How does practice improve the skills of medical students during consecutive training courses?

Abstract

Purpose: To follow-up the development of medical students in taking a stitch using two different bench models, and to assess their performance with regards to gender, handedness, prior recreational activities and interest in surgery. Methods: The study was performed during the compulsory basic (n=152) and the consecutive elective course (n=27). Students took simple interrupted stitches into synthetic and biopreprate models in the classroom and in the operating room. The time needed for that was measured and the quality was scored, using an OSATS (Objective Structured Assessment of Technical Skill) checklist that had been adapted to our training programs. Results: Students' performance improved both in time and quality during classes, over the course and compared basic to the elective course, too. No significant difference was found in relation to gender and handedness but certain recreational activities and special interest in surgery led to better results. Operating room environment had a slight negative effect on students' performance. Conclusion:The study could provide objective skill assessment, monitoring has revealed deficiencies and influencing factors. Objective feedback, valid and reliable assessment is important in teaching surgical skills. In addition it may contribute to higher surgical safety later on in the clinical practice.

An Effective, Low Cost, Do-it-Yourself Suture and Knot Tying Training Kit for the Novice Learner

“…Suturing and knot tying are essential components of surgery, and thus should necessitate training early in medical education. Like previous studies this study showed increased proficiency in surgical skills after implementation of a training system [3][4][5][6][7][8]. The time needed to perform knot tying and suturing decreased by more than half, and the quality of the aforementioned skills increased from zero to an almost perfect score.…”

Tutoría Por Pares De Distinto Año Académico en La Enseñanza De Habilidades Quirúrgicas Básicas en Estudiantes De Pregrado De Medicina

“…Los ítems mencionados, por lo demás, obtuvieron la mayor progresión absoluta al finalizar la intervención en ambos grupos comparados (Figura 2). todología 25 y han descrito que la retroalimentación objetiva sumado a una evaluación certera son los factores con mayor influencia en el aprendizaje de habilidades motoras 26,27 , destacando el rol de un par entrenado como un agente activo que identifique y solucione errores en el aprendizaje.…”

The alternative model of silicone for experimental simulation of suture of living tissue in the teaching of surgical technique

“…Our results allows us to infer that, from the medical students’ point of view, there is an insufficiency of new alternative models for the training of surgical skills, and, therefore, points to the need of their development. Current studies indicate that cheap and viable alternatives to traditional teaching methods should always be sought 2 , 6 , 7 . Many of these studies have been developed to present alternative models for the practice of surgical techniques, mainly aimed at suture training, since, following the expectation, the demand for these models should increase 6 .…”

“…Historically, teaching of the operative technique assumed different perspectives, according to the availability of resources and with the scientific and behavioral human advances. It is worth to point that, regardless of the type of resource used, the development and the constant execution of surgical skills are fundamental for acquisition of skills during medical graduation 1 , 2 .…”