D.-J. Jiang MD; C. Wen MD, PhD; A.-J. Yang MD; Z.-L. Zhu MD; Y. Lei MD; Y.-J. Lan MD; Q.-Y. Huang MD, PhD; X.-Y. Hou MD.
SURGICAL EDUCATION: ORIGINAL ARTICLE
Cost-effective framework for basic surgical skills training
Article first published online: 4 OCT 2012
© 2012 The Authors. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons
ANZ Journal of Surgery
Special Issue: Surgical Education
Volume 83, Issue 6, pages 472–476, June 2013
How to Cite
Jiang, D.-J., Wen, C., Yang, A.-J., Zhu, Z.-L., Lei, Y., Lan, Y.-J., Huang, Q.-Y. and Hou, X.-Y. (2013), Cost-effective framework for basic surgical skills training. ANZ Journal of Surgery, 83: 472–476. doi: 10.1111/j.1445-2197.2012.06289.x
- Issue published online: 5 JUN 2013
- Article first published online: 4 OCT 2012
- Manuscript Accepted: 26 AUG 2012
- Chongqing. Grant Number: 103503
- basic surgical skills;
- cost-effective framework;
- medical students;
The importance of basic surgical skills is entirely agreed among surgical educators. However, restricted by ethical issues, finance etc, the basic surgical skills training is increasingly challenged. Increasing cost gives an impetus to the development of cost-effective training models to meet the trainees' acquisition of basic surgical skills. In this situation, a cost-effective training framework was formed in our department and introduced here.
Each five students were assigned to a ‘training unit’. The training was implemented weekly for 18 weeks. The framework consisted of an early, a transitional, an integrative stage and a surgical skills competition. Corresponding training modules were selected and assembled scientifically at each stage. The modules comprised campus intranet databases, sponge benchtop, nonliving animal tissue, local dissection specimens and simulating reality operations. The training outcomes used direct observation of procedural skills as an assessment tool. The training data of 50 trainees who were randomly selected in each year from 2006 to 2011 year, were retrospectively analysed.
An excellent and good rate of the surgical skills is from 82 to 88%, but there is no significant difference among 6 years (P > 0.05). The skills scores of the contestants are markedly higher than those of non-contestants (P < 0.05). The average training cost per trainee is about $21.85–34.08.
The present training framework is reliable, feasible, repeatable and cost-effective. The skills competition can promote to improve the surgical skills level of trainees.