Tutoring Trainees to Suture: An Alternative Method for Learning How to Suture and a Way to Compensate for a Lack of Suturing Cases

Introduction Tutoring in suturing was developed to compensate for a shortage of suturing cases. The objective of this study was to compare ideal suturing score (ISS; 9 points), suturing time (min:sec), and suture placement error (mm) between medical students completing the suturing tutoring program...

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Bibliographic Details
Published in:Journal of surgical education 2016-05, Vol.73 (3), p.524-528
Main Authors: Wongkietkachorn, Apinut, MD, Rhunsiri, Peera, MD, Boonyawong, Pangpoom, MD, Lawanprasert, Attaporn, MD, Tantiphlachiva, Kasaya, MD
Format: Article
Language:English
Subjects:
Adolescent
Clinical Competence
Education, Medical, Undergraduate - methods
Educational Measurement
Female
Humans
Male
Medical Errors - statistics & numerical data
Medical Knowledge
medical student
Mentors
Practice-Based Learning and Improvement
Psychomotor Performance
Surgery
Suture Techniques - education
suturing training
Systems-Based Practice
Task Performance and Analysis
teaching
Teaching - standards
Time Factors
tutoring
Young Adult
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Summary:Introduction Tutoring in suturing was developed to compensate for a shortage of suturing cases. The objective of this study was to compare ideal suturing score (ISS; 9 points), suturing time (min:sec), and suture placement error (mm) between medical students completing the suturing tutoring program and medical students attending ordinary medical school training program. Methods Participants consisted of 2 groups of medical students who had never performed suturing. The study group had the role of suturing tutor to teach interested high school students. The control group consisted of volunteers from the ordinary medical school program. Skills measurement was performed by having students from both the groups perform 3 vertical mattress sutures on a model. The study group was tested at weeks 1, 9, and 10 to assess improvement. Both the groups were tested at week 10 to compare final learning outcome. Results There were 41 and 40 participants in the study group and the control group, respectively. ISS was significantly improved in the study group from week 1-week 10 (7.0 ± 1.3 vs. 8.2 ± 0.9, p = 0.01). At week 10, the study group had a higher mean ISS than the control group (8.2 ± 0.9 vs. 7.8 ± 1.1, p = 0.68). Mean suturing time and mean placement error were also lower in the study group at the end of suturing training (5:1 ± 1:0 vs. 5:2 ± 1:2, p = 0.13; 7.4 ± 7.4 vs. 8.0 ± 10.8, p = 0.44). Conclusion Tutoring trainees to suture can improve a student’s ability to learn how to suture.
ISSN:1931-7204
1878-7452
DOI:10.1016/j.jsurg.2015.12.004