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Cost-effective framework for basic surgical skills training.

Deng-Jin Jiang1, Chan Wen, Ai-Jun Yang

  • 1Department of Applied Surgical Anatomy and Operative Surgery, College of Basic Medical Science, Third Military Medical University, Chongqing, China. jwjun2003@yahoo.com.cn

ANZ Journal of Surgery
|October 6, 2012
PubMed
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This study introduces a cost-effective surgical skills training framework for medical trainees. The program proved reliable and feasible, with a skills competition enhancing trainee performance.

Area of Science:

  • Medical Education
  • Surgical Training
  • Skill Acquisition

Background:

  • Basic surgical skills training faces challenges due to ethical and financial constraints.
  • There is a growing need for cost-effective training models to ensure surgical trainees acquire essential skills.
  • A novel cost-effective training framework was developed and implemented to address these challenges.

Purpose of the Study:

  • To introduce and evaluate a cost-effective training framework for basic surgical skills.
  • To assess the reliability, feasibility, and cost-effectiveness of the developed training model.
  • To determine the impact of a surgical skills competition on trainee skill levels.

Main Methods:

  • A structured 18-week training program divided into early, transitional, and integrative stages, culminating in a skills competition.

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  • Utilized diverse training modules including digital resources, benchtop exercises, animal tissue, dissection specimens, and simulated operations.
  • Assessed training outcomes through direct observation of procedural skills in 50 randomly selected trainees from 2006-2011.

    • Main Results:

    • Achieved an excellent and good rate of surgical skills between 82% and 88% across six years, with no significant year-to-year variation.
    • Trainees participating in the skills competition demonstrated significantly higher skill scores compared to non-participants.
    • The average training cost per trainee ranged from approximately $21.85 to $34.08.

    Conclusions:

    • The developed surgical skills training framework is reliable, feasible, repeatable, and cost-effective.
    • Incorporating a skills competition effectively enhances the overall surgical skills acquisition of trainees.
    • This model provides a sustainable approach to surgical education amidst resource limitations.