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Related Experiment Videos

A theory-based curriculum for enhancing surgical skillfulness.

Margaret L Boehler1, Cathy J Schwind, David A Rogers

  • 1Department of Surgery, Southern Illinois University School of Medicine, Springfield, IL 62794-9655, USA.

Journal of the American College of Surgeons
|September 4, 2007
PubMed
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A new 1-month surgical skills curriculum for novices, based on motor learning principles, resulted in performance levels comparable to experienced residents. This demonstrates the effectiveness of structured, deliberate practice in surgical education.

Area of Science:

  • Medical Education
  • Surgical Training
  • Motor Skill Acquisition

Background:

  • Traditional surgical skills curricula are episodic and resident-focused.
  • Skills laboratories can be optimized using motor skill instruction principles.
  • A novel curriculum was designed for novice surgical training.

Purpose of the Study:

  • To evaluate a 1-month motor skill-based surgical curriculum for novices.
  • To compare novice performance to that of surgical residents.
  • To test the hypothesis that novices can achieve resident-level skills.

Main Methods:

  • Fourth-year medical students (novices) participated in a 4-week elective.
  • Instruction involved expert teaching and deliberate practice with feedback.

Related Experiment Videos

  • Novice performance was videotaped pre- and post-intervention and evaluated by blinded experts.
  • Scores were compared to historical data from first- and second-year residents.

    • Main Results:

    • Novice performance significantly improved across all four assessed skills.
    • Post-intervention novice scores were comparable to those of residents.
    • High inter-rater reliability (intraclass correlation > 0.87) was achieved.

    Conclusions:

    • Laboratory-based surgical training incorporating motor skill acquisition fundamentals is effective.
    • This structured approach can rapidly improve novice surgical technical skills.
    • The curriculum shows promise for enhancing surgical education.