Cross-Suturing is Effective for Teaching Suturing Skills: A Randomized, Controlled Trial

被引：2

作者：

Cemaj, Sophie L. ^{[1
]}

Connely, Thomas W. ^{[1
]}

Hon, Heidi H. ^{[2
]}

Tieken, Kelsey R. ^{[3
]}

Figy, Sean C. ^{[2
]}

Wong, Shannon L. ^{[2
]}

Fingeret, Abbey L. ^{[3
,4
]}

机构：

[1] Univ Nebraska, Coll Med, Med Ctr, Omaha, NE USA

[2] Univ Nebraska, Dept Surg, Div Plast & Reconstruct Surg, Med Ctr, Omaha, NE USA

[3] Univ Nebraska, Dept Surg, Med Ctr, Omaha, NE USA

[4] Univ Nebraska, Dept Surg, Med Ctr, 986880 Nebraska Med Ctr, Omaha, NE 68198 USA

来源：

JOURNAL OF SURGICAL RESEARCH | 2023年 / 281卷

关键词：

Art; Cross-stitching; Education; Suturing; SENIOR MEDICAL-STUDENTS; SURGICAL SIMULATION; PROFICIENCY; RETENTION;

D O I：

10.1016/j.jss.2022.08.038

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Introduction: Basic suturing is a skill expected from graduating medical students. A pro-posed concept to increase suturing competency is to integrate art by mixing cross-stitching with suturing. We hypothesize that students trained with "cross-suturing" would improve suturing performance.Methods: We performed a randomized controlled trial of preclinical medical students using an art-based cross-stitching method intervention compared with conventional suturing. Both groups were provided with an introductory suturing video. Assessment of simple interrupted suturing were conducted preintervention and postintervention, and at 2-wk follow-up with a video review by blinded expert raters using the American College of Surgeons basic suturing and knot tying performance rating tool. Students completed a self-assessment of proficiency, confidence, and anxiety. Statistical analysis was performed using unpaired t-tests.Results: A total of 16 preclinical medical students participated. Self-assessment and objective suturing performance were comparable in the preintervention measurements. The intervention group showed significant improvement compared to the control group with median (interquartile range) self-assessment scores 9 (8.5-9) compared with 6.5 (6-7.5) (P < 0.01) and objective performance scores of 25.25 (22.75-27) compared with 16.5 (14.5-18.5) (P < 0.01). The intervention group showed retained skills at the 2-wk follow up with no differences in self -assessment or objective suturing scores immediately postintervention compared with two -wk follow-up with self-assessment scores of 9 (8.5-9) versus 9 (8-9) at 2 wk (P = 0.16) and objective performance score of 25.25 (22.75-27) versus 24.75 (23.5-26.5) at 2 wk (P = 0.29).Conclusions: The cross-suturing intervention improved suturing skills in this cohort. This low-cost approach to medical student surgical education should be explored on a larger scale.(c) 2022 Elsevier Inc. All rights reserved.

引用

页码：228 / 237

页数：10

共 25 条

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aamc, About Us

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