The surgical spectacle: A survey of urologists viewing live case demonstrations - Abstract

OBJECTIVES: To evaluate perspectives of urologists viewing live and taped case demonstrations (TCD).

METHODS: A 15-question anonymous survey was distributed to attendees of the live surgery session at the AUA 2012 national meeting (Atlanta) and the 3rd International Challenges in Endourology meeting (Paris).

RESULTS: Of 1000 surveys distributed, 253 were returned completed (response rate 25%). Nearly half of respondents were in academic practice setting and nearly 75% were beyond training. Just over 30% had performed a LCD previously. The perceived benefit of an LCD was greater than unedited and edited videos (chi-squared p=0.0138 and p=0.0001, respectively). Nearly no one selected "not helpful" and few selected minimally helpful for any of the three modalities. The majority of respondents identified that opportunity to ask questions (61%) and having access to the full unedited version (72%), two features inherent to LCD, improved upon the educational benefit of edited videos. The majority (78%) identified LCD as ethical. However, those that did not perceived lower educational benefit from LCD (p=0.019). A slim majority (58%) would allow themselves or a family member to be a patient of a LCD. The vast majority (86%) plan to transfer knowledge gained at the LCD session into their practice.

CONCLUSIONS: Urologists who attended these LCD sessions identified LCDs as beneficial and applicable to their practice. LCDs are preferred over videos. The large majority considers LCD ethical though not as many would volunteer themselves for LCD. Further studies are necessary to determine if there is actual benefit from LCD over TCD to patient care.

Written by:
Elsamra SE, Fakhoury M, Motato H, Friedlander JI, Moreira DM, Hillelsohn J, Duty B, Okeke Z, Smith AD.   Are you the author?

Reference: BJU Int. 2013 Sep 10. Epub ahead of print.
doi: 10.1111/bju.12453


PubMed Abstract
PMID: 24053337

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