The Challenges of Dyad Practice in Simulation Training of Basic Open Surgical Skills-A Mixed-Method Study
Diana B Zetner1, Lars Konge, Anja Fabrin
1From the Copenhagen Academy for Medical Education and Simulation (D.B.Z., L.K., A.F., J.B.C., E.T.), Copenhagen Ø; University of Copenhagen, Faculty of Health and Medical Sciences (L.K.), Copenhagen N; Department of Thoracic, Cardiac and Vascular Surgery (A.F.), Odense University Hospital, Odense; and Department of Obstetrics and Gynaecology, Slagelse Sygehus (E.T.), Slagelse, Denmark.
Summary
Self-regulated dyad training for surgical skills did not improve outcomes compared to individual training. While perceived as beneficial, dyad training resulted in fewer, longer sessions, potentially hindering effectiveness.
Area of Science:
- Medical Education
- Surgical Skills Training
- Simulation-Based Learning
Background:
- Home-based simulation training enhances accessibility but struggles with sustained motivation.
- Dyad training (pairs) is explored as a strategy to improve trainee motivation in surgical skills development.
Purpose of the Study:
- To compare the effectiveness of self-regulated basic surgical skills training in pairs versus individually.
- To evaluate the impact of dyad training on trainee motivation and skill acquisition.
Main Methods:
- A prospective, mixed-method study involving 101 medical doctors randomized to individual or dyad training over 6 weeks.
- Participants engaged in self-directed open surgical skills training at home, with skills assessed pre- and post-course using the Objective Structured Assessment of Technical Skills (OSATS) Global Rating Scale.
Main Results:
- No significant difference in post-training skill improvement scores between dyad and individual training groups.
- Dyad trainees trained less frequently but for longer durations per session compared to individual trainees.
- Dyad trainees reported positive experiences including peer feedback, increased motivation, and structured sessions, despite challenges in coordinating schedules.
Conclusions:
- Off-site dyad training for surgical skills does not yield superior skill improvement compared to individual training.
- Fewer, longer training sessions in dyad training may reduce overall training effectiveness.
- Despite potential limitations in frequency, dyad training is perceived positively by trainees for its motivational and feedback benefits.
