YouTube as a Potential Training Resource for Laparoscopic Fundoplication.
OBJECTIVE
To analyze the surgical proficiency and educational quality of YouTube videos demonstrating laparoscopic fundoplication (LF).


METHODS
In this cross-sectional study, a search was performed on YouTube for videos demonstrating the LF procedure. The surgical and educational proficiency was evaluated using the objective component rating scale, the educational quality rating score, and total video quality score. Statistical significance was determined by analysis of variance, receiver operating characteristic curve, and odds ratio analysis.


RESULTS
A total of 71 videos were included in the study; 28 (39.4%) videos were evaluated as good, 23 (32.4%) were moderate, and 20 (28.2%) were poor. Good-rated videos were significantly longer (good, 22.0 ± 5.2min; moderate, 7.8 ± 0.9min; poor, 8.5 ± 1.0min; p = 0.007) and video duration was predictive of good quality (AUC, 0.672 ± 0.067; 95% CI: 0.541-0.802; p = 0.015). For good quality, the cut-off video duration was 7:42 minute. This cut-off value had a sensitivity of 67.9%, a specificity of 60.5%, and an odds ratio of 3.23 (95% CI: 1.19-8.79; p = 0.022) in predicting good quality. Videos uploaded from industrial sources and with a higher views/days online ratio had a higher objective component rating scale and total video quality score. In contrast, the likes/dislikes ratio was not predictive of video quality.


CONCLUSIONS
Many videos showing the LF procedure have been uploaded to YouTube with varying degrees of quality. A process for filtering LF videos with high surgical and educational quality is feasible by evaluating the video duration, uploading source, and the views/days online ratio. However, alternative videos platforms aimed at professionals should also be considered for educational purposes.
Division of Pediatric Surgery, Department of General, Visceral and Transplantation Surgery, University Hospital of Heidelberg, Germany. Electronic address: gio@frongia.net.
Giovanni
G
Frongia
Department of General, Visceral and Transplantation Surgery, University Hospital of Heidelberg, Heidelberg, Germany.
Arianeb
A
Mehrabi
Department of General, Visceral and Transplantation Surgery, University Hospital of Heidelberg, Heidelberg, Germany.
Hamidreza
H
Fonouni
Division of Pediatric Surgery, Department of General, Visceral and Transplantation Surgery, University Hospital of Heidelberg, Germany.
Helga
H
Rennert
Department of General, Visceral and Transplantation Surgery, University Hospital of Heidelberg, Heidelberg, Germany.
Mohammad
M
Golriz
Division of Pediatric Surgery, Department of General, Visceral and Transplantation Surgery, University Hospital of Heidelberg, Germany.
Patrick
P
Günther
D000328:Adult; D000704:Analysis of Variance; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D004503:Education, Medical, Graduate / Q000379:methods*; D004521:Educational Measurement; D005260:Female; D018662:Fundoplication / Q000193:education*; D005858:Germany; D006801:Humans; D033181:Information Dissemination; D010535:Laparoscopy / Q000193:education*; D016015:Logistic Models; D008297:Male; D015588:Observer Variation; D011786:Quality Control; D012372:ROC Curve; D061108:Social Media / Q000706:statistics & numerical data; D014741:Video Recording / Q000592:standards* / Q000639:trends
Medical Knowledge; Patient Care; Systems-Based Practice; YouTube; educational quality; laparoscopic fundoplication; surgical quality; surgical training; video