is now PatientEducation.Video!
Same quality content, created by me: Carlo Oller, a board certified emergency physician with a passion for patient education.
About 5 years ago I was listening to a lecture on ‘informed consent’. The lecturer asked the question to the audience, ‘how long does it take for you to have your informed consent discussion with a patient for a lumbar puncture procedure?‘. I was intrigued, my guess a few minutes, but cannot say with precision. Then he followed up with questioning how do we make sure ‘all essential elements of the discussion (pros, cons, indications, contraindications, alternatives of treatment) truly take place during the informed consent discussion.
So…the question alone made me realize that I don’t have a consistent and reproducible way have a quality discussion with the patient.
So what was this doctor’s point? How does he do it? He said that, at the time, he had a portable VHS video player that he would carry to the bedside and play a ‘standardized’ video that had all the required education elements. And the ”visual” nature of a video improved patient comprehension and retention of the education material. As a practice, he would let the patient watch the video while he did other work in the ER. Then he would come back and answer any remaining concerns, or questions and then have the patient sign the informed consent.
So after that EPIPHANY, I decided to create a handful of videos on commonly performed procedures that require informed consent (i.e. blood transfusion, central line, lumbar puncture, paracentesis, etc.) At the time, now almost 8 years ago, I was looking into making DVDs that I could give patients but the cost would be prohibitive. Then I decided to upload the videos on the hospital’s intranet, and have the patient watch the videos while in the ER. But the ER is chaotic already and utilizing our computers creates other issues with being able to get work done. So I thought…what if I created an online library of videos that patients could access themselves either while in the ER (on their own mobile devices) or once they get home.
This would be so good for many reasons:
- patients would get a thorough explanation of their diagnosis, treatment, follow-up.
- patients can watch it time and time again until they fully understand the content we are trying to teach them. There is plenty of literature showing that by doing a combination of audio/video, patient’s comprehension and retention of the information is improved.
- low cost – it really would not cost anything to the patient
- risk reduction – by watching a detailed and easy to understand education, the patient is more likely to properly care for their condition, to comply with the treatment and medications prescribed, and react quickly by recognizing signs and symptoms of worsening condition. These videos encourage the patient to return to the ER or seek emergent care ASAP if the condition would deteriorate, giving the physicians the opportunity to intervene earlier on and possibly diagnose a condition that might have been missed in the initial ER visit.
So looking for ways to make this video education available I decided to go with YouTube because it is a free hosting site. It would be easy to refer my patients to my YouTube channel and once there, sort through the videos to find what they wanted. However, searching through YouTube is NOT intuitive, so I found a company to build me a website. It was VERY expensive and so were any upgrades. I have now learned to used wordpress, so I am republishing my video collection in this website.