A surgical skills laboratory improves residents' knowledge and performance of episiotomy repair.

Full Abstract

OBJECTIVE:
This study was undertaken to assess whether a surgical skills laboratory improves residents' knowledge and performance of episiotomy repair.

STUDY DESIGN:
Twenty-four first- and second-year residents were randomly assigned to either a surgical skills laboratory on episiotomy repair or traditional teaching alone. Pre- and posttests assessed basic knowledge. Blinded attending physicians assessed performance, evaluating residents on second-degree laceration/episiotomy repairs in the clinical setting with 3 validated tools:
a task-specific checklist, global rating scale, and a pass-fail grade.

RESULTS:
Postgraduate year 1 (PGY-1) residents participating in the laboratory scored significantly better on all 3 surgical assessment tools:
the checklist, the global score, and the pass/fail analysis. All the residents who had the teaching laboratory demonstrated significant improvements on knowledge and the skills checklist. PGY-2 residents did not benefit as much as PGY-1 residents.

CONCLUSION:
A surgical skills laboratory improved residents' knowledge and performance in the clinical setting. Improvement was greatest for PGY-1 residents.

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Author information

Author/s: Banks, Erika (E); Pardanani, Setul (S); King, Mary (M); Chudnoff, Scott (S); Damus, Karla (K); Freda, Margaret Comerford (MC);

Affiliation: Department of Obstetrics and Gynecology and Women's Health Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.

Journal and publication information

Publication Type: Journal Article; Randomized Controlled Trial

Journal: American journal of obstetrics and gynecology (Am J Obstet Gynecol), published in United States. (Language: eng)

Reference: 2006-Nov; vol 195 (issue 5) : pp 1463-7

Dates: Created 2006/10/31; Completed 2006/12/13; Revised 2007/01/17;

PMID: 16846576, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Internship and Residency
Laboratories
Models, Anatomic
Obstetric Surgical Procedures - education
Reoperation

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