Implementation, construct validity, and benefit of a proficiency-based knot-tying and suturing curriculum

Journal of Surgical Education
Mouza T GoovaDaniel J Scott

Abstract

The aim of this proficiency-based, open knot-tying and suturing study was to evaluate the feasibility of implementing this curriculum within a residency program, and to assess construct validity and educational benefit. PGY1 residents (n = 37) were enrolled in an Institutional Review Board (IRB)-approved prospective study that was conducted over a 12-week period. Trainees viewed a video tutorial during orientation and as needed; they self-practiced to proficiency for 12 standardized knot-tying, practiced suturing tasks; performed 1 repetition of each task at baseline and posttesting; and completed questionnaires. Curriculum implementation required 376 person-hours, and material costs were $776. All trainees achieved proficiency within allotted 12 weeks. Overall, trainees completed 141 +/- 80 repetitions over 12.7 +/- 5.3 hours in addition to performing 13.4 +/- 12.4 operations. Baseline trainee and expert performance were significantly different for all 12 tasks and composite score (732 +/- 294 vs 1488 +/- 26, p < 0.001), which supported construct validity. Baseline trainees demonstrated significant improvement at posttesting according to composite scores (732 +/- 294 vs 1503 +/- 131, p < 0.001), which validates skill acquisiti...Continue Reading

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Citations

Oct 11, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Daniel J Scott, Gary L Dunnington
Feb 26, 2013·Surgical Endoscopy·Pieter J van EmpelW Jeroen Meijerink
Jun 14, 2014·Journal of Surgical Education·Pedro Pablo GomezDaniel J Scott
Sep 24, 2014·Journal of Surgical Education·Melissa E Brunsvold, Connie C Schmitz
Jun 19, 2014·Surgical Endoscopy·Dimitrios StefanidisChris Sievers
Dec 4, 2014·American Journal of Surgery·Dimitrios StefanidisDevin Chapman
Jun 21, 2014·Surgical Endoscopy·Justin BricJon C Gould
Nov 12, 2013·Journal of the American College of Surgeons·Boris ZevinTeodor P Grantcharov
Nov 19, 2013·American Journal of Surgery·Christina E BuckleyPaul C Neary
Jan 3, 2016·American Journal of Surgery·Justin L HsuKimberly M Brown
Feb 23, 2013·Journal of Surgical Education·Yinin HuL Michael Brunt
Nov 15, 2011·Current Problems in Surgery·Ajit K SachdevaKaryl J Burns
Aug 16, 2015·Journal of Surgical Education·Heidi MaertensIsabelle Van Herzeele
Oct 27, 2009·Journal of the American College of Surgeons·Madelyn E RosenthalDaniel J Scott
Mar 19, 2013·The Journal of Obstetrics and Gynaecology Research·Pieter J van EmpelFedde Scheele
Apr 14, 2009·American Journal of Surgery·Rebekah A NaylorDaniel J Scott
Jan 28, 2010·American Journal of Surgery·Rebekah A NaylorDaniel J Scott
Sep 16, 2015·Clinical Orthopaedics and Related Research·I Martin LevyTheresa R McKeon
Sep 20, 2015·American Journal of Surgery·Sydne MuratoreMelissa Brunsvold
Jul 27, 2015·The Surgical Clinics of North America·Ross E Willis, Kent R Van Sickle
Apr 5, 2015·The Journal of Surgical Research·Justin L HsuKimberly M Brown
Dec 31, 2014·Journal of Veterinary Medical Education·Gessica GiustoMarco Gandini
Jan 31, 2018·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Emily M DeBoerMatthew J Rustici
Sep 15, 2018·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Andrew M SchneiderDouglas A Evans
Aug 15, 2014·Annals of Surgery·Peter SzaszTeodor P Grantcharov
Sep 23, 2014·Annals of Surgery·Dimitrios StefanidisUNKNOWN Association for Surgical Education Simulation Committee
Apr 3, 2018·European Journal of Plastic Surgery·Henriette Pisani SundhagenEmma Hansson
Dec 20, 2019·Clinical Obstetrics and Gynecology·Payton C Schmidt, Dee E Fenner

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