Simulation and real-life experience based interactive video tutorial for basic skills in percutaneous biliary drainage procedure

Practical skill simulation training plays an important role in medical education before real-life application. The aim of this interactive multiple choice based video simulation presentation of the percutaneous biliary drainage is to create step-by-step understanding of the procedure and also to highlight the role of digital teaching experience in modern education. Multiple scenario/branched video guided by multiple-choice questions and answers was created in H5P program, which is open-source content collaboration framework based on JavaScript. Procedure materials and technical equipment used in every-day clinical practice in tertiary care hospital department of Interventional Radiology were included into this video. In 5 section video following steps of percutaneous biliary drainage are explained in interactive way: 1. Material demonstration with multiple branching sub-videos; 2. Material preparation for the procedure; 3. Steps of the procedure in ex-vivo model; 4. Explanation of anatomical and pathological findings on preoperative ultrasound in patient with intra- and extrahepatic cholestasis with following interactive quiz; 5. Steps of the procedure in real-life circumstances under ultrasound and fluoroscopy guidance. Video based and interactive digital teaching tutorials would serve as a good platform for following practical hands-on procedures under the supervision. Interactive video materials like the one presented here could also serve as a practical reminder of the procedure steps for certified doctors not performing interventions on daily routine, thus increasing the role of digital learning.