TY - JOUR
T1 - Watch what happens
T2 - Using a web-based multimedia platform to enhance intraoperative learning and development of clinical reasoning
AU - Fingeret, Abbey L.
AU - Martinez, Rebecca H.
AU - Hsieh, Christine
AU - Downey, Peter
AU - Nowygrod, Roman
N1 - Publisher Copyright:
© 2016 Elsevier Inc. All rights reserved.
PY - 2016/2/1
Y1 - 2016/2/1
N2 - Background We aim to determine whether observed operations or internet-based video review predict improved performance in the surgery clerkship. Methods 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. Results 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. Conclusions 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.
AB - Background We aim to determine whether observed operations or internet-based video review predict improved performance in the surgery clerkship. Methods 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. Results 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. Conclusions 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.
KW - Case log
KW - Clinical reasoning
KW - Cognitive pretraining
KW - Education
KW - Video
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U2 - 10.1016/j.amjsurg.2015.09.007
DO - 10.1016/j.amjsurg.2015.09.007
M3 - Article
C2 - 26801091
AN - SCOPUS:84955582260
VL - 211
SP - 384
EP - 389
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 2
ER -