Surgical skill acquisition with self-directed practice using computer-based video training.

Full Abstract

BACKGROUND:
Computer-based video training (CBVT) provides flexible opportunities for surgical trainees to learn fundamental technical skills, but may be ineffective in self-directed practice settings because of poor trainee self-assessment. This study examined whether CBVT is effective in a self-directed learning environment among novice trainees.

METHODS:
Thirty novice trainees used CBVT to learn the 1-handed square knot while self-assessing their proficiency every 3 minutes. On reaching self-assessed skill proficiency, trainees were randomized to either cease practice or to complete additional practice. Performance was evaluated with computer and expert-based measures during practice and on pretests, posttests, and 1-week retention tests.

RESULTS:
Analyses revealed performance improvements for both groups (all P < .05), but no differences between the 2 groups (all P > .05) on all tests.

CONCLUSIONS:
CBVT for the 1-handed square knot is effective in a self-directed learning environment among novices. This lends support to the implementation of self-directed digital media-based learning within surgical curricula.

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Author information

Author/s: Jowett, Nathan (N); LeBlanc, Vicki (V); Xeroulis, George (G); MacRae, Helen (H); Dubrowski, Adam (A);

Affiliation: Department of Surgery, University of Toronto, Surgical Skills Centre at Mount Sinai Hospital, 600 University Avenue, Level 2, Room 250, Ontario, Canada M5G 1x5.

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: American journal of surgery (Am J Surg), published in United States. (Language: eng)

Reference: 2007-Feb; vol 193 (issue 2) : pp 237-42

Dates: Created 2007/01/22; Completed 2007/02/01;

PMID: 17236854, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Humans
Self-Evaluation Programs
Surgical Procedures, Operative - education
Suture Techniques - education
Video Recording

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