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Early and Prolonged Opportunities to Practice Suturing Increases Medical Student Comfort with Suturing during Clerkships: Suturing during Cadaver Dissection

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Title: Early and Prolonged Opportunities to Practice Suturing Increases Medical Student Comfort with Suturing during Clerkships: Suturing during Cadaver Dissection
Language: English
Authors: Manning, Edward P. (ORCID 0000-0002-4430-8168), Mishall, Priti L., Weidmann, Maxwell D., Flax, Herschel, Lan, Sam, Erlich, Mark, Burton, William B., Olson, Todd R., Downie, Sherry A.
Source: Anatomical Sciences Education. Nov-Dec 2018 11(6):605-612.
Availability: Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA
Peer Reviewed: Y
Page Count: 8
Publication Date: 2018
Sponsoring Agency: National Institutes of Health (DHHS)
Contract Number: T32GM007288
Document Type: Journal Articles
Reports - Research
Education Level: Higher Education
Postsecondary Education
Descriptors: Anatomy, Science Instruction, Self Concept, Medical Students, Medical Education, Laboratory Procedures, Patients, Stress Variables, Student Attitudes, Student Behavior, Correlation, Teaching Methods
DOI: 10.1002/ase.1785
ISSN: 1935-9772
Abstract: Medical students are expected to perform common procedures such as suturing on patients during their third-year clerkships. However, these experiences are often viewed by medical students as stressors rather than opportunities for learning. The source of this stress is the lack of instruction on common procedures prior to being asked to observe or perform the procedure on a patient. First-time exposures to procedures in stressful environments may result in decreased confidence in medical students and decrease the frequency with which they perform these procedures in the future. The authors sought to change this paradigm by: (1) introducing a suturing module to first-year medical students in the context of the anatomy dissection laboratory and (2) measuring its effects on student attitudes and behavior over the course of their third-year clerkships when they encounter patients. The authors found that early and prolonged introduction to suturing was associated with increased student confidence relative to suturing a patient. Participation in the suturing module was associated with increased student confidence in identifying suturing instruments (P < 0.001) and suturing patients (P = 0.013). Further it positively affected their behavior as demonstrated by increased performance of suturing events from students exposed to the suturing module. (P < 0.001) This study demonstrates that early and prolonged opportunities to practice a procedural skill in a low-stress environment increases student confidence during patient interactions and alters student behavior.
Abstractor: As Provided
Entry Date: 2018
Accession Number: EJ1196264
Database: ERIC
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  Data: Medical students are expected to perform common procedures such as suturing on patients during their third-year clerkships. However, these experiences are often viewed by medical students as stressors rather than opportunities for learning. The source of this stress is the lack of instruction on common procedures prior to being asked to observe or perform the procedure on a patient. First-time exposures to procedures in stressful environments may result in decreased confidence in medical students and decrease the frequency with which they perform these procedures in the future. The authors sought to change this paradigm by: (1) introducing a suturing module to first-year medical students in the context of the anatomy dissection laboratory and (2) measuring its effects on student attitudes and behavior over the course of their third-year clerkships when they encounter patients. The authors found that early and prolonged introduction to suturing was associated with increased student confidence relative to suturing a patient. Participation in the suturing module was associated with increased student confidence in identifying suturing instruments (P &lt; 0.001) and suturing patients (P = 0.013). Further it positively affected their behavior as demonstrated by increased performance of suturing events from students exposed to the suturing module. (P &lt; 0.001) This study demonstrates that early and prolonged opportunities to practice a procedural skill in a low-stress environment increases student confidence during patient interactions and alters student behavior.
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      – SubjectFull: Self Concept
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