medRxiv PreprintsInternational10 November 2026
Browser-Based Video Supports Scalable Computer Vision Analysis for Open Surgical Skill Assessment
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Purpose: Objective assessment of open surgical skills remains limited by expert availability. Machine learning (ML)-based hand keypoint detection offers potential for automated, on-demand assessment, but performance in accessible browser-based recording environments (laptop-webcam video recorded in a web browser) is unknown. We hypothesized that browser-based recordings would achieve acceptable keypoint localization (percentage of correct keypoints [PCK] >70%). Methods: Retrospective technical validation of prospectively collected video from 14 PGY-1 interns at one academic center (July to Aug
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