Skills coaches as part of the educational team: a randomized controlled trial of teaching of a basic surgical skill in the laboratory setting

American Journal of Surgery
Michael J KimGary L Dunnington

Abstract

The aim of this study was to compare the laboratory teaching of a basic technical skill by a nonphysician skills coach and a faculty surgeon. Medical students were randomized to instruction of skin suturing in the skills laboratory by a faculty surgeon or by a nonphysician skills coach. Testing of performance occurred at 3 time points. Other faculty surgeons, blinded to identities and training groups, rated performance. Forty-nine students participated. Baseline fourth-year student mean scores showed no significant difference between training groups. Third-year and fourth-year student performance showed no difference between training groups on postintervention testing. Delayed testing also showed no difference in third-year student scores. Training by either a nonsurgeon skills coach or a faculty surgeon resulted in no difference in performance on a basic surgical skill. This was true for students with and without prior experience and was also true after subsequent clinical experiences. Nonphysician coaches may ease the teaching burden of surgical faculty members while providing similar quality of instruction for trainees.

References

Jan 10, 2006·American Journal of Surgery·James R KorndorfferDaniel J Scott
Aug 24, 2006·Annals of Surgery·Carol-Anne E MoultonRichard Reznick
Oct 11, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Daniel J Scott, Gary L Dunnington
Oct 27, 2007·Journal of Surgical Education·Muneera R KapadiaGary L Dunnington

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Citations

Jun 1, 2013·Indian Journal of Dermatology·Rafael DenadaiLuís Ricardo Martinhão Souto
Feb 9, 2012·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Rafael Denadai, Erika Malheiros Bastos
Jan 15, 2014·Annals of Vascular Surgery·Samuel SchwartzChristian de Virgilio
Jun 10, 2014·International Journal of Surgery·Christopher R DavisFrank C T Smith
Nov 12, 2013·Journal of the American College of Surgeons·Boris ZevinTeodor P Grantcharov
Oct 24, 2012·Revista da Associação Médica Brasileira·Rafael DenadaiRogério Saad-Hossne
Aug 23, 2012·Journal of Surgical Education·Deborah M RooneyEric S Hungness
Nov 15, 2011·Current Problems in Surgery·Ajit K SachdevaKaryl J Burns
May 26, 2010·The Surgical Clinics of North America·Andreas H Meier
Jan 18, 2013·Plastic Surgery International·Rafael DenadaiLuis Ricardo Martinhão Souto
Jul 27, 2015·The Surgical Clinics of North America·David A RogersJohn R Porterfield
Jan 3, 2015·The Journal of Surgical Research·Yinin HuSara K Rasmussen
Mar 31, 2012·Acta Cirúrgica Brasileira·Rafael DenadaiErika Malheiros Bastos
Dec 14, 2011·Acta Cirúrgica Brasileira·Rafael Denadai, Luís Ricardo Martinhão Souto
May 23, 2019·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Andrew N MusitsJohn M OʼDonnell
May 31, 2019·Journal of Veterinary Medical Education·Erin Malone
May 23, 2020·Plastic and Reconstructive Surgery. Global Open·Jared A BlauMichael R Zenn
Dec 29, 2020·American Journal of Surgery·Joyce LuM Ashraf Mansour
Jun 21, 2020·The Journal of Surgical Research·Francisco SchlottmannMarco G Patti

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