Implementation, Construct Validity, and Benefit of a Proficiency-Based Knot-Tying and Suturing Curriculum
Objectives The aim of this proficiency-based, open knot-tying and suturing study was to evaluate the feasibility of implementing this curriculum within a residency program, and to assess construct validity and educational benefit. Methods PGY1 residents (n = 37) were enrolled in an Institutional Rev...
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| Veröffentlicht in: | Journal of surgical education 2008-07, Vol.65 (4), p.309-315 |
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| container_title | Journal of surgical education |
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| creator | Goova, Mouza T., MD Hollett, Lisa A., RN Tesfay, Seifu T., RN Gala, Rajiv B., MD Puzziferri, Nancy, MD Kehdy, Farid J., MD Scott, Daniel J., MD |
| description | Objectives The aim of this proficiency-based, open knot-tying and suturing study was to evaluate the feasibility of implementing this curriculum within a residency program, and to assess construct validity and educational benefit. Methods PGY1 residents (n = 37) were enrolled in an Institutional Review Board (IRB)–approved prospective study that was conducted over a 12-week period. Trainees viewed a video tutorial during orientation and as needed; they self-practiced to proficiency for 12 standardized knot-tying, practiced suturing tasks; performed 1 repetition of each task at baseline and posttesting; and completed questionnaires. Results Curriculum implementation required 376 person-hours, and material costs were $776. All trainees achieved proficiency within allotted 12 weeks. Overall, trainees completed 141 ± 80 repetitions over 12.7 ± 5.3 hours in addition to performing 13.4 ± 12.4 operations. Baseline trainee and expert performance were significantly different for all 12 tasks and composite score (732 ± 294 vs 1488 ± 26, p < 0.001), which supported construct validity. Baseline trainees demonstrated significant improvement at posttesting according to composite scores (732 ± 294 vs 1503 ± 131, p < 0.001), which validates skill acquisition. Conclusions Implementation of this proficiency-based curriculum within the constraints of a residency program is feasible. This curriculum is educationally beneficial and cost effective; our data support construct validity. Evaluation of transferability to the operating room and more widespread adoption of this curriculum are warranted. |
| doi_str_mv | 10.1016/j.jsurg.2008.04.004 |
| format | Article |
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Methods PGY1 residents (n = 37) were enrolled in an Institutional Review Board (IRB)–approved prospective study that was conducted over a 12-week period. Trainees viewed a video tutorial during orientation and as needed; they self-practiced to proficiency for 12 standardized knot-tying, practiced suturing tasks; performed 1 repetition of each task at baseline and posttesting; and completed questionnaires. Results Curriculum implementation required 376 person-hours, and material costs were $776. All trainees achieved proficiency within allotted 12 weeks. Overall, trainees completed 141 ± 80 repetitions over 12.7 ± 5.3 hours in addition to performing 13.4 ± 12.4 operations. Baseline trainee and expert performance were significantly different for all 12 tasks and composite score (732 ± 294 vs 1488 ± 26, p < 0.001), which supported construct validity. Baseline trainees demonstrated significant improvement at posttesting according to composite scores (732 ± 294 vs 1503 ± 131, p < 0.001), which validates skill acquisition. Conclusions Implementation of this proficiency-based curriculum within the constraints of a residency program is feasible. This curriculum is educationally beneficial and cost effective; our data support construct validity. Evaluation of transferability to the operating room and more widespread adoption of this curriculum are warranted.</description><identifier>ISSN: 1931-7204</identifier><identifier>EISSN: 1878-7452</identifier><identifier>DOI: 10.1016/j.jsurg.2008.04.004</identifier><identifier>PMID: 18707666</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Chi-Square Distribution ; Clinical Competence ; Cohort Studies ; Competency-Based Education ; Curriculum ; Feasibility Studies ; Female ; General Surgery - education ; Humans ; implementation of open skills curriculum ; Internship and Residency ; Male ; Models, Educational ; Motor Skills - physiology ; open knot-tying and suturing curriculum ; Patient Care ; Practice Based Learning and Improvement ; Probability ; proficiency-based training ; Prospective Studies ; Reproducibility of Results ; simulation ; Surgery ; surgical education ; Suture Techniques - education ; Systems Based Practice ; Task Performance and Analysis ; technical skills training ; Young Adult</subject><ispartof>Journal of surgical education, 2008-07, Vol.65 (4), p.309-315</ispartof><rights>Association of Program Directors in Surgery</rights><rights>2008 Association of Program Directors in Surgery</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-8f8ec5a17b01906699d7185c63ada0a4a8d5aef1213ad802ea4c2c43cc30c2c53</citedby><cites>FETCH-LOGICAL-c412t-8f8ec5a17b01906699d7185c63ada0a4a8d5aef1213ad802ea4c2c43cc30c2c53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jsurg.2008.04.