Peer-assisted teaching of basic surgical skills

Med Educ Online. 2015 Jun 3:20:27579. doi: 10.3402/meo.v20.27579. eCollection 2015.

Abstract

Background: Basic surgical skills training is rarely emphasised in undergraduate medical curricula. However, the provision of skills tutorials requires significant commitment from time-constrained surgical faculty.

Purpose: We aimed to determine how a peer-assisted suturing workshop could enhance surgical skills competency among medical students and enthuse them towards a career in surgery.

Methods: Senior student tutors delivered two suturing workshops to second- and third- year medical students. Suturing performance was assessed before and after teaching in a 10-min suturing exercise (variables measured included number of sutures completed, suture tension, and inter-suture distance). Following the workshop, students completed a questionnaire assessing the effect of the workshop on their suturing technique and their intention to pursue a surgical career.

Results: Thirty-five students attended. Eighty-one percent believed their medical school course provided insufficient basic surgical skills training. The mean number of sutures completed post-teaching increased significantly (p < 0.001), and the standard deviation of mean inter-suture distance halved from ± 4.7 mm pre-teaching, to ± 2.6 mm post-teaching. All students found the teaching environment to be relaxed, and all felt the workshop helped to improve their suturing technique and confidence; 87% found the peer-taught workshop had increased their desire to undertake a career in surgery.

Discussion: Peer-assisted learning suturing workshops can enhance medical students' competence with surgical skills and inspire them towards a career in surgery. With very little staff faculty contribution, it is a cheap and sustainable way to ensure ongoing undergraduate surgical skills exposure.

Keywords: clinical education; peer-assisted learning; simulation; surgical education; suturing.

MeSH terms

  • Clinical Competence*
  • Curriculum
  • Education, Medical, Undergraduate / organization & administration*
  • Educational Measurement
  • England
  • Humans
  • Knowledge
  • Peer Group*
  • Surgical Procedures, Operative / education*
  • Suture Techniques / education*