Evaluation of Medical Students’ Attitudes and Performance of Basic Surgery Skills in a Training Program Using Fresh Human skin, Excised During Body Contouring Surgeries

BACKGROUND: Learning surgical skills in the operating room may be a challenge for medical students. Therefore, more approaches using simulation to enable students to develop their practical skills are required. OBJECTIVES: We hypothesized that (1) there would be a need for additional surgical training for medical students in the pre-final year, and (2) our basic surgery skills training program using fresh human skin would improve medical students' surgical skills. DESIGN: We conducted a preliminary survey of medical students to clarify the need for further training in basic surgery procedures. A new approach using simulation to teach surgical skills on human skin was set up. The procedural skills of 15 randomly selected students were assessed in the operating room before and after participation in the simulation, using Objective Structured Assessment of Technical Skills. Furthermore, subjective assessment was performed based on students' self-evaluation. The data were analyzed using SPSS, version 21 (SPSS, Inc., Chicago, IL). SETTING: The study took place at the Inselspital, Bern University Hospital. PARTICIPANTS: A total of 186 pre-final-year medical students were enrolled into the preliminary survey; 15 randomly selected medical students participated in the basic surgical skills training course on the fresh human skin operating room. RESULTS: The preliminary survey revealed the need for a surgical skills curriculum. The simulation approach we developed showed significant (p < 0.001) improvement for all 12 surgical skills, with mean cumulative precourse and postcourse values of 31.25 ± 5.013 and 45.38 ± 3.557, respectively. The self-evaluation contained positive feedback as well. CONCLUSION: Simulation of surgery using human tissue samples could help medical students become more proficient in handling surgical instruments before stepping into a real surgical situation. We suggest further studies evaluating our proposed teaching method and the possibility of integrating this simulation approach into the medical school curriculum.

The Church Music Program: The Effect of Moving from Performance-based to Education-based Emphasis in a Church Music Program

This research project sought to answer the primary research question: What occurs when the music program in a church changes its emphasis from performance to education? This qualitative study of a church choir included participant observation of Wednesday evening and Sunday morning rehearsals over a 12 week period, individual interviews, group interviews, written responses, and written and visual assessment of musical skills. The goal was a rich description of the participants and emerging themes resulting from the shift in emphasis. Analysis of data occurred through inductive processing. Data was initially coded and then the codes were categorized into sub-themes, and finally into major themes. Early analysis of the data began with reflection in a researcher journal. Following the completion of the study the journal was entered into a word processor, as were transcriptions of videotaped rehearsals, and written reflections from the participants. After all data had been reviewed repeatedly and entered into the word processor, it was coded, reexamined, and finally categorized into sub-themes and themes. After coding and identification of major themes and sub-themes the finding were challenged by looking for disconfirming evidence. Finally, after the completion of the analysis stage, member checks were conducted. The results of the analysis of data revealed themes that could be associated either with the choir or the director. The key themes primarily associated with the choir were: Response to the change in rehearsal format; Attitude toward learning; Appropriateness of community learning model; and, Member's perceptions of the results of the program. The key themes associated with the director were identified as: Conductor assuming the role of educator; Conductor recognizing the choir as learners; Conductor treating rehearsals as a time for teaching and learning; and, Conductor's perception of the effectiveness of the change in focus. The study concluded that a change in focus from performance to education did not noticeably improve the sound of the choir after twelve-weeks. There were however, indications that improvements were being made by the individual members. Further study of the effects over a longer period of time is recommended.

A computer program (VEHSIM) for vehicle fuel economy and performance simulation (automobiles and light trucks). Volume I: description and analysis. Final report.

National Highway Traffic Safety Administration, Office of Research and Development, Washington, D.C.

A computer program (VEHSIM) for vehicle fuel economy and performance simulation (automobiles and light trucks). Volume II: users guide. Final report.

National Highway Traffic Safety Administration, Office of Research and Development, Washington, D.C.

A computer program (VEHSIM) for vehicle fuel economy and performance simulation (automobiles and light trucks). Volume IV: enhancements. Final report.

National Highway Traffic Safety Administration, Office of Research and Development, Washington D.C.

Handbook : improving POTW performance using the composite correction program approach /

Mode of access: Internet.

Performance of historic stone building materials and systems : observations by architects, engineers and building conservators : excerpts from workshop discussions held on August 10, 1987, funded by the U.S. Environmental Protection Agency and the U.S. Department of the Interior, National Park Service, Cultural Resources Acid Rain Research Program.

"June 1988."

A computer program (HEVSIM) for heavy duty vehicle fuel economy and performance simulation. Volume II: users' manual. Final report.

National Highway Traffic Safety Administration, Office of Research and Development, Washington, D.C.

A computer program (HEVSIM) for heavy duty vehicle fuel economy and performance simulation. Volume III: appendices A through F. Final report.

National Highway Traffic Safety Administration, Office of Research and Development, Washington, D.C.

A computer program (HEVSIM) for heavy duty vehicle fuel economy and performance simulation. Volume I: description and analysis. Final report.

National Highway Traffic Safety Administration, Office of Research and Development, Washington, D.C.

National performance audit program : 1980 proficiency surveys for sulfur dioxide, nitrogen dioxide, carbon monoxide, sulfate, nitrate, lead and high volume flow /

Mode of access: Internet.

Los Angeles County Occupational Health Services Employee Alcoholism Program: a performance report for 1975. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

NHTSA's Heavy Duty Vehicle Brake Research Program - report no. 6: performance evaluation of a production antilock system installed on a two axle straight truck. Interim report.

Mode of access: Internet.

Diagnostic motor vehicle inspection demonstration projects, program engineering support. Volume 2 - appendix A: evaluation of the measurement performance of inspection equipment in the five demonstration projects and in selected repair agencies. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Diagnostic motor vehicle inspection demonstration projects, program engineering support. Volume 3 - appendix B: performance analysis of Washington, D.C. inspection lane. Final report.

National Highway Traffic Safety Administration, Washington, D.C.