See one, do one, teach one: A randomized controlled study evaluating the benefit of autonomy in surgical education - 04/01/19
, Melissa Stewart a , Timothy Harris b , Gregory Rives b , Christy Guth a , Jesse Ehrenfeld a , Kevin Sexton c , Kyla Terhune a Abstract |
Introduction |
"See one, do one, teach one" has represented the model for surgical education for over a century, however recent changes in education have reduced autonomy in training. The goal of this study was to assess the impact of autonomy on learning a procedural skill.
Methods |
Senior medical students were randomized and trained to performance a vascular anastomosis utilizing progressive autonomy vs. constant supervision. Performance was tested using videotaped technical grading and anastomotic pressure testing.
Results |
Mean baseline performance times and technical ratings were similar in both groups. Final completion times was faster in the autonomy group, 14:03min vs. 19:09min (p = 0.02). Final technical ratings were similar, 40.0 vs. 39.2points (max = 50), for each group and both demonstrated similar improvement in leak test against a standardized sample.
Conclusion |
Teaching a procedure, as a final step in graded autonomy, results in superior performance in timing while maintaining equal technical performance compared to trainees with less autonomy.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | Resident autonomy is declining in surgical education however the impact of this decline lacks objective study. |
• | Results demonstrate that increased autonomy improves speed without sacrificne gains in techinical performance. |
• | Autonomy in training may also result in better skill retention and long-term performance. |
Keywords : Surgical education, Autonomy, Teaching, Simulation
Mappa
Vol 217 - N° 2
P. 281-287 - febbraio 2019 Ritorno al numero
Articolo precedente
- Bridging the gap: The intersection of entrustability and perceived autonomy for surgical residents in the OR
- Gurjit Sandhu, Julie Thompson-Burdine, Niki Matusko, Danielle C. Sutzko, Vahagn C. Nikolian, Anna Boniakowski, Patrick E. Georgoff, Kaustubh A. Prabhu, Rebecca M. Minter
- What do quantitative ratings and qualitative comments tell us about general surgery residents’ progress toward independent practice? Evidence from a 5-year longitudinal cohort
- Ara Tekian, Martin Borhani, Sarette Tilton, Eric Abasolo, Yoon Soo Park
Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
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