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Orthopedic boot camp: examining the effectiveness of an intensive surgical skills course.

Publication ,  Journal Article
Sonnadara, RR; Van Vliet, A; Safir, O; Alman, B; Ferguson, P; Kraemer, W; Reznick, R
Published in: Surgery
June 2011

BACKGROUND: Changes in health care across the globe have had a profound impact on the number of hands-on surgical training opportunities that are available to residents. In the current study, we examine whether an intensive laboratory-based skills course at the start of orthopedic surgical training is an effective mechanism for teaching core technical skills. METHODS: First-year residents were divided into 3 groups (on-service, n = 8; off-service, n = 8; and a new, competency-based program that has as a major element of the curriculum a focused, intensive skills laboratory-based experience, n = 6). Baseline surgical skills were assessed prior to commencing training. The intensive skills laboratory group was then given an intensive surgical skills course, whereas the other 2 groups embarked on traditional residency. After the surgical skills course, all the residents were assessed for core surgical skills using an objective structured assessment of technical skills (OSATS) procedure. RESULTS: Pretraining scores revealed no differences between the groups of residents using both checklist (F[2,19] = 0.852, P = .442) and global rating scores (F[2,19] = 0.704, P = .507). Post-training scores revealed a significant difference, with residents from the intensive skills laboratory group performing better on both the checklists (on-service = 78.9, off-service = 78.6, intensive skills laboratory = 92.3; F[2,19] = 6.914, P < .01) and global rating scores (on-service = 3.4, off-service = 3.4, intensive skills laboratory = 4.3; F[2,19] = 5.722, P < .01), than the other groups who showed no differences between them. CONCLUSION: The intensive skills course used in this study was highly effective at teaching and developing targeted surgical skills in first-year orthopedic residents. We predict that allowing residents to acquire key technical skills at the start of their training will enhance learning opportunities at later stages of training.

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Published In

Surgery

DOI

EISSN

1532-7361

Publication Date

June 2011

Volume

149

Issue

6

Start / End Page

745 / 749

Location

United States

Related Subject Headings

  • Teaching
  • Surgery
  • Orthopedics
  • Internship and Residency
  • Humans
  • Educational Measurement
  • Clinical Competence
  • Canada
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Sonnadara, R. R., Van Vliet, A., Safir, O., Alman, B., Ferguson, P., Kraemer, W., & Reznick, R. (2011). Orthopedic boot camp: examining the effectiveness of an intensive surgical skills course. Surgery, 149(6), 745–749. https://doi.org/10.1016/j.surg.2010.11.011
Sonnadara, Ranil R., Aaron Van Vliet, Oleg Safir, Benjamin Alman, Peter Ferguson, William Kraemer, and Richard Reznick. “Orthopedic boot camp: examining the effectiveness of an intensive surgical skills course.Surgery 149, no. 6 (June 2011): 745–49. https://doi.org/10.1016/j.surg.2010.11.011.
Sonnadara RR, Van Vliet A, Safir O, Alman B, Ferguson P, Kraemer W, et al. Orthopedic boot camp: examining the effectiveness of an intensive surgical skills course. Surgery. 2011 Jun;149(6):745–9.
Sonnadara, Ranil R., et al. “Orthopedic boot camp: examining the effectiveness of an intensive surgical skills course.Surgery, vol. 149, no. 6, June 2011, pp. 745–49. Pubmed, doi:10.1016/j.surg.2010.11.011.
Sonnadara RR, Van Vliet A, Safir O, Alman B, Ferguson P, Kraemer W, Reznick R. Orthopedic boot camp: examining the effectiveness of an intensive surgical skills course. Surgery. 2011 Jun;149(6):745–749.
Journal cover image

Published In

Surgery

DOI

EISSN

1532-7361

Publication Date

June 2011

Volume

149

Issue

6

Start / End Page

745 / 749

Location

United States

Related Subject Headings

  • Teaching
  • Surgery
  • Orthopedics
  • Internship and Residency
  • Humans
  • Educational Measurement
  • Clinical Competence
  • Canada
  • 3202 Clinical sciences
  • 1103 Clinical Sciences