Applying a novel cost-evaluation framework to assess video-based neurosurgery education

Axelsson, Carl Gustaf Stefan; Healy, Michael; Wolbrink, Traci A.; King, Julia Ord; Sanders, Evan S.; Phitayakorn, Roy

doi:10.1016/j.amjsurg.2020.01.018

Cited by 5 publications

(6 citation statements)

References 9 publications

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“…The reasoning is: “if ‘a picture is worth a thousand words’, then a minute of video with 30 frames per second is worth at least 1.8 million words.” [ 15 ]. Cost models estimate the costs of developing video on demand for education according to Levin’s Ingredient, model related to personnel, equipment and consumables [ 16 ]. Video content development can be planned according to Fig.…”

Section: Methodsmentioning

confidence: 99%

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Evolving robotic surgery training and improving patient safety, with the integration of novel technologies

et al. 2020

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Introduction Robot-assisted surgery is becoming increasingly adopted by multiple surgical specialties. There is evidence of inherent risks of utilising new technologies that are unfamiliar early in the learning curve. The development of standardised and validated training programmes is crucial to deliver safe introduction. In this review, we aim to evaluate the current evidence and opportunities to integrate novel technologies into modern digitalised robotic training curricula. Methods A systematic literature review of the current evidence for novel technologies in surgical training was conducted online and relevant publications and information were identified. Evaluation was made on how these technologies could further enable digitalisation of training. Results Overall, the quality of available studies was found to be low with current available evidence consisting largely of expert opinion, consensus statements and small qualitative studies. The review identified that there are several novel technologies already being utilised in robotic surgery training. There is also a trend towards standardised validated robotic training curricula. Currently, the majority of the validated curricula do not incorporate novel technologies and training is delivered with more traditional methods that includes centralisation of training services with wet laboratories that have access to cadavers and dedicated training robots. Conclusions Improvements to training standards and understanding performance data have good potential to significantly lower complications in patients. Digitalisation automates data collection and brings data together for analysis. Machine learning has potential to develop automated performance feedback for trainees. Digitalised training aims to build on the current gold standards and to further improve the ‘continuum of training’ by integrating PBP training, 3D-printed models, telementoring, telemetry and machine learning.

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Section: Methodsmentioning

confidence: 99%

“…[15]. Cost models estimate the costs of developing video on demand for education according to Levin's Ingredient, model related to personnel, equipment and consumables [16]. Video content development can be planned according to Fig.…”

Section: E-learningmentioning

confidence: 99%

Evolving robotic surgery training and improving patient safety, with the integration of novel technologies

et al. 2020

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“…The estimated total cost to produce a 10-episode podcast series of $7,091 is relatively low compared to other educational modalities as reported in the literature with most of the costs being opportunity costs. Axelsson et al., 12 using the same REC budget framework for three neurosurgery video modules, estimated each video to cost between $1774 and $4349. Traditional video modules usually require more production personal (videographer, instructional designer, animator and even actors), more expensive equipment, and professional editing.…”

Section: Discussionmentioning

confidence: 99%

“…The REC financial framework was developed to estimate the financial costs for technology-based surgical education projects. 12 In this approach, each resource is defined and allotted a value cost in U.S. dollars (USD). For this study, we defined ‘ project managers ’ as the individuals responsible for project proposal, script writing, and storyboard development.…”

Section: Methodsmentioning

confidence: 99%

Development and Utilization of a Medical Student Surgery Podcast During COVID-19

Anteby

Amiel

Cordoba

et al. 2021

Journal of Surgical Research

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Background The 2019 coronavirus disease (COVID-19) pandemic drastically reduced learning opportunities for medical students. We sought to determine the cost and success of implementation of a podcast for a surgical department in a large academic hospital. Methods We created a podcast series for Israeli medical students during the COVID-19 epidemic based on the Medical Student Core Curriculum of the American College of Surgeons / Association for Surgical Education. Episodes were available for free download or streaming on a designated website and popular podcast platforms. Podcast analytics were used to measure public listeners and uptake. Results Total development time was 90 hours at an estimated cost of $7091 USD. A total of 10 episodes were released between March 21, 2020 and August 31, 2020. An average of 9 ± 1.26 h (range 2-6) was required to generate each episode, including 3.4 ± 1.26 h (2-6) for content review and 5.6 ± 2 h (4-10) for audio production. An average episode ran for 35.9 ± 4.3 min (28-42). Podcasts recorded a total of 5678 downloads, with an average of 228 and 336 downloads per episode in the first 30 and 90 days, respectively. The average daily downloads before the students returned to clinical rotations (March 21-April 30) was 48 ± 58.3 (7-283;) compared to 16 ± 7.4 after their return (1-38; P < 0.01). Estimated costs to produce a video-based education series would have been significantly more. Conclusion Podcasts can serve as a cost-effective and quickly produced instructional tool to supplement online learning. Further research is required to determine the efficacy of podcasts versus video-based education modules.

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“…When developing modules, creating a minimal viable education product can still result in impactful modules. As such, during the development process, utilising a cost-evaluation framework can help in the planning and utilisation of limited resources 16. For exam-AUTHOR CONTRIBUTIONS Carl Gustaf Stefan Axelsson: Conceptualization; data curation; formal analysis; funding acquisition; investigation; methodology; project administration; resources; visualization; writing-original draft; writing-review and editing.…”

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confidence: 99%

Virtual training for small group facilitators

Axelsson,

Healy,

Ramani

et al. 2024

The Clinical Teacher

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BackgroundIn addition to providing patient care, interprofessional health care teams work collaboratively on a variety of projects. These projects often benefit from using facilitated small group project discussion sessions, such as the Harvard Macy Institute's (HMI) Step Back Process (SBP). Although having a trained facilitator is an important component of the SBP, only a limited number of health care professionals can attend HMI courses in person or virtually, limiting its impact.ApproachWe developed three video‐based education (VBE) modules to deliver facilitator training on the SBP, informed by principles of Mayer's cognitive theory of multimedia learning. For module development, we used a five‐step approach. We evaluated effectiveness of the modules as a self‐directed method to enhance SBP facilitator training. An initial survey collected demographic data and module feedback, a follow‐up survey collected feedback on the modules' impact on facilitation and interviews focused on the participants' overall experience.EvaluationSurvey results indicated that the modules were positively received and helped to improve participant confidence in facilitating. We identified four themes from the interviews: challenges of facilitating, value of group feedback, value of modules for experienced facilitators and the modules as part of a multi‐modal approach to train new facilitators.ImplicationsThis innovation provides insight on delivering facilitator training on the SBP using VBE. Health professions educators developing online facilitator training could adapt our development process and modify implementation guided by our results. Future work should evaluate the best methods to integrate VBE modules into a longitudinal virtual community and assess facilitation techniques.

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Applying a novel cost-evaluation framework to assess video-based neurosurgery education

Cited by 5 publications

References 9 publications

Evolving robotic surgery training and improving patient safety, with the integration of novel technologies

Evolving robotic surgery training and improving patient safety, with the integration of novel technologies

Development and Utilization of a Medical Student Surgery Podcast During COVID-19

Virtual training for small group facilitators

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