4.4 Article

The educational value of thyroidectomy YouTube videos for surgical trainees

Journal

AMERICAN JOURNAL OF OTOLARYNGOLOGY
Volume 44, Issue 2, Pages -

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.amjoto.2023.103799

Keywords

Thyroidectomy; YouTube; Otolaryngology; Surgery; Head and neck surgery

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This study evaluated the usefulness of thyroidectomy videos posted on YouTube for surgical training. A total of 22 videos met the selection criteria. The majority of the videos were of medium quality, with low thyroidectomy-specific grading scores. Therefore, YouTube-sourced thyroidectomy videos should be used to supplement traditional educational methods.
Objective: To evaluate the usefulness of thyroidectomy videos posted on YouTube for surgical training. Methods: The following keywords were searched on YouTube: thyroidectomy, conventional thyroidectomy, hemithyroidectomy, and thyroid lobectomy. The first 30 videos from each search were selected for a total of 120 videos. Included videos were those displaying a conventional approach to thyroidectomy and real, nonanimated patient surgery. Two independent reviewers assessed each video using the LAParoscopic surgery Video Educational Guidelines (LAP-VEGaS) and a thyroidectomy-specific grading score (TSS). Results: The search yielded 22 videos that met the selection criteria. The inter-rater agreement was excellent for the grading systems (ICC = 0.910). The average LAP-VEGaS score was of medium quality (8.82 & PLUSMN; 3.56 standard deviation (SD)). The highest average score (11.00 & PLUSMN; 1.68 SD) was assigned to videos published from academic institutions. There was no statistically significant difference in LAP-VEGaS scores when comparing the type of publisher between videos (p = 0.132). The majority of the videos (12/22, 55 %) did not include all hallmarks of thyroidectomy according to the novel TSS score. There was a significant positive correlation between TSS markers and the overall LAP-VEGaS score (r = 0.577, p = 0.005). Conclusion: YouTube videos as an educational resource for thyroidectomy instructions vary in quality. Most of the thyroidectomy videos were medium quality according to the LAP-VEGaS score. YouTube sourced thyroidectomy videos should be used to supplement traditional educational methods.

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