View in EDS PDF Full Text

Assessing Suturing Skills in a Self-Guided Learning Setting: Absolute Symmetry Error

Saved in:
Bibliographic Details
Title: Assessing Suturing Skills in a Self-Guided Learning Setting: Absolute Symmetry Error
Language: English
Authors: Brydges, Ryan, Carnahan, Heather, Dubrowski, Adam
Source: Advances in Health Sciences Education. Dec 2009 14(5):685-695.
Availability: Springer. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: service-ny@springer.com; Web site: http://www.springerlink.com
Peer Reviewed: Y
Physical Description: PDF
Page Count: 11
Publication Date: 2009
Document Type: Journal Articles
Reports - Evaluative
Education Level: Higher Education
Postsecondary Education
Descriptors: Feedback (Response), Pretests Posttests, Evaluation Methods, Trainees, Skill Development, Undergraduate Students, Medical Education, Allied Health Occupations Education, Educational Strategies, Teaching Methods, Student Evaluation, Educational Assessment, Measures (Individuals), Measurement Techniques, Correlation, Independent Study, Surgery, Medical Services
DOI: 10.1007/s10459-008-9151-1
ISSN: 1382-4996
Abstract: Directed self-guidance, whereby trainees independently practice a skill-set in a structured setting, may be an effective technique for novice training. Currently, however, most evaluation methods require an expert to be present during practice. The study aim was to determine if absolute symmetry error, a clinically important measure that can be assessed by the trainee, is a feasible assessment tool for self-guided learning of suturing skill. Forty-eight undergraduate medical trainees independently practiced suturing and knot tying skills using a benchtop model. Performance on a pretest, posttest, retention test and a transfer test was assessed using (1) the validated final product analysis (FPA), (2) the surgical efficiency score (SES), a combination of the FPA and hand motion analysis and (3) absolute symmetry error, a new measure that assesses the symmetry of the final product. Absolute symmetry error, along with the other objective assessment tools, detected improvements in performance from pretest to posttest (P less than 0.05). A battery of correlation analyses indicated that absolute symmetry error correlates moderately with the FPA and SES. The development of valid, reliable and feasible technical skill assessments is needed to ensure all training centers evaluate trainee performance in a standardized fashion. Measures that do not require the use of experts or computers have potential for widespread use. We suggest that absolute symmetry error is a useful approximation of novices' suturing and knot tying performance. Future research should evaluate whether absolute symmetry error can enhance learning when used as a source of feedback during self-guided practice.
Abstractor: As Provided
Entry Date: 2009
Accession Number: EJ861373
Database: ERIC
FullText Links:
  – Type: pdflink
    Url: https://content.ebscohost.com/cds/retrieve?content=AQICAHj0k_4E0hTGH8RJwT4gCJyBsGNe_WN95AvKlDbXJGqwxwHW4iLtVP92gX20HoOaJ5w_AAAA4jCB3wYJKoZIhvcNAQcGoIHRMIHOAgEAMIHIBgkqhkiG9w0BBwEwHgYJYIZIAWUDBAEuMBEEDF_C9UmO0qnGxrSO9wIBEICBmpc9esyZWadZnalSIqSQ0LCrKtyrcshbmB5wHnCbhuZRFluiSSLjBdMEDQ0xUByIrkDes4L4EL3szyC1cRQxO6D6mwn0eex2iqGLzQtplJMGKx1gZMtsvNO8LnULZugEyj51VtBVrFSSkuQsW15QGKFqvyKboVTgso_LDMB0ELos05YmOWbF622-dd4Bsdl8UXtlc-KcS4UvpDs=
Text:
  Availability: 0
Header DbId: eric
DbLabel: ERIC
An: EJ861373
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Assessing Suturing Skills in a Self-Guided Learning Setting: Absolute Symmetry Error
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Brydges%2C+Ryan%22">Brydges, Ryan</searchLink><br /><searchLink fieldCode="AR" term="%22Carnahan%2C+Heather%22">Carnahan, Heather</searchLink><br /><searchLink fieldCode="AR" term="%22Dubrowski%2C+Adam%22">Dubrowski, Adam</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="SO" term="%22Advances+in+Health+Sciences+Education%22"><i>Advances in Health Sciences Education</i></searchLink>. Dec 2009 14(5):685-695.
