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European Journal of Plastic Surgery
Published in: European Journal of Plastic Surgery 2/2018

Open Access 01-04-2018 | Original Paper

Development and validation of a new assessment tool for suturing skills in medical students

Authors: Henriette Pisani Sundhagen, Stian Kreken Almeland, Emma Hansson

Published in: European Journal of Plastic Surgery | Issue 2/2018

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Abstract

Background

In recent years, emphasis has been put on that medical student should demonstrate pre-practice/pre-registration core procedural skills to ensure patient safety. Nonetheless, the formal teaching and training of basic suturing skills to medical students have received relatively little attention and there is no standard for what should be tested and how. The aim of this study was to develop and validate, using scientific methods, a tool for assessment of medical students’ suturing skills, measuring both micro- and macrosurgical qualities.

Methods

A tool was constructed and content, construct, concurrent validity, and inter-rater, inter-item, inter-test reliability were tested. Three groups were included: students with no training in suturing skills, students who have had training, plastic surgery.

Results

The results show promising reliability and validity when assessing novice medical students’ suturing skills.

Conclusions

Further studies are needed on implementation of the instrument. Moreover, how the instrument can be used to give formative feedback, evaluate if a required standard is met and for curriculum development needs further investigation.
Level of Evidence: Not ratable.
Literature
1.
2.
Ahmed K, Miskovic D, Darzi A, Athanasiou T, Hanna GB (2011) Observational tools for assessment of procedural skills: a systematic review. Am J Surg 202(4):469–80.e466CrossRefPubMed
3.
Morris M, Gallagher T, Ridgway P (2012) Tools used to assess medical students competence in procedural skills at the end of a primary medical degree: a systematic review. Med Educ Online 17(1):18398
4.
Temple CL, Ross DC (2011) A new, validated instrument to evaluate competency in microsurgery: the University of Western Ontario Microsurgical Skills Acquisition/Assessment instrument [outcomes article]. Plast Reconstr Surg 127(1):215–222CrossRefPubMed
5.
Grant AL, Temple-Oberle C (2017) Utility of a validated rating scale for self-assessment in microsurgical training. J Surg Educ 74(2):360–364CrossRefPubMed
6.
Dumestre D, Yeung JK, Temple-Oberle C (2015) Evidence-based microsurgical skills acquisition series part 2: validated assessment instruments—a systematic review. J Surg Educ 72(1):80–89CrossRefPubMed
7.
Martin JA, Regehr G, Reznick R, MacRae H, Murnaghan J, Hutchison C et al (1997) Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg 84(2):273–278CrossRefPubMed
8.
Faulkner H, Regehr G, Martin J, Reznick R (1996) Validation of an objective structured assessment of technical skill for surgical residents. Acad Med 71(12):1363–1365CrossRefPubMed
9.
Swift SE, Carter JF (2006) Institution and validation of an observed structured assessment of technical skills (OSATS) for obstetrics and gynecology residents and faculty. Am J Obstet Gynecol 195(2):617–621CrossRefPubMed
10.
Anderberg M, Larsson J, Kockum CC, Arnbjornsson E (2010) Robotics versus laparoscopy—an experimental study of the transfer effect in maiden users. Ann Surg Innov Res 4(1):3CrossRefPubMedPubMedCentral
11.
Macluskey M, Durham J, Balmer C et al (2011) Dental student suturing skills: a multicentre trial of a checklist-based assessment. Eur J Dent Educ 15(4):244–249
12.
Goova MT, Hollett LA, Tesfay ST et al (2008) Implementation, construct validity, and benefit of a proficiency-based knot-tying and suturing curriculum. J Surg Educ 65(4):309–315
13.
Scott DJ, Goova MT, Tesfay ST (2007) A cost-effective proficiency-based knot-tying and suturing curriculum for residency programs. J Surg Res 141(1):7–15CrossRefPubMed
14.
Gallagher AG, Ritter EM, Satava RM (2003) Fundamental principles of validation, and reliability: rigorous science for the assessment of surgical education and training. Surg Endosc 17(10):1525–1529CrossRefPubMed
15.
Vaz S, Falkmer T, Passmore AE, Parsons R, Andreou P (2013) The case for using the repeatability coefficient when calculating test-retest reliability. PLoS One 8(9):e73990
16.
Bland JM, Altman DG (1999) Measuring agreement in method comparison studies. Stat Methods Med Res 8(2):135–160CrossRefPubMed
17.
Dahlberg, G. (1940) Statistical methods for medical and biological students. [S.l.]: Allen & Unwin
18.
Shah J, Buckley D, Frisby J, Darzi A (2003) Reaction time does not predict surgical skill. Br J Surg 90(10):1285–1286CrossRefPubMed
19.
Morris M, Caskey R, Mitchell M, Sawaya D (2012) Surgical skills training restructured for the 21st century. J Surg Res 177(1):33–36CrossRefPubMed
20.
Bann S, Khan M, Datta V, Darzi A (2005) Surgical skill is predicted by the ability to detect errors. Am J Surg 189(4):412–415CrossRefPubMed
21.
Gershuni V, Woodhouse J, Brunt LM (2013) Retention of suturing and knot-tying skills in senior medical students after proficiency-based training: results of a prospective, randomized trial. Surgery 154(4):823–829
22.
Liddell MJ, Davidson SK, Taub H, Whitecross LE (2002) Evaluation of procedural skills training in an undergraduate curriculum. Med Educ 36(11):1035–1041CrossRefPubMed
23.
Wang TS, Schwartz JL, Karimipour DJ, Orringer JS, Hamilton T, Johnson TM (2004) An education theory-based method to teach a procedural skill. Arch Dermatol 140(11):1357–1361PubMed
24.
Brunt LM, Halpin VJ, Klingensmith ME et al (2008) Accelerated skills preparation and assessment for senior medical students entering surgical internship. J Am Coll Surg 206:897–904
25.
Naylor RA, Hollett LA, Castellvi A, Valentine RJ, Scott DJ (2010) Preparing medical students to enter surgery residencies. Am J Surg 199(1):105–109CrossRefPubMed
Metadata
Title
Development and validation of a new assessment tool for suturing skills in medical students
Authors
Henriette Pisani Sundhagen
Stian Kreken Almeland
Emma Hansson
Publication date
01-04-2018
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Plastic Surgery / Issue 2/2018
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-017-1378-8

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