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See one, do one, teach one: A randomized controlled study evaluating the benefit of autonomy in surgical education
Michael LeCompte1, Melissa Stewart1, Timothy Harris2
1Vanderbilt University Medical Center Department of Surgery, 1161 21st Avenue South D4313 MCN, Nashville, TN, 37232-2730, USA.
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.
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