TY - JOUR
T1 - A proficiency-based surgical boot camp May not provide trainees with a durable foundation in fundamental surgical skills
AU - Weis, Joshua J.
AU - Farr, Deborah E
AU - Abdelfattah, Kareem R.
AU - Hogg, Deborah
AU - Scott, Daniel J.
PY - 2019/2/1
Y1 - 2019/2/1
N2 - BACKGROUND: Pre-internship boot camps have become popular platforms to rapidly teach skills to surgical interns. This study aimed to analyze psychomotor skill retention four months after completing a boot camp program. METHODS: Surgical interns (n = 20) took a baseline pre-test and then trained to proficiency (based on time and errors) for 5 knot tying, 4 simple suturing, and 2 running suturing tasks during a three-day boot camp. Three months later, all interns took a retention test. RESULTS: Proficiency scores significantly improved on all task types from pre-test to post test and significantly regressed on all task types from post-test to retention test. Normalized scores decreased as the tasks became more complex (knot tying = 93.5, simple suturing = 89.1, running suturing = 85.2, p = 0.05). CONCLUSIONS: Boot camp style training can rapidly teach fundamental surgical skills to novices; however, skills regress significantly over time with a greater degree of regression seen on more complex skills.
AB - BACKGROUND: Pre-internship boot camps have become popular platforms to rapidly teach skills to surgical interns. This study aimed to analyze psychomotor skill retention four months after completing a boot camp program. METHODS: Surgical interns (n = 20) took a baseline pre-test and then trained to proficiency (based on time and errors) for 5 knot tying, 4 simple suturing, and 2 running suturing tasks during a three-day boot camp. Three months later, all interns took a retention test. RESULTS: Proficiency scores significantly improved on all task types from pre-test to post test and significantly regressed on all task types from post-test to retention test. Normalized scores decreased as the tasks became more complex (knot tying = 93.5, simple suturing = 89.1, running suturing = 85.2, p = 0.05). CONCLUSIONS: Boot camp style training can rapidly teach fundamental surgical skills to novices; however, skills regress significantly over time with a greater degree of regression seen on more complex skills.
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U2 - 10.1016/j.amjsurg.2018.07.040
DO - 10.1016/j.amjsurg.2018.07.040
M3 - Article
C2 - 30057109
AN - SCOPUS:85059499767
SN - 0002-9610
VL - 217
SP - 244
EP - 249
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 2
ER -