medigraphic.com
ISSN 2683-2348 (Electronic)
Federación Latinoamericana de Simulación Clínica y Seguridad del Paciente

2020, Number 2

<< Back Next >>

Simulación Clínica 2020; 2 (2)

Suture training for health professionals: initial experience of a continuing education course

Inzunza M, Pozo P, Tejos R, Navia A, Jarry C, Achurra P, Varas J

Language: Spanish
References: 20
Page: 57-64
PDF size: 312.10 Kb.


ABSTRACT

Introduction: Simulation has been shown to be an effective alternative for teaching and training procedures. In the literature, the current methodology usually involves the permanent presence of clinical tutors for the delivery of effective feedback, also are focused on medical students. Objectives: To assess the acquisition of skills in suture techniques through a training program for health professionals, with a mixed methodology using video-tutorials and effective feedback by experts. Material and methods: A course was designed with four training sessions and deliberate home-practice with video-tutorials between each session. Initial and final blind evaluations were performed for four specific suturing techniques, applying OSATS scale and execution Time. A cutoff score of 20 was set. Initial and final evaluations were compared, and subgroup analyzes were performed according to the profession, using non-parametric statistics. Results: 100% of the participants reached a final score ≥ 20 in each technique, also all of them significantly improved their baseline skills and decreased their times. The subgroup analysis by profession did not find statistically significant differences at the end of the course. Conclusion: The suture training program for health professionals, with a mixed methodology through video-tutorials and feedback by experts, was effective for the acquisition of the proposed competencies.


REFERENCES

  1. Tejos R, Avila R, Inzunza M, Achurra P, Castillo R, Rosberg A, et al. Impact of a simulated training program in a three- year general surgery residency. ABCD Arq Bras Cir Dig. 2019; 32 (2): 1-5.

  2. González LR, Molina ZH, García-Huidobro DM, Stevens MP, Jadue TA, Riquelme UA, et al. Implementación de taller de monitores de sutura en alumnos de pregrado de medicina. Rev Cir. 2019; 71 (2): 122-128.

  3. Quezada J, Achurra P, Jarry C, Asbun D, Tejos R, Inzunza M, et al. Minimally invasive tele‑mentoring opportunity-the MITO project. Surg Endosc. 2020; 34 (6): 2585-2592.

  4. Zundel S, Meder A, Zipfel S, Herrmann-Werner A. The surgical experience of current non-surgeons gained at medical school: a survey analysis with implications for teaching today’s students. BMC Med Educ. 2015; 15 (1): 1-7.

  5. Jarry C, Inzunza M, Quezada J, Marino C, Zamorano E, Alvarado V, et al. Gimnasio de simulación quirúrgica: una herramienta educacional factible de entrenamiento continuo. Experiencia de un centro universitario. Simulación Clínica. 2019; 1: 18-24.

  6. Van De Ridder JMM, Stokking KM, McGaghie WC, Ten Cate OTJ. What is feedback in clinical education? Med Educ. 2008; 42 (2): 189-197.

  7. Burns CL. Using debriefing and feedback in simulation to improve participant performance: an educator’s perspective. Int J Med Educ. 2015; 6: 118-120.

  8. Gaunt A, Patel A, Rusius V, Royle TJ, Markham DH, Pawlikowska T. ‘Playing the game’: How do surgical trainees seek feedback using workplace-based assessment? Med Educ. 2017; 51 (9): 953-962.

  9. Alvarado J, Henríquez JP, Castillo R, Sosa J, León F, Varas J, et al. Programa pionero de simulación en sutura para estudiantes de medicina de pregrado. Rev Cir. 2015; 67: 480-485.

  10. Martin JA, Regehr G, Reznick R, Macrae H, Murnaghan J, Hutchison C, et al. Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997; 84 (2): 273-278.

  11. Vassiliou MC, Dunkin BJ, Marks JM, Fried GM. FLS and FES: comprehensive models of training and assessment. Surg Clin North Am. 2010; 90 (3): 535-558.

  12. Tavakol M, Mohagheghi MA, Dennick R. Assessing the skills of surgical residents using simulation. J Surg Educ. 2008; 65 (2): 77-83.

  13. Grantcharov TP, Funch-Jensen P. Can everyone achieve proficiency with the laparoscopic technique? Learning curve patterns in technical skills acquisition. Am J Surg. 2009; 197 (4): 447-449.

  14. Orzech N, Palter VN, Reznick RK, Aggarwal R, Grantcharov TP. A comparison of 2 ex vivo training curricula for advanced laparoscopic skills: a randomized controlled trial. Ann Surg. 2012; 255 (5): 833-839.

  15. Bansal VK, Raveendran R, Misra MC, Bhattacharjee H, Rajan K, Krishna A, et al. A prospective randomized controlled blinded study to evaluate the effect of short-term focused training program in laparoscopy on operating room performance of surgery residents (CTRI /2012/11/003113). J Surg Educ. 2014; 71 (1): 52-60.

  16. Varas J, Mejía R, Riquelme A, Maluenda F, Buckel E, Salinas J, et al. Significant transfer of surgical skills obtained with an advanced laparoscopic training program to a laparoscopic jejunojejunostomy in a live porcine model: feasibility of learning advanced laparoscopy in a general surgery residency. Surg Endosc Other Interv Tech. 2012; 26 (12): 3486-3494.

  17. Davis CR, Toll EC, Bates AS, Cole MD, Smith FCT. Surgical and procedural skills training at medical school - a national review. Int J Surg. 2014; 12 (8): 877-882.

  18. Guler H, Cetin P, Yurtsal ZB, Cesur B, Bekar M, Uçar T, et al. Effect of episiotomy training with beef tongue and sponge simulators on the self-confidence building of midwifery students. Nurse Educ Pract. 2018; 30: 1-6.

  19. Selo-Ojeme D, Ojutiku D, Ikomi A. Impact of a structured, hands-on, surgical skills training program for midwives performing perineal repair. Int J Gynecol Obstet. 2009; 106 (3): 239-241.

  20. Middleton R. Suturing as an advanced skill for registered nurses in the emergency department. Aust J Rural Health. 2006; 14 (6): 258-262.




2020     |     www.medigraphic.com