A review of video review: new processes for the 21st century

Reviewing with resident physicians their preciously recorded video of patient encounters is an effective method for teaching not only communications and interpersonal skills but also such subjects as agenda negotiation, visit efficiency, shared decision making, and overall medical care. Video allows for effective coaching while minimizing observer effect. Many residency programs use video review processes for evaluation and coaching, yet there is paucity of literature on the subject, and no consensus on best processes or equipment. Recent advances in the design of digital media devices has made it easier to conduct video review in everyday medical settings, but also creates new challenges in ensuring security and confidentiality. In this article, we have outlined the infrastructure and process needed to design and implement such a program as well as possible pitfalls that should be attended to in order to ensure patient confidentiality as well as resident safety.