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Current trends and barriers to video management and analytics as a tool for surgeon skilling

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Abstract

Background

The benefits of intraoperative recording are well published in the literature; however, few studies have identified current practices, barriers, and subsequent solutions. The objective of this study was to better understand surgeon’s current practices and perceptions of video management and gather blinded feedback on a new surgical video recording product with the potential to address these barriers effectively.

Methods

A structured questionnaire was used to survey 230 surgeons (general, gynecologic, and urologic) and hospital administrators across the US and Europe regarding their current video recording practices. The same questionnaire was used to evaluate a blinded concept describing a new intraoperative recording solution.

Results

54% of respondents reported recording eligible cases, with the majority recording less than 35% of their total eligible caseload. Reasons for not recording included finding no value in recording simple procedures, forgetting to record, lack of access to equipment, legal concerns, labor intensity, and difficulty accessing videos. Among non-recording surgeons, 65% reported considering recording cases to assess surgical techniques, document practice, submit to conferences, share with colleagues, and aid in training. 35% of surgeons rejected recording due to medico-legal concerns, lack of perceived benefit, concerns about secure storage, and price. Regarding the concept of a recording solution, 74% of all respondents were very likely or quite likely to recommend the product for adoption at their facility. Appealing features to current recorders included the product’s ease of use, use of AI to maintain patient and staff privacy, lack of manual downloads, availability of full-length procedural videos, and ease of access and storage. Non-recorders found the immediate access to videos and maintenance of patient/staff privacy appealing.

Conclusion

Tools that address barriers to recording, accessing, and managing surgical case videos are critical for improving surgical skills. Touch Surgery Enterprise is a valuable tool that can help overcome these barriers.

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Authors and Affiliations

  1. USF Morsani College of Medicine, Tampa, FL, USA

    Sabrina Awshah, Karina Bowers, Joseph Sujka, Salvatore Docimo & Christopher DuCoin

  2. Inspired Health, Boston, MA, USA

    Diane Threatt Eckel

  3. Department of Surgery, USF Morsani College of Medicine, Tampa, FL, USA

    Abdulrahman Fadi Diab, Samer Ganam, Joseph Sujka, Salvatore Docimo & Christopher DuCoin

Authors
  1. Sabrina Awshah
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  2. Karina Bowers
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  3. Diane Threatt Eckel
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  4. Abdulrahman Fadi Diab
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  5. Samer Ganam
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  8. Christopher DuCoin
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Correspondence to Sabrina Awshah.

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Disclosures

Christopher DuCoin is a consultant for Intuitive, Medtronic, Johnson & Johnson. Sabrina Awshah, Karina Bowers, Diane Threatt, Abdulrahman Fadi Diab, Samer Ganam, Joseph Sujka, and Salvatore Docimo have no conflicts of interest or financial ties to disclose.

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Awshah, S., Bowers, K., Eckel, D.T. et al. Current trends and barriers to video management and analytics as a tool for surgeon skilling. Surg Endosc (2024). https://doi.org/10.1007/s00464-024-10754-6

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