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Can medical students achieve skills proficiency through simulation training?
Rebekah A Naylor1, Lisa A Hollett, R James Valentine
1Department of Surgery, Southwestern Center for Minimally Invasive Surgery, 5323 Harry Hines Blvd., Dallas, TX 75390-9156, USA. rebekah.naylor@utsouthwestern.edu
American Journal of Surgery
|April 14, 2009
Summary
Third-year medical students can achieve proficiency in basic surgical skills like catheterization and knot-tying through simulation laboratory training, with significant improvements in objective performance and self-rated comfort.
Area of Science:
- Medical Education
- Surgical Skills Training
- Simulation-Based Learning
Background:
- Simulation laboratory training is increasingly used in medical education.
- Assessing proficiency in technical skills is crucial for junior medical students.
Purpose of the Study:
- To evaluate if third-year medical students can attain proficiency in open technical skills via simulation laboratory training.
- To assess the effectiveness of a structured curriculum in developing surgical skills.
Main Methods:
- A curriculum involving bladder catheterization, breast examination, and knot-tying was administered to 204 third-year medical students.
- Proficiency was measured using global rating scales and objective, model-based metrics.
Main Results:
- All students achieved proficiency in catheterization and breast examination, with over 90% reporting increased self-rated comfort.
- For knot-tying, 83% completed the curriculum, and proficiency rates were 57% (2-handed) and 44% (1-handed).
- Significant improvements in objective performance scores and comfort ratings were observed for knot-tying tasks (P < .001).
Conclusions:
- Structured simulation training enables junior medical students to achieve proficiency in fundamental surgical skills.
- Objective performance metrics and self-reported comfort levels validate the effectiveness of this training approach.