A Generalizable Multimodal Scrub Training Curriculum in Surgical Sterile Technique

Area of Science:

• Medical Education
• Surgical Training
• Patient Safety

Background:

• Aseptic technique is crucial for patient safety and is formally recognized by governing bodies like the Association of American Medical Colleges (AAMC).
• Standardized training is needed to ensure graduating physicians possess essential aseptic technique skills.
• Current training may have variability, impacting consistent skill acquisition.

Purpose of the Study:

• To develop and evaluate a multimodal scrub training curriculum based on AAMC guidelines.
• To assess the impact of the curriculum on students' knowledge, skills, and anxieties.
• To provide a standardized approach to teaching aseptic technique.

Main Methods:

• A quasi-experimental study with pre- and posttest design was used.
• A scrub training curriculum was developed and implemented.
• Student self-perceived knowledge, skills, and anxieties were assessed via questionnaires.

Main Results:

• 44 students completed the curriculum between February and March 2020.
• Significant increases in self-efficacy were observed across all curricular goals.
• Operating room etiquette was the most anxiety-provoking aspect, while surgical hand hygiene was least anxiety-inducing.

Conclusions:

• The multimodal curriculum effectively imparts aseptic technique skills and boosts learner confidence.
• Standardization of training reduces variability in teaching and skill acquisition.
• Further emphasis on operating room etiquette in training is recommended to address student anxiety.