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Asepsis

Asepsis

The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.

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Related Experiment Video

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Teaching Basic Surgical Skills Using a More Frugal, Near-Peer, and Environmentally Sustainable Way: Mixed Methods

Ben Smith¹, Christopher Paton¹, Prashanth Ramaraj^1,2

¹Department of General Surgery and Urology, Frimley Health Foundation Trust, Frimley, Surrey, United Kingdom.

JMIR Perioperative Medicine

|November 15, 2023

Summary

A novel, low-cost, peer-led surgical skills program significantly boosted trainee confidence and well-being. This accessible, local training offers a sustainable model for surgical education, improving perceived training quality.

Keywords:

basic surgical skills environmentally sustainable free frugal low cost near-peer learning peer-assisted learning surgical education

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Area of Science:

Surgical Education
Medical Training
Peer-to-Peer Learning

Background:

The Royal College of Surgeons Basic Surgical Skills (BSS) course is limited by geography and cost.
The COVID-19 pandemic negatively impacted surgical training quality, leading to reduced logbook completion and increased trainee attrition.
Local, peer-led teaching demonstrates effectiveness in enhancing surgical skills confidence cost-effectively, yet qualitative data on trainee well-being and retention are scarce.

Purpose of the Study:

To evaluate the impact of a novel, weekly, lunchtime Basic Surgical Skills (BSS) program.
To assess both quantitative improvements in skills and qualitative factors such as trainee well-being and career interest.

Main Methods:

A 16-week, peer-led BSS course was implemented, covering essential surgical procedures using low-cost, recycled materials.
A mixed-methods approach involved analyzing pre- and post-session confidence scores (Likert scale) and conducting semistructured interviews.
Participants included all healthcare workers at the study center, with data collected over four iterations from May 2021 to August 2022.

Main Results:

Confidence in surgical skills significantly improved from 47% to 73% (P<.001).
100% of interviewed participants reported enhanced well-being and perceived value in training.
71% of participants preferred the local, weekly teaching format, though interest in surgical careers remained unchanged.

Conclusions:

The developed BSS program is feasible, cost-effective, environmentally sustainable, and free for junior doctors.
Peer-led, decentralized surgical education enhances confidence and positively influences perceptions of well-being and training quality.
The study advocates for the dissemination and implementation of this model in other institutions.