Induction Based Training leads to Highly Significant Improvements of Objective and Subjective Suturing Ability in Junior Doctors

Kevin McGarry; G Bradley; S McAllister

doi:10.22037/jme.v16i4.18830

Journal of Medical Education for Future Demands

Former Title: Journal of Medical Education | The Official Journal of School of Medical Education and Learning Technologies

Outlines

Abstract
References
Copyright

https://doi.org/10.22037/jme.v16i4.18830

Induction Based Training leads to Highly Significant Improvements of Objective and Subjective Suturing Ability in Junior Doctors

Author(s):

Kevin McGarry^1,*,

G Bradley²,

S McAllister³

1Department the Emergency, Royal Victoria Hospital Belfast, N. Ireland

2The University of Alberta, 116 Street and 85 Avenue, Canada

3Department of Plastic and Maxillofacial Surgery, The Ulster Hospital, N. Ireland

Journal of Medical Education for Future Demands:Vol. 16, issue 4; e105598

Published online:Mar 28, 2018

Article type:Brief Report

Received:Oct 17, 2017

Accepted:Feb 21, 2018

How to Cite:Kevin McGarryG BradleyS McAllisterInduction Based Training leads to Highly Significant Improvements of Objective and Subjective Suturing Ability in Junior Doctors.J Med Edu.16(4):e105598.https://doi.org/10.22037/jme.v16i4.18830.

Abstract

Background: Simulation based training has shown to be of benefit in the education of medical students. However, the impact of induction based clinical simulation on surgical ability of qualified doctors remains unclear.The aim of this study was to establish if a 60 minute teaching session integrated into an Emergency Medicine speciality induction program produces statistically significant improvements in objective and subjective suturing abilities of junior doctors commencing an Emergency Medicine rotation.Methods: The objective suturing abilities of 16 Foundation Year Two doctors were analysed using a validated OSATs scale prior to a novel teaching intervention. The doctors then undertook an intensive hour long workshop receiving one to one feedback before undergoing repeat OSATs assessment.Subjective ability was measured using a 5 point likert scale and self-assessed competency reporting interrupted suturing before and after the intervention. Photographs of wound closure before and after the intervention were recorded for further blinded assessment of impact of intervention. A survey regarding continued ability was repeated at four months following the intervention. The study took place on 7/12/16 during the Belfast Health and Social Care Trust Emergency Medicine induction in the Royal Victoria Hospital Belfast. The hospital is a regional level 1 trauma centre that has annual departmental attendances in excess of 200,000.All new junior doctors commencing the Emergency Medicine rotation were invited to partake in the study. All 16 agreed. The group consisted of a mixture of undergraduate and postgraduate medicaldoctors who all had 16 months experience working in a variety of medical or surgical jobs previously.Results: Following the teaching intervention objective and subjective abilities in interrupted suturing showed statistically significant improvement (P>0.005). Self-reporting of competency of independently suturingwounds improved from 50% pre intervention to 100% post intervention. At four month follow up responding participants reported continued increase in confidence and independence in interrupted suturing.Conclusion: This study suggests that induction based teaching is a practical and robust means of producing lasting improvement in the subjective and objective suturing abilities of medical staff commencingEmergency Medicine placements. We would suggest that the results are also translatable to doctors starting other surgical rotations and practical induction based teaching should be considered for all new trainees.

Keywords

Fulltext

The body of the article can be found in the PDF file.

References

1.
References are available in the PDF file.

comments

Crossmark

Checking

Share on

Comments

Number of Comments:0

Cited by

CrossRef 0

Metrics

Get Permission (article level)

Purchasing Reprints

Copyright Clearance Center (CCC) handles bulk orders for article reprints for Brieflands. To place an order for reprints, please click here ( https://www.copyright.com/landing/reprintsinquiryform/ ). Clicking this link will bring you to a CCC request form where you can provide the details of your order. Once complete, please click the ‘Submit Request’ button and CCC’s Reprints Services team will generate a quote for your review.

Search Relations

Author(s):

Kevin McGarry:[PubMed][Scholar]
G Bradley:[PubMed][Scholar]
S McAllister:[PubMed][Scholar]