A Didactic and hands-on module enhances resident microsurgical knowledge and technical skill

Tarek Y. El Ahmadieh, Salah G. Aoun, Najib E. El Tecle, Allan D. Nanney, Marc R. Daou, James Harrop, Hunt H. Batjer, Bernard R. Bendok

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background:: simulation has been adopted as a powerful training tool in many areas of health care. however, it has not yet been systematically embraced in neurosurgery because of the absence of validated tools, assessment scales, and curricula. objective:: to use our validated microanastomosis module and scale to evaluate the effects of an educational intervention on the performance of neurosurgery residents at the 2012 congress of neurological surgeons annual meeting. methods:: the module consisted of an end-to-end microanastomosis of a 3-mm vessel and was divided into 3 phases: (1) a cognitive and microsuture prelecture testing phase, (2) a didactic lecture, and (3) a cognitive and microsuture postlecture testing phase. we compared resident knowledge and technical proficiency from the pretesting and posttesting phases. results:: one neurosurgeon and 7 neurosurgery residents participated in the study. none had previous experience in microsurgery. the average score on the microsuture prelecture and postlecture tests, as measured by our assessment scale, was 32.50 and 39.75, respectively (p = .001). the number of completed sutures at the end of each procedure was higher for 75% of participants in the postlecture testing phase (p = .03). the average score on the cognitive postlecture test (12.75) was significantly better than that of the cognitive prelecture test (8.38; p = .001). conclusion:: simulation has the potential to enhance resident education and to elevate proficiency levels. our data suggest that a focused microsurgical module that incorporates a didactic component and a technical component can enhance resident knowledge and technical proficiency in microsurgical anastomosis. abbreviations:: nomat, northwestern objective microanastomosis assessment toolosats, objective structured assessment of technical skillpgy, postgraduate year

Original languageEnglish (US)
JournalNeurosurgery
Volume73
Issue numberSUPPL. 4
DOIs
StatePublished - Oct 2013

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Neurosurgery
Microsurgery
Curriculum
Sutures
Delivery of Health Care
Education
Neurosurgeons

Keywords

  • Microanastomosis
  • Neurosurgery simulation
  • Objective assessment scale
  • Resident training
  • Simulation
  • Surgical education

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

El Ahmadieh, T. Y., Aoun, S. G., El Tecle, N. E., Nanney, A. D., Daou, M. R., Harrop, J., ... Bendok, B. R. (2013). A Didactic and hands-on module enhances resident microsurgical knowledge and technical skill. Neurosurgery, 73(SUPPL. 4). https://doi.org/10.1227/NEU.0000000000000104

A Didactic and hands-on module enhances resident microsurgical knowledge and technical skill. / El Ahmadieh, Tarek Y.; Aoun, Salah G.; El Tecle, Najib E.; Nanney, Allan D.; Daou, Marc R.; Harrop, James; Batjer, Hunt H.; Bendok, Bernard R.

In: Neurosurgery, Vol. 73, No. SUPPL. 4, 10.2013.

Research output: Contribution to journalArticle

El Ahmadieh, TY, Aoun, SG, El Tecle, NE, Nanney, AD, Daou, MR, Harrop, J, Batjer, HH & Bendok, BR 2013, 'A Didactic and hands-on module enhances resident microsurgical knowledge and technical skill', Neurosurgery, vol. 73, no. SUPPL. 4. https://doi.org/10.1227/NEU.0000000000000104
El Ahmadieh TY, Aoun SG, El Tecle NE, Nanney AD, Daou MR, Harrop J et al. A Didactic and hands-on module enhances resident microsurgical knowledge and technical skill. Neurosurgery. 2013 Oct;73(SUPPL. 4). https://doi.org/10.1227/NEU.0000000000000104
El Ahmadieh, Tarek Y. ; Aoun, Salah G. ; El Tecle, Najib E. ; Nanney, Allan D. ; Daou, Marc R. ; Harrop, James ; Batjer, Hunt H. ; Bendok, Bernard R. / A Didactic and hands-on module enhances resident microsurgical knowledge and technical skill. In: Neurosurgery. 2013 ; Vol. 73, No. SUPPL. 4.
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abstract = "Background:: simulation has been adopted as a powerful training tool in many areas of health care. however, it has not yet been systematically embraced in neurosurgery because of the absence of validated tools, assessment scales, and curricula. objective:: to use our validated microanastomosis module and scale to evaluate the effects of an educational intervention on the performance of neurosurgery residents at the 2012 congress of neurological surgeons annual meeting. methods:: the module consisted of an end-to-end microanastomosis of a 3-mm vessel and was divided into 3 phases: (1) a cognitive and microsuture prelecture testing phase, (2) a didactic lecture, and (3) a cognitive and microsuture postlecture testing phase. we compared resident knowledge and technical proficiency from the pretesting and posttesting phases. results:: one neurosurgeon and 7 neurosurgery residents participated in the study. none had previous experience in microsurgery. the average score on the microsuture prelecture and postlecture tests, as measured by our assessment scale, was 32.50 and 39.75, respectively (p = .001). the number of completed sutures at the end of each procedure was higher for 75{\%} of participants in the postlecture testing phase (p = .03). the average score on the cognitive postlecture test (12.75) was significantly better than that of the cognitive prelecture test (8.38; p = .001). conclusion:: simulation has the potential to enhance resident education and to elevate proficiency levels. our data suggest that a focused microsurgical module that incorporates a didactic component and a technical component can enhance resident knowledge and technical proficiency in microsurgical anastomosis. abbreviations:: nomat, northwestern objective microanastomosis assessment toolosats, objective structured assessment of technical skillpgy, postgraduate year",
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AU - Aoun, Salah G.

AU - El Tecle, Najib E.

AU - Nanney, Allan D.

AU - Daou, Marc R.

AU - Harrop, James

AU - Batjer, Hunt H.

AU - Bendok, Bernard R.

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