A video-based, flipped classroom, simulation curriculum for dermatologic surgery: A prospective, multi-institution study - 29/08/19
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Abstract |
Background |
Medical education is evolving to emphasize trainee engagement. The impact of a flipped classroom curriculum and surgical simulation on dermatology resident education has not been evaluated.
Objective |
To assess the impact of video education and surgical simulation on dermatology resident procedural skills.
Methods |
We created a curriculum on foundational surgical skills for 31 first- and second-year dermatology residents at 3 institutions. The flipped classroom approach replaces traditional in-person lectures with at-home viewing of instructional videos. After this self-directed learning, trainees had 3 hands-on sessions using simulated skin models. The Objective Structured Assessment of Technical Skills (OSATS) instrument was used to assess residents performing a simulated elliptical excision with intermediate repair before and after the curriculum. Residents completed precurriculum and postcurriculum surveys evaluating operative confidence and perceived value of the curriculum.
Results |
Residents' total OSATS score increased from a median of 27 (interquartile range, 22-38.5) before the curriculum to 46 (interquartile range, 39.5-51.5) after the curriculum (P < .001). Self-reported confidence in surgical performance significantly improved, and residents were highly satisfied.
Limitations |
Limitations include the small sample size and potential influence from concurrent learning on surgical rotations.
Conclusions |
Video education and simulation are effective for improving dermatology residents' procedural skills. We hope to serve as a template for other institutions and nondermatology trainees hoping to improve procedural skills.
Le texte complet de cet article est disponible en PDF.Key words : dermatologic surgery, dermatology resident education, flipped classroom, medical education, simulation, surgical simulation
Abbreviations used : OSATS, GRS, IQR
Plan
Funding sources: Supported by the Harvard Dermatology Samuel Moschella Scholarship. |
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Conflicts of interest: None disclosed. |
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