child is coupled with the development of a longitudinal database to record pediatric airway related morbidity and mortality in the largest pediatric hospital in El Salvador. This model and system can be used to track the reduction in airway related morbidity and mortality directly related to a systems based intervention both in El Salvador and then elsewhere.
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Affiliation(s)
- Zelda J Ghersin
- Massachusetts General Hospital for Children, Boston, MA, USA.
| | - Phoebe Yager
- Massachusetts General Hospital for Children, Boston, MA, USA.
| | | | - Cheryl Hersh M
- Massachusetts General Hospital for Children, Boston, MA, USA.
| | | | | | | | | | - Susana Abrego
- Hospital de Niños Benjamin Bloom, San Salvador, El Salvador.
| | - Jose Bonilla
- Hospital de Niños Benjamin Bloom, San Salvador, El Salvador.
| | | | - Luis Guzman
- Hospital de Niños Benjamin Bloom, San Salvador, El Salvador.
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