Novel Low-Cost, Low-Fidelity Hemorrhoidectomy Task Trainers
| Autor: | Jason F. Hall, Luise I.M. Pernar, Alaina D. Geary |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Hemorrhoidectomy
Surgeons Medical education Trainer education Internship and Residency Residency program Article Education Low fidelity Likert scale 03 medical and health sciences 0302 clinical medicine Secondary outcome Primary outcome 030220 oncology & carcinogenesis Surgical skills Humans Computer Simulation Surgery Clinical Competence 030212 general & internal medicine Surgical education Psychology |
| Zdroj: | J Surg Educ |
| ISSN: | 1931-7204 |
| DOI: | 10.1016/j.jsurg.2020.03.003 |
| Popis: | OBJECTIVE: Develop and describe a set of low-cost hemorrhoidectomy task trainer prototypes in the setting of inadequate junior resident surgical skill preparation for anorectal cases. DESIGN: This is a study comparing expert and novice performance and opinions. Three task trainers were developed to simulate dissecting, knot-tying, and suturing in a confined space, like the anus. Participants were asked to dissect the peel off of an orange, tie seven 2-handed knots on a weight, and close a defect in a piece of felt with a running stitch. An 8 oz mason jar was used to simulate the confined space. in an 8oz mason jar. Participants were asked to fill out a 5-point Likert-based evaluation regarding the skills. The primary outcome was time to complete each task in seconds. Secondary outcome measures were number of errors associated with each task, subjective achievability of tasks, and utility of tasks for improving surgical skills. SETTING: General surgery residency program at a safety-net academic center PARTICIPANTS: Forty subjects participated in this study. There were 20 experts (seven attending surgeons, thirteen PGY-1 - PGY-5 surgical residents) and 20 novices (eleven 3rd and nine 4th year medical students). RESULTS: Experts knot-tied (59s vs 140s, p |
| Databáze: | OpenAIRE |
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