Clinical anatomy and surgical skills training (CASST): Development of a multicenter, multidisciplinary program

Kenton, Kimberly; Graziano, Scott; Summers, Sondra; Rickey, Leslie; Oldham, Lisa; Pombar, Xavier; Turner, Francesca; Darrell, Brenda

doi:10.1016/j.ajog.2006.07.013

Cited by 12 publications

(14 citation statements)

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“…We were able to demonstrate the feasibility of the program and the potential for minimizing costs and faculty time. 8 The results presented in this manuscript demonstrate that there was a significant improvement in the anatomic and surgical knowledge of all participants on completion of the program.…”

Section: Discussionmentioning

confidence: 72%

“…The details of the individual workshops have been published previously. 8 Briefly, the session topics were basic surgical skills, clinical anatomy of the anterior abdominal wall, opening and closing the abdomen, pelvic anatomy, and perineal anatomy and laceration repair.…”

Section: Methodsmentioning

confidence: 99%

“…Most importantly, all of the residents agreed or strongly agreed that the CASST program was beneficial. 8 However, to complete our evaluation of the CASST curriculum, we needed to "assess the learner" to determine whether participant's knowledge changed after participation in the program.…”

mentioning

confidence: 99%

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Clinical Anatomy and Surgical Skills Training for Gynecology and Urology Residents

Rickey

Graziano

Löwenstein

et al. 2009

Journal of Pelvic Medicine and Surgery

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Objectives: Evaluate the efficacy of a multicenter, multidisciplinary surgical curriculum (Kenton et al, Am J Obstet Gynecol. 2006;195:1789 -1793) that was designed to teach basic pelvic anatomy and surgical skills to junior residents in Urology and Gynecology. Methods: The Clinical Anatomy and Surgical SkillsTraining program was developed for junior residents in urology and gynecology at 3 academic medical centers in Chicago. The course consisted of five 3-hour sessions. Each session was composed of didactics and a hands-on laboratory. A written test comprised of 2 sections, anatomy and surgical knowledge, was given before and after the course. Pre-and posttest scores were compared using the paired t test. A 0.05 significance level was used for all statistical tests.Results: Twenty-eight residents completed the program (15 first-year residents ͓PGY-1͔ and 13 second-year residents ͓PGY-2͔). At completion of the program, residents showed a 71% and 60% improvement in both anatomy and surgical skills knowledge, respectively (38 vs. 65, P < 0.001 and 50 vs. 80, P < 0.0001, respectively). The PGY-2 residents had significantly higher baseline scores than the PGY-1 residents in both anatomy (48 ؎ 14 vs. 28 ؎ 10, P < 0.001) and surgical skills test scores (59 ؎ 9 vs. 42 ؎ 9, P < 0.001). However, there were no significant differences in the posttest scores of the PGY-2 residents compared with the PGY-1 residents in either anatomy or surgical skills.Conclusion: Our multidisciplinary Clinical Anatomy and Surgical Skills Training program improved urology and gynecology residents' knowledge of anatomy and basic surgical skills, demonstrating that knowledge essential for the development of a competent resident can be taught outside of the operating room.

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Section: Discussionmentioning

confidence: 72%

Section: Methodsmentioning

confidence: 99%

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Clinical Anatomy and Surgical Skills Training for Gynecology and Urology Residents

Rickey

Graziano

Löwenstein

et al. 2009

Journal of Pelvic Medicine and Surgery

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“…The utility of providing additional anatomy exposure for residents in gynecologic surgery has been described. After implementation of the clinical anatomy and surgical skills training (CASST) program, junior residents in obstetrics/gynecology and urology programs at Loyola University Medical Center in Chicago showed significant improvement in anatomic comprehension and surgical capabilities (Kenton et al,2006). In a control experimental condition at Brown University School of Medicine in Providence, RI, obstetrics and gynecology residents who participated in a cadaver dissection course scored nearly 50% higher on the pelvic anatomy test than residents in the traditional (nondissection) group (Gordinier et al,1995).…”

Section: Anatomy Education During Clinical Trainingmentioning

confidence: 99%

Importance of adequate gross anatomy education: The impact of a structured pelvic anatomy course during gynecology fellowship

Heisler

2011

Anatomical Sciences Ed

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Medical education underwent standardization at the turn of the 20th century and remained fairly consistent until recently. Incorporation of a patient-centered or case-based curriculum is believed to reinforce basic science concepts. One negative aspect is a reduction in hours spent with cadaveric dissection in the gross anatomy laboratory. For those entering a surgical career, limited anatomical exposure leaves knowledge deficits that must be corrected during further education during residency training. The benefit of providing formal anatomy education to residents and surgical fellows is described in the literature, specifically noting improvement in written test scores and surgical application.

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“…2 The OSATS involves the evaluation of residents performing 6 discrete surgical tasks in the dry laboratory and on live anesthetized porcine models. 9 Since the robotic surgery was FDA approved for gynecology in 2005, this technology has been used for a variety of procedures in all subspecialties. 4,6,8 Although our field is improving, the evaluation of the resident performance and work hours are being restricted.…”

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confidence: 99%

Robotic Objective Structured Assessment of Technical Skills

Tarr¹,

Rivard²,

Petzel³

et al. 2014

Female Pelvic Medicine &Amp; Reconstructive Surgery

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Clinical anatomy and surgical skills training (CASST): Development of a multicenter, multidisciplinary program

Cited by 12 publications

References 10 publications

Clinical Anatomy and Surgical Skills Training for Gynecology and Urology Residents

Clinical Anatomy and Surgical Skills Training for Gynecology and Urology Residents

Importance of adequate gross anatomy education: The impact of a structured pelvic anatomy course during gynecology fellowship

Robotic Objective Structured Assessment of Technical Skills

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