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Related Experiment Videos

Template for a program tailored ACS/APDS phase 1 curriculum: From needs assessment to implementation.

Shawn M Purnell1, Barbara L Bass2, Benjamin Benavides3

  • 1Department of General Surgery, Houston Methodist Hospital, Houston, TX, USA.

American Journal of Surgery
|April 11, 2021
PubMed
Summary

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A tailored framework improved surgical intern training by assessing existing skills and using targeted education. This approach enhanced both knowledge and confidence in essential surgical procedures.

Area of Science:

  • Medical Education
  • Surgical Training
  • Curriculum Development

Background:

  • The Phase 1 ACS/APDS skills curriculum aims to standardize intern training.
  • National implementation rates for this curriculum are low due to institutional variations.
  • A tailored framework is needed to improve curriculum adoption and effectiveness.

Purpose of the Study:

  • To adapt the Phase 1 ACS/APDS skills curriculum using Kern's six-step model.
  • To develop a program-specific framework for enhancing intern surgical skills training.
  • To address the low national implementation rates of standardized surgical curricula.

Main Methods:

  • Conducted general and targeted needs assessments (TNA) of interns, residents, and attendings.
  • Assessed perceived skill importance, prior experience, and confidence levels.
Keywords:
CurriculumInternResidentSimulationSkillsSurgery residency

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  • Developed educational strategies including simulation and lectures, with pre- and post-module knowledge assessments.

    • Main Results:

    • TNA revealed interns were most confident in suturing, knot tying, and urethral catheterization.
    • Educational strategies led to improved test scores and increased skills confidence post-curricula.
    • Identified deficiencies informed the use of active learning strategies.

    Conclusions:

    • The developed framework effectively uses institutional resources and expertise.
    • Focusing on learner deficiencies improved knowledge and confidence in surgical skills.
    • This tailored approach shows potential for increasing Phase 1 curriculum implementation rates.