Watch what happens: using a web-based multimedia platform to enhance intraoperative learning and development of clinical reasoning

American Journal of Surgery
Abbey FingeretRoman Nowygrod

Abstract

We aim to determine whether observed operations or internet-based video review predict improved performance in the surgery clerkship. A retrospective review of students' usage of surgical videos, observed operations, evaluations, and examination scores were used to construct an exploratory principal component analysis. Multivariate regression was used to determine factors predictive of clerkship performance. Case log data for 231 students revealed a median of 25 observed cases. Students accessed the web-based video platform a median of 15 times. Principal component analysis yielded 4 factors contributing 74% of the variability with a Kaiser-Meyer-Olkin coefficient of .83. Multivariate regression predicted shelf score (P < .0001), internal clinical skills examination score (P < .0001), subjective evaluations (P < .001), and video website utilization (P < .001) but not observed cases to be significantly associated with overall performance. Utilization of a web-based operative video platform during a surgical clerkship is an independently associated with improved clinical reasoning, fund of knowledge, and overall evaluation. Thus, this modality can serve as a useful adjunct to live observation.

References

Jun 30, 1998·American Journal of Surgery·L NeumayerB Kim
Jul 6, 2000·American Journal of Surgery·S H EllozyJ J Bauer
May 28, 2005·The Journal of Surgical Research·Sharon M WeberHerbert Chen
Nov 25, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·Charles L BardesCarol Storey-Johnson
May 2, 2006·Obstetrics and Gynecology Clinics of North America·Kimberly Kenton
Sep 29, 2006·The New England Journal of Medicine·Molly CookeKenneth M Ludmerer
Oct 18, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Cha-Chi FungLuAnn Wilkerson
Jun 25, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Charles H GriffithRaymond Y Wong
Dec 25, 2009·The Journal of Surgical Research·Tzu-Chieh Wendy YuAndrew Graham Hill
Feb 25, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·Bernard R RobinGeeta R Singhal
Mar 23, 2012·JAMA : the Journal of the American Medical Association·Ezekiel J Emanuel, Victor R Fuchs
Jun 14, 2012·Medical Education·Ting DongGerald D Denton
Jun 5, 2013·BMC Medical Education·Marjorie D WenrichAlbert J J Scherpbier
Nov 16, 2013·Medical Education Online·Bjarne Skjødt Worm, Kenneth Jensen
Feb 5, 2014·Journal of the American College of Surgeons·Mary E KlingensmithMark A Malangoni
Jun 9, 2014·Advances in Health Sciences Education : Theory and Practice·Jacqueline Rees-Lee, Roger Kneebone
Aug 26, 2014·Advances in Medical Education and Practice·Steen Vigh BuchBjarne Skjødt Worm

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Citations

Feb 6, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A M LacyS D Wexner
May 2, 2018·JAMA Surgery·Jonathan S AbelsonHeather L Yeo
Apr 10, 2019·American Journal of Pharmaceutical Education·Xin MengHongwei Guo
Jan 11, 2020·Medical Education Online·Berina KaricPaul Brisson
Aug 6, 2021·The Annals of Otology, Rhinology, and Laryngology·Jared JohnsonAndrew P Johnson

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