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Procedural Education for Family Medicine Residents: Innovative Independent Suturing Training With Asynchronous
Sahoko H Little1, Scott A Kelley2, James M Cooke3
1Clinical Associate Professor, Department of Family Medicine, University of Michigan.
This study shows a self-directed online suturing training program significantly improved residents' knowledge and comfort with suturing techniques. The program effectively enhanced surgical skills through video feedback, preparing residents for clinical procedures.
Area of Science:
- Medical Education
- Surgical Skills Training
- Family Medicine Residency
Background:
- Suture skills are crucial for family physicians and best acquired during residency.
- Residents often face challenges with obstetric laceration repairs and office-based skin procedures.
Purpose of the Study:
- To develop and evaluate a self-directed online suturing training program for residents.
- The program aimed to enhance knowledge and practical suturing techniques.
Main Methods:
- First-year residents participated in an online suturing program during their surgical rotation.
- Assessments included pre/post-knowledge tests, comfort surveys, and video submissions for expert feedback.
- Paired Student t tests analyzed changes in scores and comfort ratings.
Main Results:
- Knowledge and comfort scores significantly improved post-training (p < .001).
- Over 91% of residents reported enhanced knowledge, skills, and comfort.
- The majority would recommend the program to peers.
Conclusions:
- A self-directed online suturing program with simulation, video, and asynchronous coaching is effective.
- This method efficiently prepares residents for clinical suturing procedures with minimal preceptor burden.
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