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Surgeons’ dilemma: Balancing the risks and benefits of audio-video recording

      Audio-video (AV) recording in the operating room (OR) brings a multitude of potential benefits to both patients and surgeons. Video-based case presentations are common at conferences, facilitating education and knowledge dissemination, and case recordings are easily accessible online for viewers of all backgrounds. Video-based surgical coaching has been shown to improve technical skills in both trainees and attending surgeons.
      • Bonrath E.M.
      • Dedy N.J.
      • Gordon L.E.
      • et al.
      Comprehensive surgical coaching enhances surgical skill in the operating room: a randomized controlled trial.
      ,
      • Kreutzer L.
      • Hu Y.
      • Stulberg J.
      • et al.
      Formative evaluation of a peer video-based coaching initiative.
      Additionally, the identification of an association between high technical skill and fewer patient complications represents an opportunity for improved patient outcomes through surgeon self-reflection via video review.
      • Birkmeyer J.D.
      • Finks J.F.
      • O’Reilly A.
      • et al.
      Surgical skill and complication rates after bariatric surgery.
      Outside of technical skill, AV recording is an ideal mechanism for studying intraoperative hand-offs, teamwork, and communication at the point of care.
      • Dumas R.P.
      • Vella M.A.
      • Hatchimonji J.S.
      • et al.
      Trauma video review utilization: a survey of practice in the United States.
      • Frasier L.L.
      • Pavuluri Quamme S.R.
      • Ma Y.
      • et al.
      Familiarity and communication in the operating room.
      • Frasier L.L.
      • Pavuluri Quamme S.R.
      • Wiegmann D.
      • Greenberg C.C.
      • et al.
      Evaluation of intraoperative hand-off frequency, duration, and context: a mixed methods analysis.
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      References

        • Bonrath E.M.
        • Dedy N.J.
        • Gordon L.E.
        • et al.
        Comprehensive surgical coaching enhances surgical skill in the operating room: a randomized controlled trial.
        Ann Surg. 2015; 262: 205-212
        • Kreutzer L.
        • Hu Y.
        • Stulberg J.
        • et al.
        Formative evaluation of a peer video-based coaching initiative.
        J Surg Res. 2021; 257: 169-177
        • Birkmeyer J.D.
        • Finks J.F.
        • O’Reilly A.
        • et al.
        Surgical skill and complication rates after bariatric surgery.
        N Engl J Med. 2013; 369: 1434-1442
        • Dumas R.P.
        • Vella M.A.
        • Hatchimonji J.S.
        • et al.
        Trauma video review utilization: a survey of practice in the United States.
        Am J Surg. 2020; 219: 49-53
        • Frasier L.L.
        • Pavuluri Quamme S.R.
        • Ma Y.
        • et al.
        Familiarity and communication in the operating room.
        J Surg Res. 2019; 235: 395-403
        • Frasier L.L.
        • Pavuluri Quamme S.R.
        • Wiegmann D.
        • Greenberg C.C.
        • et al.
        Evaluation of intraoperative hand-off frequency, duration, and context: a mixed methods analysis.
        J Surg Res. 2020; 256: 124-130
      1. Gallant JN, Brelsford K, Sharma S, et al. Patient perceptions of audio and video recording in the operating room [e-pub ahead of print]. Ann Surg. https://doi.org/10.1097/sla.0000000000004759. Accessed May 11, 2022.