Accuracy and Quality of Educational Videos for Elbow Physical Examination: A Search from the Earliest Year until October 2018

Abstract

Background: Medical students and residents rely increasingly on web-based education. Online videos provide uniqueopportunities to share knowledge. The objective of this study was to investigate the accuracy and quality of instructionalvideos on the physical examination of the elbow and identify factors influencing educational usefulness.Methods: On October 7, 2018, a search on YouTube, VuMedi, Orthobullets, and G9MD was performed. Videos wererated for accuracy and quality by two independent authors using a modified version of a validated scoring system forthe nervous and cardiopulmonary system. Inter-rater reliability was analysed.Results: The 126 included videos were uploaded between June 2007 and February 2018. Twenty-three videos wereindicated as useful for educational purposes. Accuracy, quality and overall scores were significantly higher for videosfrom specialized platforms (VuMedi, Orthobullets, G6MD) compared to YouTube. Video accuracy and quality variedwidely and were not correlated. Number of days online, views, and likes showed no or weak correlation with accuracyand quality. For the overall score, our assessment tool showed excellent inter-rater reliability.Conclusion: There is considerable variation in accuracy and quality of currently available online videos on the physicalexamination of the elbow. We identified 23 educationally useful videos and provided an assessment method for thequality of educational videos. In educational settings, this method may help students to assess video reliability and aideducators in the development of high-quality instructional online content.Level of evidence: III