Braasch Maxwell C, Minchew Heather M, Riffel Justin D M, Berbel German
University of Kansas School of Medicine, Kansas City, KS.
Department of Surgery.
Kans J Med. 2022 Mar 15;15(1):78-81. doi: 10.17161/kjm.vol15.15984. eCollection 2022.
The efficacy of a surgical skills curriculum was assessed for third-year medical students focused on suturing training on soft embalmed cadavers, which simulate natural tissue more effectively for surgical procedures than traditionally preserved cadavers or surgical practice pads.
A retrospective cohort study compared pre- and post-survey results at a premier, accredited, nationally ranked academic medical center. Study participants were third-year medical students completing their required surgical clerkship rotation who participated in suturing sessions on both synthetic suture practice pads and soft-embalmed cadavers prior to beginning their operating room experience.
A total of 40 participants were included, with slightly more male participants. The majority of participants (52%) were interested in pursuing a non-surgical career. After participating in Clinical Anatomy Mentorship Program (CAMP), participants felt significantly more confident in their ability to suture in the operating room (median 4 [3-4] vs. 2 [1-3], p < 0.001); in their knowledge of basic suturing supplies and instruments (median 4 [4-4] vs. 3 [2-3], p < 0.001); and in their ability to determine when different suture techniques are appropriate in the operating room (median 3 [3-4] vs. 1 [1-2], p < 0.001). Participants felt more confident in their ability to suture in the operating room after their experience suturing on soft-embalmed cadavers compared to suture practice pads (median 5 [4-5] vs. 4 [4-4], p = 0.002).
Medical students' confidence in suturing skills and in the knowledge of important characteristics of suturing practice was improved significantly after a suture training session on soft-embalmed cadavers.
针对三年级医学生，评估了一项以外科缝合技能课程，该课程重点是在经过防腐处理的柔软尸体上进行缝合训练，相较于传统保存的尸体或外科手术练习垫，这种尸体在外科手术中能更有效地模拟天然组织。
在一家一流的、获得认证且在全国排名靠前的学术医学中心，进行了一项回顾性队列研究，比较了调查前后的结果。研究参与者为完成必修外科实习轮转的三年级医学生，他们在开始手术室实习前，参加了在合成缝合练习垫和经过防腐处理的柔软尸体上的缝合课程。
共纳入40名参与者，男性参与者略多。大多数参与者（52%）对从事非外科职业感兴趣。参加临床解剖学指导计划（CAMP）后，参与者对自己在手术室进行缝合的能力（中位数4[3 - 4]对2[1 - 3]，p < 0.001）、对基本缝合用品和器械的知识（中位数4[4 - 4]对3[2 - 3]，p < 0.001）以及对确定不同缝合技术在手术室何时适用的能力（中位数3[3 - 4]对1[1 - 2]，p < 0.001）都更有信心。与在缝合练习垫上练习相比，参与者在经过防腐处理的柔软尸体上练习缝合后，对自己在手术室缝合的能力更有信心（中位数5[4 - 5]对4[4 - 4]，p = 0.002）。
在经过防腐处理的柔软尸体上进行缝合训练后，医学生对缝合技能以及缝合操作重要特征的知识的信心显著提高。
