On-site production of a surgical skills training video: lessons from Guyana [video presentation].

Cameron BM, Kalechstein S, Permual A, Cameron BH.

Can J Surg. 2011 Dec;54(6):424.

Presented at: Bethune Round Table 2011. June 3-5, 2011. Montreal, Quebec


BACKGROUND: Instructional videos teaching simple surgical techniques have been shown to be effective. Commonly available and user-friendly video-editing software allows for the production of relatively high-quality training videos on-site in diverse settings. The primary purpose of this project was to produce a context specific training video with local partners in Guyana (Institute for Health Sciences Education, Georgetown, Guyana) using video editing software on a laptop computer and to assess the perceived value of this training tool.

METHODS: A 5-minute instructional video was filmed and produced in Guyana demonstrating intraosseous (IO) needle insertion techniques. A compact, Canon video camera was used to film the simulated procedure, and video was edited using iMovie ‘09 for Macintosh. None of the production team had formal training in video-making. Participants and faculty (n = 33) at a CNIS Trauma Team Training update course in Georgetown, Guyana, watched the video twice before completing a short quiz to assess knowledge about IO insertion steps and ascertain the participant’s perceived value of the video as a training tool.

RESULTS: Concept, script-writing, filming and editing took approximately 40 hours to complete. The mean quiz score for the knowledge component was 83%. Eighty-eight percent of trainees agreed or strongly agreed that the video was a useful clinical tool (n = 29), and 85% agreed or strongly agreed that it should be included in future training courses (n = 28).

CONCLUSION: The on-site production of a context-specific training video for simple surgical procedures using inexpensive audio-visual equipment is a useful and viable educational practice. The video produced effectively conveyed instructions and was well received by learners. Video-based instruction methods may be a cost-effective tool in future training scenarios.