scholarly journals Implementation of Educational Videos in Mohs Micrographic Surgery for Improved Patient Satisfaction and Comprehension

2021 ◽  
Vol 5 (3) ◽  
pp. 233-239
Author(s):  
Antonio Roberto Jimenez ◽  
Kristyna Gleghorn ◽  
Richard Wagner

Background: Patients are reported to understand less than half of the information communicated to them by physicians. In an effort to better promote patient education, instructional videos have been implemented in surgical specialties, with demonstrable improvement in patient satisfaction and knowledge. In Mohs micrographic surgery (MMS), Mohs surgeons have begun to implement educational videos to supplement the traditional informed consent discussion and wound care demonstration.  Objective: To review published literature to determine if video education in MMS can improve patient satisfaction and comprehension of their procedure. Methods: A review of literature was performed using the PubMed database from 2000 to 2020. The articles selected focused on the implementation of educational videos in Mohs surgery for the improvement of the informed consent process, post-surgical wound care instructions, and overall patient satisfaction and comprehension. Results: A total of seven articles met the criteria for review. The videos were noted to improve certain aspects of the informed consent discussion, including patients knowledge on the procedural risks. In regard to wound care education, some patients preferred video education to surgeon instruction. While patient comprehension was similar between the intervention and control groups, most studies demonstrated overall patient satisfaction. In addition, the results noted that most patients who watched a video would recommend it to a peer undergoing MMS. Conclusion: Educational videos have demonstrated promise for patient education in MMS and patients are receptive to learn from them.

2020 ◽  
Vol 1 (1) ◽  
pp. 13-20
Author(s):  
Yueyue Miao ◽  
Victoria L. Venning ◽  
Kylie-Ann Mallitt ◽  
Julia E.J. Rhodes ◽  
Noah J. Isserman ◽  
...  

2018 ◽  
Vol 44 (7) ◽  
pp. 924-932 ◽  
Author(s):  
Spencer D. Hawkins ◽  
Sarah B. Koch ◽  
Phillip M. Williford ◽  
Steven R. Feldman ◽  
Daniel J. Pearce

2020 ◽  
Author(s):  
Michelle Yanik ◽  
Andrea Pollack ◽  
Lia M. Farrell ◽  
David G. Metro ◽  
Tetsuro Sakai ◽  
...  

Abstract Background – Patient education improves treatment plan compliance and outcomes. For anesthesiology residents, patient communication is highlighted on the obstetric subspecialty rotation. However, the clinical effectiveness of patient education on patient-controlled epidural analgesia (PCEA) dose requirements is unknown. We hypothesized that patients receiving care by residents who are formally instructed on patient education for PCEA, will have lower total local anesthetic consumption and higher satisfaction. Methods – A prospective, interrupted time series design was chosen. Residents participated in one of two sessions at the beginning of their two-month obstetric anesthesia rotation: 1) Education (E): residents taught how to educate patients on PCEA, followed by instructor-resident practice implementing a “teach-back” method for patient comprehension; 2) Control (C): no formal instruction on PCEA. Confidence in patient education was assessed at baseline and at the rotation end. The first 15–30 patients cared for by each resident after initiating epidural labor analgesia and PCEA were followed. Patient-level data included: total local anesthetic dose during labor, comprehension of PCEA goals, and satisfaction with childbirth experience using a validated questionnaire. The primary outcome was total local anesthetic medication consumed during labor. Results – A total of 285 patients (118 cared for by residents in Group E, 167 cared for by residents in Group C) were included. Local anesthetic dose consumption was similar between groups (Group E: mean bupivacaine dose (mg), 96.4 ± 58.2 vs. Group C: 105.4 ± 64.1, P = 0.23). Patient comprehension for PCEA goals and patient satisfaction with their childbirth experience were similar between groups. Residents in group E felt more comfortable teaching PCEA to patients by the end of their rotation (Group E self-efficacy scores: pre-rotation, 45.7 ± 7.5 v. post-rotation, 88.0 ± 9.2, P = 0.002). Conclusions – A resident teaching intervention to improve skills in patient education for PCEA did not reduce drug consumption or improve patient satisfaction, but educated residents felt more comfortable teaching patients by the end of their rotation. Teaching methods for patient education that improve not only clinician self-efficacy, but also clinical outcomes at the patient level, should be identified.


2019 ◽  
Vol 45 (12) ◽  
pp. 1459-1464 ◽  
Author(s):  
Stephen Vance ◽  
Natalia Fontecilla ◽  
Faramarz H. Samie ◽  
Vishal Patel ◽  
Jesse M. Lewin

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