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Peer-assisted teaching of basic surgical skills

机译:同伴辅助的基本外科手术教学

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BackgroundBasic surgical skills training is rarely emphasised in undergraduate medical curricula. However, the provision of skills tutorials requires significant commitment from time-constrained surgical faculty.PurposeWe aimed to determine how a peer-assisted suturing workshop could enhance surgical skills competency among medical students and enthuse them towards a career in surgery.MethodsSenior student tutors delivered two suturing workshops to second- and third- year medical students. Suturing performance was assessed before and after teaching in a 10-min suturing exercise (variables measured included number of sutures completed, suture tension, and inter-suture distance). Following the workshop, students completed a questionnaire assessing the effect of the workshop on their suturing technique and their intention to pursue a surgical career.ResultsThirty-five students attended. Eighty-one percent believed their medical school course provided insufficient basic surgical skills training. The mean number of sutures completed post-teaching increased significantly (p 0.001), and the standard deviation of mean inter-suture distance halved from ±4.7 mm pre-teaching, to ±2.6 mm post-teaching. All students found the teaching environment to be relaxed, and all felt the workshop helped to improve their suturing technique and confidence; 87% found the peer-taught workshop had increased their desire to undertake a career in surgery.DiscussionPeer-assisted learning suturing workshops can enhance medical students’ competence with surgical skills and inspire them towards a career in surgery. With very little staff faculty contribution, it is a cheap and sustainable way to ensure ongoing undergraduate surgical skills exposure.
机译:背景技术本科医学课程很少强调基本的手术技能培训。然而,提供技能教程需要时间受限制的外科老师的大力投入,目的是确定同伴协助的缝合讲习班如何提高医学生的外科技能能力,并使他们走向手术职业。方法高级生导师提供了两个为二年级和三年级医学生缝合讲习班。在进行10分钟的缝合练习之前和之后评估缝合性能(测量的变量包括完成缝合的数量,缝合线张力和缝合间距离)。研讨会结束后,学生们完成了一份问卷,评估了研讨会对他们的缝合技术的影响以及从事外科手术的意图。结果有35名学生参加。 81%的人认为他们的医学院课程没有提供足够的基本手术技能培训。教学后完成的平均缝合线数量显着增加(p <0.001),平均缝线间距离的标准偏差从教学前的±4.7毫米减至教学后的±2.6毫米。所有学生都发现教学环境宽松,所有人都认为研讨会有助于提高他们的缝合技术和自信心; 87%的人发现同伴讲习班提高了他们从事外科手术职业的愿望。讨论同伴学习缝合讲习班可以增强医学生的外科技能,并激发他们从事外科手术的职业。员工投入很少,这是一种确保持续不断的本科手术技能暴露的廉价且可持续的方法。

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