Influence of instructor‐to‐student ratio for teaching suturing skills with models

2021 ◽  
Vol 50 (3) ◽  
pp. 556-563
Author(s):  
Julie A. Hunt ◽  
Stacy L. Anderson ◽  
Dawn Spangler ◽  
Robert Gilley
Keyword(s):  
Suturing Skills

scholarly journals Randomized controlled trial comparing the effectiveness of mass and spaced learning in microsurgical procedures using computer aided assessment

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Wendy Z. W. Teo ◽  
Xiaoke Dong ◽  
Siti Khadijah Bte Mohd Yusoff ◽  
Soumen Das De ◽  
Alphonsus K. S. Chong
Keyword(s):  
Primary Outcome ◽  
Controlled Trial ◽  
Participant Satisfaction ◽  
Learning Group ◽  
Technical Performance ◽  
Randomized Controlled ◽  
Spaced Learning ◽  
Suturing Skills ◽  
Suture Placement ◽  
Better Than

AbstractSpaced-learning refers to teaching spread over time, compared to mass-learning where the same duration of teaching is completed in one session. Our hypothesis is that spaced-learning is better than mass-learning in retaining microsurgical suturing skills. Medical students were randomized into mass-learning (single 8-h session) and spaced-learning (2-h weekly sessions over 4 weeks) groups. They were taught to place 9 sutures in a 4 mm-wide elastic strip. The primary outcome was precision of suture placement during a test conducted 1 month after completion of sessions. Secondary outcomes were time taken, cumulative performance, and participant satisfaction. 42 students (24 in the mass-learning group; 18 in spaced-learning group) participated. 3 students in the spaced-learning group were later excluded as they did not complete all sessions. Both groups had comparable baseline suturing skills but at 1 month after completion of teaching, the total score for suture placement were higher in spaced-learning group (27.63 vs 31.60,p = 0.04). There was no statistical difference for duration and satisfaction in either group. Both groups showed an improvement in technical performance over the sessions, but this did not differ between both groups. Microsurgical courses are often conducted in mass-learning format so spaced learning offers an alternative that enhances retention of complex surgical skills.

Development of a Model for the Acquisition and Assessment of Advanced Laparoscopic Suturing Skills Using an Automated Device

2018 ◽  
Vol 25 (3) ◽  
pp. 286-290 ◽  
Author(s):  
Elif Bilgic ◽  
Madoka Takao ◽  
Pepa Kaneva ◽  
Satoshi Endo ◽  
Toshitatsu Takao ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Interrater Reliability ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Instructional Video ◽  
Validity Evidence ◽  
Laparoscopic Suturing ◽  
Intraclass Correlation Coefficients ◽  
Operative Assessment ◽  
Suturing Skills

Background. Needs assessment identified a gap regarding laparoscopic suturing skills targeted in simulation. This study collected validity evidence for an advanced laparoscopic suturing task using an Endo StitchTM device. Methods. Experienced (ES) and novice surgeons (NS) performed continuous suturing after watching an instructional video. Scores were based on time and accuracy, and Global Operative Assessment of Laparoscopic Surgery. Data are shown as medians [25th-75th percentiles] (ES vs NS). Interrater reliability was calculated using intraclass correlation coefficients (confidence interval). Results. Seventeen participants were enrolled. Experienced surgeons had significantly greater task (980 [964-999] vs 666 [391-711], P = .0035) and Global Operative Assessment of Laparoscopic Surgery scores (25 [24-25] vs 14 [12-17], P = .0029). Interrater reliability for time and accuracy were 1.0 and 0.9 (0.74-0.96), respectively. All experienced surgeons agreed that the task was relevant to practice. Conclusion. This study provides validity evidence for the task as a measure of laparoscopic suturing skill using an automated suturing device. It could help trainees acquire the skills they need to better prepare for clinical learning.

Assessment of Laparoscopic Suturing Skills of Urology Residents: A Pan-European Study

2009 ◽  
Vol 56 (5) ◽  
pp. 865-873 ◽  
Author(s):  
Stephanie G.C. Kroeze ◽  
Erik K. Mayer ◽  
Samarth Chopra ◽  
Rajesh Aggarwal ◽  
Ara Darzi ◽  
...  
Keyword(s):  
European Study ◽  
Laparoscopic Suturing ◽  
Suturing Skills

1005 Acquisition of Surgical Skills in Medical Students Via Telementoring: A Randomised Control Trial

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Feeley ◽  
I Feeley ◽  
D Hehir
Keyword(s):  
Medical Students ◽  
Rating Scale ◽  
Significant Degree ◽  
Randomised Control Trial ◽  
Global Rating Scale ◽  
Control Group ◽  
Live Streaming ◽  
Global Rating ◽  
Post Test ◽  
Suturing Skills

