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Retention of suturing and knot-tying skills in senior medical students after proficiency-based training: Results of a prospective, randomized trial
- Source :
- Surgery. 154:823-830
- Publication Year :
- 2013
- Publisher :
- Elsevier BV, 2013.
-
Abstract
- We evaluated suturing skills performance and retention in senior medical students (MS4) at the beginning of their fourth year and 7 months later.MS4 students entering a surgery specialty were randomized to a proficiency-based suturing/knot-tying curriculum at the beginning of fourth year (Intervention, n = 11) versus no training (Control, n = 10). Time and technical proficiency (TP, proficiency ≥3) were assessed at baseline and 7 months. Performance was compared with past "Boot-Camp" MS4, categorical PGY-1 interns and PGY-2 residents. Data are mean ± SD.At baseline, Intervention and Control MS4 had similar total task times (848 ± 199 vs 845 ± 209 seconds) and TP scores (1.8 ± 0.15 vs 1.8 ± 0.3). At 7 months, Intervention MS4 total task times were faster (549 ± 80 vs 719 ± 151 seconds, P.01) and mean TP scores greater (3.3 ± 0.6 vs 2.1 vs 0.4, P.001) than Control MS4. Intervention MS4 also performed better at 7 months than Boot-Camp MS4 (662 ± 171 seconds and 2.6 ± 0.5, P.04) and were similar to PGY-1 interns (601 ± 74 seconds, TP 2.7 ± 0.7 seconds) and end of PGY-2 residents (475 ± 81 seconds and 3.6 ± 0.3 seconds).A proficiency-based suturing and knot-tying curriculum taught early in the fourth year results in improved MS4 performance compared with no training or a traditional "boot camp" program.
- Subjects :
- Adult
Male
medicine.medical_specialty
Students, Medical
education
Specialty
Article
law.invention
Randomized controlled trial
law
medicine
Humans
Prospective Studies
Prospective cohort study
Students medical
Boot camp
business.industry
Suture Techniques
Knot tying
General Surgery
Physical therapy
Female
Surgery
Clinical Competence
Curriculum
Clinical competence
business
Subjects
Details
- ISSN :
- 00396060
- Volume :
- 154
- Database :
- OpenAIRE
- Journal :
- Surgery
- Accession number :
- edsair.doi.dedup.....3f86356bcfe7cd75eda5f1162e08f7a9