Development and validation of a new assessment tool for suturing skills in medical students

被引：9

作者：

Sundhagen H.P. ^{[1
]}

Almeland S.K. ^{[1
,2
]}

Hansson E. ^{[3
,4
,5
]}

机构：

[1] Department of Plastic and Reconstructive Surgery, Haukeland University Hospital, Haukelandsveien 22, Bergen

[2] Department of Clinical Medicine, University of Bergen, Jonas Lies vei 87, Bergen

[3] Department of Plastic and Reconstructive Surgery, Sahlgrenska University Hospital, Gröna Stråket 8, Gothenburg

[4] Department of Clinical Sciences, Faculty of Medicine, Lund University, Box 117, Lund

[5] Department of Clinical Sciences, Sahlgrenska Academy, Gothenburg University Hospital, Gröna stråket 8, Gothenburg

来源：

European Journal of Plastic Surgery | 2018年 / 41卷 / 2期

关键词：

Assessment tool; Microsurgery; Plastic surgery; Surgical education; Suturing skills; Technical skills assessment; Undergraduate training;

D O I：

10.1007/s00238-017-1378-8

中图分类号：

学科分类号：

摘要：

Background: In recent years, emphasis has been put on that medical student should demonstrate pre-practice/pre-registration core procedural skills to ensure patient safety. Nonetheless, the formal teaching and training of basic suturing skills to medical students have received relatively little attention and there is no standard for what should be tested and how. The aim of this study was to develop and validate, using scientific methods, a tool for assessment of medical students’ suturing skills, measuring both micro- and macrosurgical qualities. Methods: A tool was constructed and content, construct, concurrent validity, and inter-rater, inter-item, inter-test reliability were tested. Three groups were included: students with no training in suturing skills, students who have had training, plastic surgery. Results: The results show promising reliability and validity when assessing novice medical students’ suturing skills. Conclusions: Further studies are needed on implementation of the instrument. Moreover, how the instrument can be used to give formative feedback, evaluate if a required standard is met and for curriculum development needs further investigation. Level of Evidence: Not ratable. © 2017, The Author(s).

引用

页码：207 / 216

页数：9

共 25 条

[1] Tan S.S., Sarker S.K., Simulation in surgery: a review, Scott Med J, 56, 2, pp. 104-109, (2011)
[2] Ahmed K., Miskovic D., Darzi A., Athanasiou T., Hanna G.B., Observational tools for assessment of procedural skills: a systematic review, Am J Surg, 202, 4, pp. 469-480, (2011)
[3] Morris M., Gallagher T., Ridgway P., Tools used to assess medical students competence in procedural skills at the end of a primary medical degree: A systematic review, Med Educ Online, 17, 1, (2012)
[4] Temple C.L., Ross D.C., A new, validated instrument to evaluate competency in microsurgery: the University of Western Ontario Microsurgical Skills Acquisition/Assessment instrument [outcomes article], Plast Reconstr Surg, 127, 1, pp. 215-222, (2011)
[5] Grant A.L., Temple-Oberle C., Utility of a validated rating scale for self-assessment in microsurgical training, J Surg Educ, 74, 2, pp. 360-364, (2017)
[6] Dumestre D., Yeung J.K., Temple-Oberle C., Evidence-based microsurgical skills acquisition series part 2: validated assessment instruments—a systematic review, J Surg Educ, 72, 1, pp. 80-89, (2015)
[7] Martin J.A., Regehr G., Reznick R., MacRae H., Murnaghan J., Hutchison C., Et al., Objective structured assessment of technical skill (OSATS) for surgical residents, Br J Surg, 84, 2, pp. 273-278, (1997)
[8] Faulkner H., Regehr G., Martin J., Reznick R., Validation of an objective structured assessment of technical skill for surgical residents, Acad Med, 71, 12, pp. 1363-1365, (1996)
[9] Swift S.E., Carter J.F., Institution and validation of an observed structured assessment of technical skills (OSATS) for obstetrics and gynecology residents and faculty, Am J Obstet Gynecol, 195, 2, pp. 617-621, (2006)
[10] Anderberg M., Larsson J., Kockum C.C., Arnbjornsson E., Robotics versus laparoscopy—an experimental study of the transfer effect in maiden users, Ann Surg Innov Res, 4, 1, (2010)

← 1 2 3 →