A proficiency-based surgical boot camp May not provide trainees with a durable foundation in fundamental surgical skills - 04/01/19
, Deborah Farr, Kareem R. Abdelfattah, Deborah Hogg, Daniel J. ScottAbstract |
Background |
Pre-internship boot camps have become popular platforms to rapidly teach skills to surgical interns. This study aimed to analyze psychomotor skill retention four months after completing a boot camp program.
Methods |
Surgical interns (n = 20) took a baseline pre-test and then trained to proficiency (based on time and errors) for 5 knot tying, 4 simple suturing, and 2 running suturing tasks during a three-day boot camp. Three months later, all interns took a retention test.
Results |
Proficiency scores significantly improved on all task types from pre-test to post test and significantly regressed on all task types from post-test to retention test. Normalized scores decreased as the tasks became more complex (knot tying = 93.5, simple suturing = 89.1, running suturing = 85.2, p = 0.05).
Conclusions |
Boot camp style training can rapidly teach fundamental surgical skills to novices; however, skills regress significantly over time with a greater degree of regression seen on more complex skills.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Proficiency-based training is feasible in a boot camp format. |
• | Knot tying and suturing skills training may not be durable after massed practice. |
• | Boot camp training should be supplemented with deliberate practice. |
Plan
Vol 217 - N° 2
P. 244-249 - février 2019 Retour au numéro
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