Abstract
Introduction: Surgical video-based learning has rapidly shifted to unregulated open-access platforms. This study evaluates the consumption habits, clinical impact, and content selection criteria of urologists across different career stages to understand the risks of this transition. Material and Methods: A cross-sectional survey was conducted among 133 urologists stratified as Residents, Specialists, and academic urologists. Platform preferences, practice modifications, and selection criteria were assessed using Likert scales. Differences between groups were analyzed using Chi-square and Kruskal-Wallis tests with post-hoc pairwise comparisons. Results: Open-access platforms (YouTube) were the primary source for 84.0% of the cohort, with no significant difference between groups (p=0.351). A total of 37.4% reported modifying their surgical technique based on online videos. This rate did not differ significantly between residents (34.9%), specialists (48.0%), and academic urologists (35.0%) (p=0.477). In adjusted analysis, career stage was not independently associated with technique modification, whereas higher weekly operative workload was associated with a greater likelihood of reporting modification. However, a significant divergence emerged in selection criteria: Residents prioritized "Surgeon's Reputation" significantly less than Specialists (p=0.012) and Academic urologists (p=0.007). Additionally, the clarity of patient consent in online videos was rated universally low. Conclusion: The “YouTube era” appears to have a tangible influence on clinical practice across different seniority levels. However, potential differences in credibility assessment may exist, as residents may rely more heavily on unregulated content without systematically evaluating author expertise. These findings highlight the potential value of incorporating digital literacy and source evaluation skills into residency curricula to support more informed engagement with online surgical content.
