Trends in Retention and Decay of Basic Surgical Skills: Evidence from Addis Ababa University, Ethiopia: A Prospective Case–Control Cohort Study

Bekele, Abebe; Wondimu, Sahlu; Firdu, Naod; Taye, Mulat; Tadesse, Abilo

doi:10.1007/s00268-018-4752-1

Cited by 16 publications

(14 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Paradoxically, evidence shows that skill decay begins from day 1 after the intervention (53)(54)(55). Moreover, from the studies investigating skill decay in our SR, four concluded that there was decay in the skills of students after the end of the teaching intervention (14,17,18,37). One of these studies concluded that although single instructional sessions improved suturing performance in the short-term (56), they were not sufficient to maintain suturing proficiency over longer periods of time (14).…”

Section: Student Participants As Indicated Inmentioning

confidence: 97%

“…Only eight studies investigated the retention of skill acquisition after an extended time period (14, 17-19, 22, 31, 37, 38). Half of the studies concluded that there was decay in the skills of students after the end of the teaching intervention (14,17,18,37). Four studies evaluated skill retention at 30 days (14,17,19,22) and two at 7 days (18,31).…”

Section: Performance and Retention Of Suturing Skillsmentioning

confidence: 99%

“…Four studies evaluated skill retention at 30 days (14,17,19,22) and two at 7 days (18,31). Two studies evaluated skill retention over an extended time period from 7 months in one to a year later in the other (37,38).…”

Section: Performance and Retention Of Suturing Skillsmentioning

confidence: 99%

“…Video demonstration Surgeons 5 th Year Dry OSATS Positive (decay et al (37) and hands-on training with time) Gershuni…”

Section: Student Participants As Indicated Inmentioning

confidence: 99%

“…This is important as training of medical students aims to improve basic surgical skill acquisition and proficiency to ensure students are competent when they qualify. It is evident that retention is significantly better when teaching and practice is distributed over an extended time period compared to single instructional mass sessions (37). Retention of skills is further enhanced by independent home practice with intermittent evaluation (14).…”

Section: Student Participants As Indicated Inmentioning

confidence: 99%

See 4 more Smart Citations

Suturing Skills for Medical Students: A Systematic Review

Emmanuel

Nicolaides

Theodoulou

et al. 2021

In Vivo

View full text Add to dashboard Cite

Section: Student Participants As Indicated Inmentioning

confidence: 97%

Section: Performance and Retention Of Suturing Skillsmentioning

confidence: 99%

Section: Performance and Retention Of Suturing Skillsmentioning

confidence: 99%

“…Video demonstration Surgeons 5 th Year Dry OSATS Positive (decay et al (37) and hands-on training with time) Gershuni…”

Section: Student Participants As Indicated Inmentioning

confidence: 99%

Section: Student Participants As Indicated Inmentioning

confidence: 99%

See 3 more Smart Citations

Suturing Skills for Medical Students: A Systematic Review

Emmanuel

Nicolaides

Theodoulou

et al. 2021

In Vivo

View full text Add to dashboard Cite

The application of an intraoral banana peel suturing model in surgical training of dental students

Liu

Cui

et al. 2023

Journal of Dental Education

View full text Add to dashboard Cite

This study investigated the application of an intraoral banana peel suturing model in helping students to acquire intraoral surgical techniques. Methods: This is a self-control study conducted from January 2021 to March 2021. An intraoral banana peel suturing model was implemented to provide oral suture experience for undergraduates majoring in stomatology. The sutures students placed in the model were photographed and evaluated blindly by a professional team using an established scoring system. Training scores were recorded before (training 1) and after 2 months of training (training 2). Linear regression was used to examine factors related to the scores. Suturing training was conducted in the School and Hospital of Stomatology at Peking University. A total of eighty-two students in Peking University School and Hospital of Stomatology were in their fourth pre-clinical year and followed a workshop on surgical sutures according to the curriculum. All students who should take this course were included, and the response rate was 100%. Results: The mean training 2 score (23.04 ± 3.83) was higher than the mean training 1 score (13.94 ± 3.15). The training 1 score was not significantly correlated with any of the students' general characteristics. The training 2 score was correlated with the training 1 score and the cumulative duration of practice outside of class. Conclusion:The intraoral banana peel suturing model can be used for suture training, and dental students' suture ability was improved after using the banana peel for suture practice.

show abstract

See One, Do One, Forget One: Early Skill Decay After Paracentesis Training

et al. 2020

View full text Add to dashboard Cite

INTRODUCTION:Internal medicine residents perform paracentesis, but programs lack standard methods for assessing competence or maintenance of competence and instead rely on number of procedures completed. This study describes differences in resident competence in paracentesis over time. METHODS: From 2016 to 2017, internal medicine residents (n = 118) underwent paracentesis simulation training. Competence was assessed using the Paracentesis Competency Assessment Tool (PCAT), which combines a checklist, global scale, and entrustment score. The PCAT also delineates two categorical cut-point scores: the Minimum Passing Standard (MPS) and the Unsupervised Practice Standard (UPS). Residents were randomized to return to the simulation lab at 3 and 6 months (group A, n = 60) or only 6 months (group B, n = 58). At each session, faculty raters assessed resident performance. Data were analyzed to compare resident performance at each session compared with initial training scores, and performance between groups at 6 months. RESULTS: After initial training, all residents met the MPS. The number achieving UPS did not differ between groups: group A = 24 (40%), group B = 20 (34.5%), p = 0.67. When group A was retested at 3 months, performance on each PCAT component significantly declined, as did the proportion of residents meeting the MPS and UPS. At the 6-month test, residents in group A performed significantly better than residents in group B, with 52 (89.7%) and 20 (34.5%) achieving the MPS and UPS, respectively, in group A compared with 25 (46.3%) and 2 (3.70%) in group B (p < .001 for both comparison). DISCUSSION: Skill in paracentesis declines as early as 3 months after training. However, retraining may help interrupt skill decay. Only a small proportion of residents met the UPS 6 months after training. This suggests using the PCAT to objectively measure competence would reclassify residents from being permitted to perform paracentesis independently to needing further supervision.

show abstract

Trends in Retention and Decay of Basic Surgical Skills: Evidence from Addis Ababa University, Ethiopia: A Prospective Case–Control Cohort Study

Cited by 16 publications

References 21 publications

Suturing Skills for Medical Students: A Systematic Review

Suturing Skills for Medical Students: A Systematic Review

The application of an intraoral banana peel suturing model in surgical training of dental students

See One, Do One, Forget One: Early Skill Decay After Paracentesis Training

Contact Info

Product

Resources

About