Applying a novel cost-evaluation framework to assess video-based neurosurgery education

Area of Science:

• Medical Education
• Health Economics
• Surgical Training

Background:

• Comparative effectiveness analysis lacks financial frameworks for new medical and surgical education technologies.
• Estimating costs for educational innovations is crucial for resource allocation and economic evaluation.

Purpose of the Study:

• To develop and apply a financial framework (REC) for evaluating the cost-effectiveness of new educational technologies in medical and surgical training.
• To analyze the cost components, particularly time costs, associated with developing video-based education (VBE) modules for neurosurgery training.

Main Methods:

• A literature review was conducted to inform the development of the REC framework.
• The REC framework was applied to evaluate three neurosurgery video modules created for medical students at Harvard Medical School.
• Cost components, including time and monetary expenses, were analyzed for each VBE module.

Main Results:

• Time cost was identified as the most significant expense in developing the VBE modules.
• The cost of video production varied substantially based on the seniority of personnel involved.
• Application of the REC framework revealed significant differences in time and monetary costs across the evaluated modules.

Conclusions:

• The REC framework provides a structured approach for assessing the financial implications of educational technologies in medicine.
• Educators can utilize the REC framework for effective planning, resource optimization, and defining minimum viable educational products.
• Implementing the REC framework supports achieving desired learning outcomes efficiently and economically in surgical education.