Abstract Aim To evaluate the use of telementoring in acquisition of basic suturing skills in medical students. Method This was a single blinded two- armed randomised control trial. Medical students undergoing clinical rotations in their penultimate and final years were invited to participate in this study. Informed consent was obtained. The control group underwent conventional suturing training, with the interventional group undergoing the tutorial in a remote learning setting via live streaming. Pre- and post-test assessment was carried out using validated Global Rating Scale tool. Results Eleven students were enrolled in this study. Participants were comparable at baseline (p=.18) and following the tutorial (p=.29). Participants improved to a statistically significant degree in both the virtual group (p=.02) and the in-person group (p=.001). Conclusions Telementoring is an effective tool in the provision of teaching basic suturing skills in medical students. Research on its use in more complex practical skills is warranted.

scholarly journals Laparoscopic Suturing Skills Acquisition: A Comparison Between Laparoscopy-Exposed and Laparoscopy-Naive Surgeons

2012 ◽  
Vol 16 (4) ◽  
pp. 623-631 ◽  
Author(s):  
Virinder Kumar Bansal ◽  
Tseten Tamang ◽  
Mahesh C. Misra ◽  
Pradeep Prakash ◽  
Karthik Rajan ◽  
...  
Keyword(s):  
Skills Acquisition ◽  
Laparoscopic Suturing ◽  
Suturing Skills

scholarly journals A novel three-in-one silicone model for basic microsurgery training

2020 ◽  
Vol 43 (5) ◽  
pp. 621-626
Author(s):  
Osaid Alser ◽  
Gehad Youssef ◽  
Simon Myers ◽  
Ali M. Ghanem
Keyword(s):  
Animal Models ◽  
Surgical Training ◽  
Face Validity ◽  
Level Of Evidence ◽  
The Face ◽  
Advanced Stages ◽  
Spss Software ◽  
Silicone Model ◽  
Synthetic Models ◽  
Suturing Skills

Abstract Background Microsurgery simulation is an important aspect of surgical training. Animal models have been widely used in simulation training, but they have some limitations including ethical restrictions, cost and availability. This has led to the use of synthetic models that can reduce reliance on animals in line with the 3R (refinement, reduction and replacement) principles. The aim of this paper was to evaluate the face validity of Surgitate™ three-in-one (artery, vein and nerve) silicone model. Methods Fourteen candidates performed one end-to-end anastomosis on artery, vein and nerve. The face validity of the vessel was assessed via questionnaires detailing their previous microsurgical experience and their feedback of using this model using the Likert scale. Data management and analysis were performed using IBM SPSS software (25.0). Results Participants tended to value this model in the earlier stages of microsurgical training particularly in the acquisition of basic microsurgical skills. It could be particularly useful in enhancing suturing skills as a replacement or reduction in the use of chicken models. The model has some drawbacks preluding its utilization into more advanced stages of surgical training. Further studies are needed to validate the model using more objective measures. Conclusion We present a novel synthetic model that can be potentially introduced to early stages of microsurgery training. The model would be ideal to meet the 3R principles of the use of animal models and as an alternative to the commonly used synthetic models. Level of evidence: Not ratable.

Simulation platforms to assess laparoscopic suturing skills: a scoping review

2019 ◽  
Vol 33 (9) ◽  
pp. 2742-2762 ◽  
Author(s):  
Elif Bilgic ◽  
Motaz Alyafi ◽  
Tomonori Hada ◽  
Tara Landry ◽  
Gerald M. Fried ◽  
...  
Keyword(s):  
Scoping Review ◽  
Laparoscopic Suturing ◽  
Suturing Skills

Developing intra-oral suturing skills in OMFS junior trainees

2015 ◽  
Vol 53 (10) ◽  
pp. e84
Author(s):  
A. Tahim ◽  
A. Goodson ◽  
K. Payne ◽  
K. Fan
Keyword(s):  
Suturing Skills

What are the Training Gaps for Acquiring Laparoscopic Suturing Skills?

2017 ◽  
Vol 74 (4) ◽  
pp. 656-662 ◽  
Author(s):  
Ghada Enani ◽  
Yusuke Watanabe ◽  
Katherine M. McKendy ◽  
Elif Bilgic ◽  
Liane S. Feldman ◽  
...  
Keyword(s):  
Laparoscopic Suturing ◽  
Suturing Skills
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