Nena Lundgreen Mason, Rebecca Thomas, Chad Skidmore, Bosten Loveless, Maxton Muir, Abigail Limov, Alexa Fritsch, Taylor Yancey, Isain Zapata, Andrew Nigh
Comparing the Utility of Landmark-Palpation Guided to Ultrasound-Guided Teaching Methodologies for Subclavian Central Venous Access Using a Formalin-Embalmed Cadaver Model
Advances in medical education and practice
women undergoing postmastectomy breast reconstruction face many complex choices myriad online patient education materials exist assist decision making understanding materials termed health literacy affects surgical decision making outcomes national institutes health recommends writing patient education materials sixth seventhgrade reading level primary goal study assess readability online breast reconstruction materials resources collected every academic hospital plastic surgery residency program 97 total data compared top nonacademic web sites ranked search engine results 14 total materials analyzed using 3 validated readability assessment scales colemanliau index smog simplified measure gobbledygook readability formula fleschkincaid grade level average readability analyzed results compared using 1way analysis variance assess significance different tools 2sided test assess significance academic nonacademic readability results mean readability scores across academic programs colemanliau index 1338 standard deviation sd 281 13th 14th grade fleschkincaid grade level 1304 sd 39 13th grade smog readability 1364 sd 299 13th 14th grade 14 nonacademic sites results showed colemanliau index 1193 sd 114 12th grade fleschkincaid 1182 sd 233 11th 12th grade smog readability 1091 sd 179 11th grade oneway analysis variance demonstrated significant differences mean readability scores across 3 readability tools used academic f 27804 p 006 nonacademic f 114 p 033 twotailed test results demonstrated statistical significance readability academic comparison nonacademic search engine results 204 p 004 average readability across web sites much higher recommended reading level 13th 14th grade reading level academic institutions 11th 12th grade nonacademic web sites plastic surgeons may contribute improving patient understanding perioperative outcomes revising patient education materials