Abstract
Deliberate practice-based medical education has demonstrated superiority in trainee acquisition and maintenance of skills in several surgical subspecialties. In an effort to highlight the impact of a deliberate practice-based surgical curriculum on the technical proficiency of dermatology residents, a prospective cohort study including first- and second-year dermatology residents was performed. A total of 87.5% (7 of 8) first-year dermatology residents completed three hands-on simulations at 6-week intervals. Additionally, six of eight (75.0%) second-year dermatology residents at the same institution were evaluated at a single point-in-time session without accessing the surgical curriculum prior. A 5-point global rating scale (GRS) was used to assess resident performance on six core surgical techniques. Nonparametric ANOVA statistical methods using the Kruskal–Wallis test was performed. The residents’ overall GRS increased from a median of 1–2.75 after completion of the curriculum (p < 0.01). There was a significant improvement in the median scores of each tested surgical technique. The first-year residents had a greater overall GRS after completion of the curriculum compared to the second-year residents (median of 2.13 versus 1.88, p < 0.001). Limitations include the small sample size and lack of a synchronized control group. Our study highlights the use of deliberate practice-based strategies as an effective modality in teaching surgical skills to dermatology residents.
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Authors Criscito, Wilken, Stevenson, and Carucci all declare that there are no conflicts of interest.
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403_2022_2355_MOESM1_ESM.pdf
Supplemental Fig. 1. An example of the instructional PowerPoint created, which highlights the high-yield surgical techniques of the figure of eight, simple interrupted, buried vertical mattress, vertical mattress and buried tip sutures
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Supplemental Fig. 2. The evaluation form that was used by the observers is based off a modified Objective Structured Assessment of Technical Skills (OSATS) tool and utilizes the global rating score to evaluate time and motion, instrument handling, suture handling, flow of operation, knowledge of procedure, overall performance, and quality of final product
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Criscito, M.C., Wilken, R., Stevenson, M.L. et al. Deliberate practice-based surgical curriculum leads to enhanced technical proficiency among dermatology residents. Arch Dermatol Res 314, 905–908 (2022). https://doi.org/10.1007/s00403-022-02355-x
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DOI: https://doi.org/10.1007/s00403-022-02355-x