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Published on: September 18, 2017
Moving skills training closer to application: In-rotation skills curriculum is feasible and effective
Stephen Haggerty1, Tomokazu Kishiki1, Michael Ujiki1
1Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA.
Purpose:
Using simulation can help surgical trainees acquire surgical skills but at the expense of clinical learning time. We postulate an in-rotation skills curriculum is feasible and minimizes time away from clinical experiences.
Methods:
Surgical residents (PGY2-5) were allotted two hours of weekly protected time for rotation specific simulation modules that included assessment, mentoring, and practice. Between September 2015 and February 2016 performance data was collected and participants were surveyed.
Results:
Completion rates of 87-100% were achieved and post-test scores improved significantly, indicating improved performance. The survey (29/30 RR) revealed that 81.5% felt 2 hours a week was 'just right' and 79.3% agreed or strongly agreed the in-rotation aspect was a benefit. Improved confidence in the OR was reported by 86.2% of residents Intra-operative skill was self-assessed as improved in 79.3%.
Conclusion:
In-rotation skills curriculum with high completion rates is feasible and allows training in close proximity to clinical application. Performance in the simulated environment significantly improved with corresponding improvements in confidence and self-assessed skill in the operating room.