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18707666$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goova, Mouza T., MD</creatorcontrib><creatorcontrib>Hollett, Lisa A., RN</creatorcontrib><creatorcontrib>Tesfay, Seifu T., RN</creatorcontrib><creatorcontrib>Gala, Rajiv B., MD</creatorcontrib><creatorcontrib>Puzziferri, Nancy, MD</creatorcontrib><creatorcontrib>Kehdy, Farid J., MD</creatorcontrib><creatorcontrib>Scott, Daniel J., MD</creatorcontrib><title>Implementation, Construct Validity, and Benefit of a Proficiency-Based Knot-Tying and Suturing Curriculum</title><title>Journal of surgical education</title><addtitle>J Surg Educ</addtitle><description>Objectives The aim of this proficiency-based, open knot-tying and suturing study was to evaluate the feasibility of implementing this curriculum within a residency program, and to assess construct validity and educational benefit. Methods PGY1 residents (n = 37) were enrolled in an Institutional Review Board (IRB)–approved prospective study that was conducted over a 12-week period. Trainees viewed a video tutorial during orientation and as needed; they self-practiced to proficiency for 12 standardized knot-tying, practiced suturing tasks; performed 1 repetition of each task at baseline and posttesting; and completed questionnaires. Results Curriculum implementation required 376 person-hours, and material costs were $776. All trainees achieved proficiency within allotted 12 weeks. Overall, trainees completed 141 ± 80 repetitions over 12.7 ± 5.3 hours in addition to performing 13.4 ± 12.4 operations. Baseline trainee and expert performance were significantly different for all 12 tasks and composite score (732 ± 294 vs 1488 ± 26, p < 0.001), which supported construct validity. Baseline trainees demonstrated significant improvement at posttesting according to composite scores (732 ± 294 vs 1503 ± 131, p < 0.001), which validates skill acquisition. Conclusions Implementation of this proficiency-based curriculum within the constraints of a residency program is feasible. This curriculum is educationally beneficial and cost effective; our data support construct validity. Evaluation of transferability to the operating room and more widespread adoption of this curriculum are warranted.</description><subject>Chi-Square Distribution</subject><subject>Clinical Competence</subject><subject>Cohort Studies</subject><subject>Competency-Based Education</subject><subject>Curriculum</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>General Surgery - education</subject><subject>Humans</subject><subject>implementation of open skills curriculum</subject><subject>Internship and Residency</subject><subject>Male</subject><subject>Models, Educational</subject><subject>Motor Skills - physiology</subject><subject>open knot-tying and suturing curriculum</subject><subject>Patient Care</subject><subject>Practice Based Learning and Improvement</subject><subject>Probability</subject><subject>proficiency-based training</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>simulation</subject><subject>Surgery</subject><subject>surgical education</subject><subject>Suture Techniques - education</subject><subject>Systems Based Practice</subject><subject>Task Performance and Analysis</subject><subject>technical skills training</subject><subject>Young Adult</subject><issn>1931-7204</issn><issn>1878-7452</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1rFTEQhoNYbG39BYLslVfddZLNfl0o2IOtxYJCW_EupNnZknU3Oc2HsP_e7DkHBG96lUl43hnyDCFvKRQUaP1hLEYf3WPBANoCeAHAX5AT2jZt3vCKvUx1V9K8YcCPyWvvR4CKd6x7RY4TBE1d1ydEX8_bCWc0QQZtzXm2scYHF1XIfspJ9zos55k0fXaBBgcdMjtkMvvh7KCVRqOW_EJ67LNvxob8btHmcUffxhDdetlE57SKU5zPyNEgJ49vDucpub_8crf5mt98v7refL7JFacs5O3QoqokbR6AdlDXXdc3tK1UXcpeguSy7SuJA2U0PbTAUHLFFC-VKiEVVXlK3u_7bp19iuiDmLVXOE3SoI1e1B0vKw6QwHIPKme9dziIrdOzdIugIFbDYhQ7w2I1LICLZDil3h3ax4cZ-3-Zg9IEfNwDmD75R6MTfmcKe-1QBdFb_cyAT__l1aSNVnL6jQv60UZnkj9BhWcCxO265HXH0AJQWv4q_wI63KPL</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>Goova, Mouza T., MD</creator><creator>Hollett, Lisa A., RN</creator><creator>Tesfay, Seifu T., RN</creator><creator>Gala, Rajiv B., MD</creator><creator>Puzziferri, Nancy, MD</creator><creator>Kehdy, Farid J., MD</creator><creator>Scott, Daniel J., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080701</creationdate><title>Implementation, Construct Validity, and Benefit of a Proficiency-Based Knot-Tying and Suturing Curriculum</title><author>Goova, Mouza T., MD ; Hollett, Lisa A., RN ; Tesfay, Seifu T., RN ; Gala, Rajiv