Home > Educational Resources > Abstract Catalog > Abstract Details > Improved Strategies for Teaching Surgical Skills to Medical Students: Simulation and Beyond

« Back to Search

Improved Strategies for Teaching Surgical Skills to Medical Students: Simulation and Beyond

Purpose: Develop a curriculum to optimize surgical skills and to increase operating room (OR) opportunities for medical students.

 

Background: Simulation-based strategies for teaching surgical skills are evolving. Using an innovative task trainer, we compared one-on-one deliberate practice to video-based self-guidance in the performance of two-handed knot tying and subcuticular suturing during the OBGYN clerkship.

 

Methods: A randomized prospective trial compared two groups of third year medical students in the same clerkship rotations. Group A received one-on-one deliberate practice undergoing three sessions with an instructor and Group B received unlimited access to video-based self-guided practice over six weeks. At the end of the clerkship, surgical performance was assessed using the validated checklist. Self-reported data regarding OR experience was collected using a specifically designed phone application.

 

Results: Fifty-nine students participated in the study. Group A demonstrated a statistically significant improvement in two-handed knot tying and subcuticular suturing in pre-post assessments (knot-tying +4.34, p<0.001; suturing +19.4, p<0.001). Group B demonstrated a statistically significant improvement (knot-tying +6.03, p<0.001; suturing +22.3, p<0.001). No significant differences were found between groups in overall knot-tying (p=0.13), suturing (p=0.14), hours practiced (p=0.90), or number of OR cases (p=0.49).

 

Discussions: The use of simulation significantly improved surgical skills for all students from baseline. No differences were found between one-on-one deliberate practice and video-based self-guided practice. Both instructional strategies provided equal efficacy in teaching surgical skills and optimizing surgical performance for students during the OBGYN clerkship.

 

Topics: CREOG & APGO Annual Meeting, 2018, Student, Resident, Faculty, Clerkship Director, Patient Care, GME, Simulation, Independent Study, General Ob-Gyn,

General Information


Intended
Audience
Student,Resident,Faculty,Clerkship Director,
Competencies
Addressed
Patient Care,
Educational
Continuum
GME,
Educational
Focus
Simulation,Independent Study,
Clinical Focus
General Ob-Gyn,

Author Information

Eva Welch, MD

Inova Fairfax Hospital

Sali Jordan, MD; Francine McLeod, MD; Emily Marko, MD; and Michael Sheridan, ScD

Additional Materials


Related Abstracts


CONTACT US

2130 Priest Bridge Drive, Suite 7,
Crofton, MD 21114
(P) 410-451-9560 | (F) 410-451-9568

DONATE

Learn more about the programs
supported by your dues and donations.

JOIN US

APGO offers several membership and subscriber options to give you the support and resources you need to be successful.