View in EDS PDF Full Text

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

Saved in:
Bibliographic Details
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
FullText Links:
  – Type: pdflink
    Url: https://content.ebscohost.com/cds/retrieve?content=AQICAHj0k_4E0hTGH8RJwT4gCJyBsGNe_WN95AvKlDbXJGqwxwElv1jVoisb_cQnGs72tBKeAAAA4TCB3gYJKoZIhvcNAQcGoIHQMIHNAgEAMIHHBgkqhkiG9w0BBwEwHgYJYIZIAWUDBAEuMBEEDLY-sMeIB61TczmFjQIBEICBmTKFIdg89LqD5oS4cLayigaarEoN6u5FmdilTflz3jto7Hl9KCnZNdpZAX4cPnHvIR62KZdFmkvRnrZFPyT-bROXA2WP7PjE5SN1S7oTT01qfrKh5X4tNF2PNmVI2EeMMq5AlqQKTmOog7hB6dT_uyXmJzVk0rbBBhxRWZtPMZBPr3lKktjTMTlW9zb-JemU7mpdr26dNghbLA==
Text:
  Availability: 0
Header DbId: eric
DbLabel: ERIC
An: EJ1196264
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Early and Prolonged Opportunities to Practice Suturing Increases Medical Student Comfort with Suturing during Clerkships: Suturing during Cadaver Dissection
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Manning%2C+Edward+P%2E%22&quot;&gt;Manning, Edward P.&lt;/searchLink&gt; (ORCID &lt;externalLink term=&quot;http://orcid.org/0000-0002-4430-8168&quot;&gt;0000-0002-4430-8168&lt;/externalLink&gt;)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mishall%2C+Priti+L%2E%22&quot;&gt;Mishall, Priti L.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Weidmann%2C+Maxwell+D%2E%22&quot;&gt;Weidmann, Maxwell D.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Flax%2C+Herschel%22&quot;&gt;Flax, Herschel&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lan%2C+Sam%22&quot;&gt;Lan, Sam&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Erlich%2C+Mark%22&quot;&gt;Erlich, Mark&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Burton%2C+William+B%2E%22&quot;&gt;Burton, William B.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Olson%2C+Todd+R%2E%22&quot;&gt;Olson, Todd R.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Downie%2C+Sherry+A%2E%22&quot;&gt;Downie, Sherry A.&lt;/searchLink&gt;
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;SO&quot; term=&quot;%22Anatomical+Sciences+Education%22&quot;&gt;&lt;i&gt;Anatomical Sciences Education&lt;/i&gt;&lt;/searchLink&gt;. Nov-Dec 2018 11(6):605-612.
– Name: Avail
  Label: Availability
  Group: Avail
  Data: 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
– Name: PeerReviewed
  Label: Peer Reviewed
  Group: SrcInfo
  Data: Y
– Name: Pages
  Label: Page Count
  Group: Src
  Data: 8
– Name: DatePubCY
  Label: Publication Date
  Group: Date
  Data: 2018
– Name: SourceSuprt
  Label: Sponsoring Agency
  Group: SrcSuprt
  Data: National Institutes of Health (DHHS)
– Name: NumberContract
  Label: Contract Number
  Group: NumCntrct
  Data: T32GM007288
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: Journal Articles&lt;br /&gt;Reports - Research
– Name: Audience
  Label: Education Level
  Group: Audnce
  Data: &lt;searchLink fieldCode=&quot;EL&quot; term=&quot;%22Higher+Education%22&quot;&gt;Higher Education&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;EL&quot; term=&quot;%22Postsecondary+Education%22&quot;&gt;Postsecondary Education&lt;/searchLink&gt;
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Anatomy%22&quot;&gt;Anatomy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Science+Instruction%22&quot;&gt;Science Instruction&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Self+Concept%22&quot;&gt;Self Concept&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+Students%22&quot;&gt;Medical Students&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+Education%22&quot;&gt;Medical Education&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Laboratory+Procedures%22&quot;&gt;Laboratory Procedures&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Patients%22&quot;&gt;Patients&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Stress+Variables%22&quot;&gt;Stress Variables&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Student+Attitudes%22&quot;&gt;Student Attitudes&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Student+Behavior%22&quot;&gt;Student Behavior&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Correlation%22&quot;&gt;Correlation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Teaching+Methods%22&quot;&gt;Teaching Methods&lt;/searchLink&gt;
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1002/ase.1785
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 1935-9772
– Name: Abstract
  Label: Abstract
  Group: Ab
  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.
– Name: AbstractInfo
  Label: Abstractor
  Group: Ab
  Data: As Provided
– Name: DateEntry
  Label: Entry Date
  Group: Date
  Data: 2018
– Name: AN
  Label: Accession Number
  Group: ID
  Data: EJ1196264
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1196264
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/ase.1785
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 605
    Subjects:
      – SubjectFull: Anatomy
        Type: general
      – SubjectFull: Science Instruction
        Type: general
      – SubjectFull: Self Concept
        Type: general
      – SubjectFull: Medical Students
        Type: general
      – SubjectFull: Medical Education
        Type: general
      – SubjectFull: Laboratory Procedures
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Stress Variables
        Type: general
      – SubjectFull: Student Attitudes
        Type: general
      – SubjectFull: Student Behavior
        Type: general
      – SubjectFull: Correlation
        Type: general
      – SubjectFull: Teaching Methods
        Type: general
    Titles:
      – TitleFull: Early and Prolonged Opportunities to Practice Suturing Increases Medical Student Comfort with Suturing during Clerkships: Suturing during Cadaver Dissection
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Manning, Edward P.
      – PersonEntity:
          Name:
            NameFull: Mishall, Priti L.
      – PersonEntity:
          Name:
            NameFull: Weidmann, Maxwell D.
      – PersonEntity:
          Name:
            NameFull: Flax, Herschel
      – PersonEntity:
          Name:
            NameFull: Lan, Sam
      – PersonEntity:
          Name:
            NameFull: Erlich, Mark
      – PersonEntity:
          Name:
            NameFull: Burton, William B.
      – PersonEntity:
          Name:
            NameFull: Olson, Todd R.
      – PersonEntity:
          Name:
            NameFull: Downie, Sherry A.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Type: published
              Y: 2018
          Identifiers:
            – Type: issn-print
              Value: 1935-9772
          Numbering:
            – Type: volume
              Value: 11
            – Type: issue
              Value: 6
          Titles:
            – TitleFull: Anatomical Sciences Education
              Type: main
ResultId 1