Video review for measuring and improving skill in urological surgery

Video review for measuring and improving skill in urological surgery
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DOI:
10.1038/s41585-018-0138-2
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发表时间:
2019-04-01
影响因子:
15.3
通讯作者:
Ghani, Khurshid R.
Ghani, Khurshid R.
中科院分区:
医学1区
文献类型:
--
作者:
Prebay, Zachary J.;Peabody, James O.;Ghani, Khurshid R.

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在泌尿外科社区内,对技术技能的客观评估越来越感兴趣。手术视频回顾依赖于客观评估工具的使用,以评估全局和特定于手术的技能。这些评估为外科医生提供结构化的反馈,目的是改进技术,这与患者的结果有关。目前,可以通过专家同行评审、众包或基于计算机的方法进行技能评估。鉴于技能和患者预后之间的关系,未来可能需要外科医生提供经验证据,证明他们在认证、就业、认证和质量改进方面的技术技能。包括视频回顾的辅导和技能研讨会等干预措施可能有助于外科医生提高他们的技能,最终目标是改善患者的预后。
Interest is growing within the urological surgery community for objective assessments of technical skill. Surgical video review relies on the use of objective assessment tools to evaluate both global and procedure-specific skill. These evaluations provide structured feedback to surgeons with the aim of improving technique, which has been associated with patient outcomes. Currently, skill assessments can be performed by using expert peer-review, crowdsourcing or computer-based methods. Given the relationship between skill and patient outcomes, surgeons might be required in the future to provide empirical evidence of their technical skill for certification, employment, credentialing and quality improvement. Interventions such as coaching and skills workshops incorporating video review might help surgeons improve their skill, with the ultimate goal of improving patient outcomes.