– Name: Avail
  Label: Availability
  Group: Avail
  Data: Springer. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: service-ny@springer.com; Web site: http://www.springerlink.com
– Name: PeerReviewed
  Label: Peer Reviewed
  Group: SrcInfo
  Data: Y
– Name: PhysDesc
  Label: Physical Description
  Group: PhysDesc
  Data: PDF
– Name: Pages
  Label: Page Count
  Group: Src
  Data: 11
– Name: DatePubCY
  Label: Publication Date
  Group: Date
  Data: 2009
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: Journal Articles<br />Reports - Evaluative
– Name: Audience
  Label: Education Level
  Group: Audnce
  Data: <searchLink fieldCode="EL" term="%22Higher+Education%22">Higher Education</searchLink><br /><searchLink fieldCode="EL" term="%22Postsecondary+Education%22">Postsecondary Education</searchLink>
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Feedback+%28Response%29%22">Feedback (Response)</searchLink><br /><searchLink fieldCode="DE" term="%22Pretests+Posttests%22">Pretests Posttests</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+Methods%22">Evaluation Methods</searchLink><br /><searchLink fieldCode="DE" term="%22Trainees%22">Trainees</searchLink><br /><searchLink fieldCode="DE" term="%22Skill+Development%22">Skill Development</searchLink><br /><searchLink fieldCode="DE" term="%22Undergraduate+Students%22">Undergraduate Students</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+Education%22">Medical Education</searchLink><br /><searchLink fieldCode="DE" term="%22Allied+Health+Occupations+Education%22">Allied Health Occupations Education</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+Strategies%22">Educational Strategies</searchLink><br /><searchLink fieldCode="DE" term="%22Teaching+Methods%22">Teaching Methods</searchLink><br /><searchLink fieldCode="DE" term="%22Student+Evaluation%22">Student Evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+Assessment%22">Educational Assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Measures+%28Individuals%29%22">Measures (Individuals)</searchLink><br /><searchLink fieldCode="DE" term="%22Measurement+Techniques%22">Measurement Techniques</searchLink><br /><searchLink fieldCode="DE" term="%22Correlation%22">Correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Independent+Study%22">Independent Study</searchLink><br /><searchLink fieldCode="DE" term="%22Surgery%22">Surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+Services%22">Medical Services</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1007/s10459-008-9151-1
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 1382-4996
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Directed self-guidance, whereby trainees independently practice a skill-set in a structured setting, may be an effective technique for novice training. Currently, however, most evaluation methods require an expert to be present during practice. The study aim was to determine if absolute symmetry error, a clinically important measure that can be assessed by the trainee, is a feasible assessment tool for self-guided learning of suturing skill. Forty-eight undergraduate medical trainees independently practiced suturing and knot tying skills using a benchtop model. Performance on a pretest, posttest, retention test and a transfer test was assessed using (1) the validated final product analysis (FPA), (2) the surgical efficiency score (SES), a combination of the FPA and hand motion analysis and (3) absolute symmetry error, a new measure that assesses the symmetry of the final product. Absolute symmetry error, along with the other objective assessment tools, detected improvements in performance from pretest to posttest (P less than 0.05). A battery of correlation analyses indicated that absolute symmetry error correlates moderately with the FPA and SES. The development of valid, reliable and feasible technical skill assessments is needed to ensure all training centers evaluate trainee performance in a standardized fashion. Measures that do not require the use of experts or computers have potential for widespread use. We suggest that absolute symmetry error is a useful approximation of novices' suturing and knot tying performance. Future research should evaluate whether absolute symmetry error can enhance learning when used as a source of feedback during self-guided practice.
– Name: AbstractInfo
  Label: Abstractor
  Group: Ab
  Data: As Provided
– Name: DateEntry
  Label: Entry Date
  Group: Date
  Data: 2009
– Name: AN
  Label: Accession Number
  Group: ID
  Data: EJ861373
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ861373
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s10459-008-9151-1
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 685
    Subjects:
      – SubjectFull: Feedback (Response)
        Type: general
      – SubjectFull: Pretests Posttests
        Type: general
      – SubjectFull: Evaluation Methods
        Type: general
      – SubjectFull: Trainees
        Type: general
      – SubjectFull: Skill Development
        Type: general
      – SubjectFull: Undergraduate Students
        Type: general
      – SubjectFull: Medical Education
        Type: general
      – SubjectFull: Allied Health Occupations Education
        Type: general
      – SubjectFull: Educational Strategies
        Type: general
      – SubjectFull: Teaching Methods
        Type: general
      – SubjectFull: Student Evaluation
        Type: general
      – SubjectFull: Educational Assessment
        Type: general
      – SubjectFull: Measures (Individuals)
        Type: general
      – SubjectFull: Measurement Techniques
        Type: general
      – SubjectFull: Correlation
        Type: general
      – SubjectFull: Independent Study
        Type: general
      – SubjectFull: Surgery
        Type: general
      – SubjectFull: Medical Services
        Type: general
    Titles:
      – TitleFull: Assessing Suturing Skills in a Self-Guided Learning Setting: Absolute Symmetry Error
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Brydges, Ryan
      – PersonEntity:
          Name:
            NameFull: Carnahan, Heather
      – PersonEntity:
          Name:
            NameFull: Dubrowski, Adam
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 12
              Type: published
              Y: 2009
          Identifiers:
            – Type: issn-print
              Value: 1382-4996
          Numbering:
            – Type: volume
              Value: 14
            – Type: issue
              Value: 5
          Titles:
            – TitleFull: Advances in Health Sciences Education
              Type: main
ResultId 1