A comparison C1-C2 transarticular screw placement after self-education and mentored education of orthopaedic residents

Journal of Spinal Disorders & Techniques
John S Kirkpatrick

Abstract

Prospective randomized trial. This study will provide preliminary data on whether residents can be "self-taught" and to what extent a lecture, demonstration, and coaching can improve skills and knowledge. Practice-based learning is an essential competency in Accreditation Council for graduate Medical Education-accredited residencies. Little has been done to demonstrate whether residents can be self-taught or benefit from mentoring in understanding and performing difficult surgical tasks. A written test was given to orthopedic residents on C1-C2 transarticular screw placement. They were then provided reading on C1-C2 transarticular screw placement. Residents were then divided into a "self-directed learning" group and a "mentored learning" group. All residents then performed the technique on models, with the "mentored" group receiving a lecture and coaching from the mentor. The models were analyzed for technique errors and the previous test was administered again as a posttest. The test and screw placement were repeated 4 months later. Residents without mentoring had an average improvement of 4.5 points, those with mentoring had average improvement of 8.6 points (P=0.0068). The screw placement technique error rate for the nonment...Continue Reading

References

Mar 10, 2004·American Journal of Surgery·David BacksteinRichard Reznick
Aug 2, 2005·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Murat KalayciBektas Açikgöz
Dec 22, 2006·The New England Journal of Medicine·Richard K Reznick, Helen MacRae
Jun 19, 2007·The Journal of Surgical Research·Daniel J ScottSeifu T Tesfay
Sep 4, 2007·Journal of the American College of Surgeons·Margaret L BoehlerGary Dunnington
Jan 14, 2010·Journal of Spinal Disorders & Techniques·Hassan AloshDaniel M Sciubba

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Citations

Nov 15, 2017·Neurology India·Dattatraya Muzumdar
Apr 1, 2018·Surgical Endoscopy·Matthew D TimberlakeAimee K Gardner

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