Sundhagen Henriette Pisani, Almeland Stian Kreken, Hansson Emma
1Department of Plastic and Reconstructive Surgery, Haukeland University Hospital, Haukelandsveien 22, 5021 Bergen, Norway.
2Department of Clinical Medicine, University of Bergen, Jonas Lies vei 87, 5021 Bergen, Norway.
Eur J Plast Surg. 2018;41(2):207-216. doi: 10.1007/s00238-017-1378-8. Epub 2017 Dec 4.
In recent years, emphasis has been put on that medical student should demonstrate pre-practice/pre-registration core procedural skills to ensure patient safety. Nonetheless, the formal teaching and training of basic suturing skills to medical students have received relatively little attention and there is no standard for what should be tested and how. The aim of this study was to develop and validate, using scientific methods, a tool for assessment of medical students' suturing skills, measuring both micro- and macrosurgical qualities.
A tool was constructed and content, construct, concurrent validity, and inter-rater, inter-item, inter-test reliability were tested. Three groups were included: students with no training in suturing skills, students who have had training, plastic surgery.
The results show promising reliability and validity when assessing novice medical students' suturing skills.
Further studies are needed on implementation of the instrument. Moreover, how the instrument can be used to give formative feedback, evaluate if a required standard is met and for curriculum development needs further investigation.Level of Evidence: Not ratable.
近年来，人们强调医学生应展示实习前/注册前的核心操作技能以确保患者安全。尽管如此，医学生基本缝合技能的正规教学和培训受到的关注相对较少，对于应测试的内容以及如何测试也没有标准。本研究的目的是运用科学方法开发并验证一种评估医学生缝合技能的工具，该工具可测量微观和宏观手术质量。
构建了一种工具，并对其内容、结构、同时效度以及评分者间、项目间、测试间的信度进行了测试。纳入了三组：未接受缝合技能培训的学生、接受过培训的学生、整形外科学生。
在评估新手医学生的缝合技能时，结果显示出了良好的信度和效度。
需要对该工具的实施进行进一步研究。此外，该工具如何用于提供形成性反馈、评估是否达到所需标准以及用于课程开发还需要进一步研究。证据水平：不可评级。