B., MD ; Puzziferri, Nancy, MD ; Kehdy, Farid J., MD ; Scott, Daniel J., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-8f8ec5a17b01906699d7185c63ada0a4a8d5aef1213ad802ea4c2c43cc30c2c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Chi-Square Distribution</topic><topic>Clinical Competence</topic><topic>Cohort Studies</topic><topic>Competency-Based Education</topic><topic>Curriculum</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>General Surgery - education</topic><topic>Humans</topic><topic>implementation of open skills curriculum</topic><topic>Internship and Residency</topic><topic>Male</topic><topic>Models, Educational</topic><topic>Motor Skills - physiology</topic><topic>open knot-tying and suturing curriculum</topic><topic>Patient Care</topic><topic>Practice Based Learning and Improvement</topic><topic>Probability</topic><topic>proficiency-based training</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>simulation</topic><topic>Surgery</topic><topic>surgical education</topic><topic>Suture Techniques - education</topic><topic>Systems Based Practice</topic><topic>Task Performance and Analysis</topic><topic>technical skills training</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goova, Mouza T., MD</creatorcontrib><creatorcontrib>Hollett, Lisa A., RN</creatorcontrib><creatorcontrib>Tesfay, Seifu T., RN</creatorcontrib><creatorcontrib>Gala, Rajiv B., MD</creatorcontrib><creatorcontrib>Puzziferri, Nancy, MD</creatorcontrib><creatorcontrib>Kehdy, Farid J., MD</creatorcontrib><creatorcontrib>Scott, Daniel J., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goova, Mouza T., MD</au><au>Hollett, Lisa A., RN</au><au>Tesfay, Seifu T., RN</au><au>Gala, Rajiv B., MD</au><au>Puzziferri, Nancy, MD</au><au>Kehdy, Farid J., MD</au><au>Scott, Daniel J., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementation, Construct Validity, and Benefit of a Proficiency-Based Knot-Tying and Suturing Curriculum</atitle><jtitle>Journal of surgical education</jtitle><addtitle>J Surg Educ</addtitle><date>2008-07-01</date><risdate>2008</risdate><volume>65</volume><issue>4</issue><spage>309</spage><epage>315</epage><pages>309-315</pages><issn>1931-7204</issn><eissn>1878-7452</eissn><abstract>Objectives The aim of this proficiency-based, open knot-tying and suturing study was to evaluate the feasibility of implementing this curriculum within a residency program, and to assess construct validity and educational benefit. Methods PGY1 residents (n = 37) were enrolled in an Institutional Review Board (IRB)–approved prospective study that was conducted over a 12-week period. Trainees viewed a video tutorial during orientation and as needed; they self-practiced to proficiency for 12 standardized knot-tying, practiced suturing tasks; performed 1 repetition of each task at baseline and posttesting; and completed questionnaires. Results Curriculum implementation required 376 person-hours, and material costs were $776. All trainees achieved proficiency within allotted 12 weeks. Overall, trainees completed 141 ± 80 repetitions over 12.7 ± 5.3 hours in addition to performing 13.4 ± 12.4 operations. Baseline trainee and expert performance were significantly different for all 12 tasks and composite score (732 ± 294 vs 1488 ± 26, p < 0.001), which supported construct validity. Baseline trainees demonstrated significant improvement at posttesting according to composite scores (732 ± 294 vs 1503 ± 131, p < 0.001), which validates skill acquisition. Conclusions Implementation of this proficiency-based curriculum within the constraints of a residency program is feasible. This curriculum is educationally beneficial and cost effective; our data support construct validity. Evaluation of transferability to the operating room and more widespread adoption of this curriculum are warranted.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>18707666</pmid><doi>10.1016/j.jsurg.2008.04.004</doi><tpages>7</tpages></addata></record> |
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| ispartof | Journal of surgical education, 2008-07, Vol.65 (4), p.309-315 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Chi-Square Distribution Clinical Competence Cohort Studies Competency-Based Education Curriculum Feasibility Studies Female General Surgery - education Humans implementation of open skills curriculum Internship and Residency Male Models, Educational Motor Skills - physiology open knot-tying and suturing curriculum Patient Care Practice Based Learning and Improvement Probability proficiency-based training Prospective Studies Reproducibility of Results simulation Surgery surgical education Suture Techniques - education Systems Based Practice Task Performance and Analysis technical skills training Young Adult |
| title | Implementation, Construct Validity, and Benefit of a Proficiency-Based Knot-Tying and Suturing Curriculum |
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