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Abstract
Introduction
Surgical graduate training to achieve practice-ready students is needed, yet is often lacking. This study evaluates a proficiency-based, simulation-based course for basic surgical skills at graduate level. This study aims to show the effect of a preclinical curriculum to teach 21st century Surgical Skills (Halfwerk et al., 2020), and evaluate this curriculum with a pre-post-course questionnaire on confidence.
MethodsGraduate Technical Medicine students from academic year 2020-2021 entered a mandatory 10-week, 3 European Credit Transfer and Accumulation System (ECTS) graduate surgical skills course. Learning outcomes are measured at the level of knowledge and skills and are evaluated with a pre-post-course questionnaire on confidence based on the Task Confidence Measure (Bevilacqua et al., 2020). The New General Self-Efficacy Scale (NGSE) is used as control, where no improvements in self-efficacy are expected. A Wilcoxon signed-rank test with Holm-Bonferroni correction is used to assess differences between time points.
Results & DiscussionIn total 107 students enrolled the surgical skills course. 84 students completed the pre-course survey (79%), and 61 students (57%) completed the post-course survey. The control questionnaire (NGSE) on self-efficacy did now show higher self-efficacy scores in 7 questions (p > 0.05). However, students stated after the course more often that “compared to other people, they can do most tasks very well” (p < 0.01).
Students felt more confident in all technical surgical skills after the surgical skills course (p < 0.001), as well as obtaining informed consent (p < 0.001), see attached Figure. Confidence in interpreting medical imaging did not improve with the course (p > 0.05).
Often limited time is scheduled for preclinical surgical skills training, which results in limited skills development and only a small increase in confidence. This study shows that it is feasible to have a major increase in confidence in technical surgical skills with a graduate curriculum. We recommend that proficiency-based training using simulation should be standard in surgical curricula before students are allowed to practice on patients.
Surgical graduate training to achieve practice-ready students is needed, yet is often lacking. This study evaluates a proficiency-based, simulation-based course for basic surgical skills at graduate level. This study aims to show the effect of a preclinical curriculum to teach 21st century Surgical Skills (Halfwerk et al., 2020), and evaluate this curriculum with a pre-post-course questionnaire on confidence.
MethodsGraduate Technical Medicine students from academic year 2020-2021 entered a mandatory 10-week, 3 European Credit Transfer and Accumulation System (ECTS) graduate surgical skills course. Learning outcomes are measured at the level of knowledge and skills and are evaluated with a pre-post-course questionnaire on confidence based on the Task Confidence Measure (Bevilacqua et al., 2020). The New General Self-Efficacy Scale (NGSE) is used as control, where no improvements in self-efficacy are expected. A Wilcoxon signed-rank test with Holm-Bonferroni correction is used to assess differences between time points.
Results & DiscussionIn total 107 students enrolled the surgical skills course. 84 students completed the pre-course survey (79%), and 61 students (57%) completed the post-course survey. The control questionnaire (NGSE) on self-efficacy did now show higher self-efficacy scores in 7 questions (p > 0.05). However, students stated after the course more often that “compared to other people, they can do most tasks very well” (p < 0.01).
Students felt more confident in all technical surgical skills after the surgical skills course (p < 0.001), as well as obtaining informed consent (p < 0.001), see attached Figure. Confidence in interpreting medical imaging did not improve with the course (p > 0.05).
Often limited time is scheduled for preclinical surgical skills training, which results in limited skills development and only a small increase in confidence. This study shows that it is feasible to have a major increase in confidence in technical surgical skills with a graduate curriculum. We recommend that proficiency-based training using simulation should be standard in surgical curricula before students are allowed to practice on patients.
| Original language | English |
|---|---|
| Publication status | Published - 16 Jun 2022 |
| Event | 27th Annual Meeting of Society for Simulation in Europe 2022: Building Simulation for Health Challenges - FIBES Conference Centre, Seville, Spain Duration: 15 Jun 2022 → 17 Jun 2022 Conference number: 27 https://www.sesam-web.org/events/event/sesam-seville-2022/ |
Conference
| Conference | 27th Annual Meeting of Society for Simulation in Europe 2022 |
|---|---|
| Abbreviated title | SESAM 2022 |
| Country/Territory | Spain |
| City | Seville |
| Period | 15/06/22 → 17/06/22 |
| Internet address |
Keywords
- surgery
- Simulation-based training
- surgical skills
- graduate students
- SESAM
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- 2 Poster
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Fostering Diversity, Inclusiveness And Equity In Your Education
Halfwerk, F. R., 10 Oct 2022.Research output: Contribution to conference › Poster › Academic
Open AccessFile -
Development and evaluation of a proficiency-based and simulation-based surgical skills training for Technical Medicine
Halfwerk, F. R., Groot Jebbink, E. & Groenier, M., 14 Mar 2018.Research output: Contribution to conference › Poster › Other research output