BACKGROUND: This study aimed to compare the effectiveness of Halsted's method "see one, do one, and teach one" with Peyton's Four-Step Approach for teaching intracorporal suturing and knot tying (ICKT). METHODS:Laparoscopically naïve medical students (n = 60) were randomized to teaching of ICKT with either Halsted's (n = 30) or Peyton's method (n = 30) for 60 minutes. Each student's first 3 and final sutures were evaluated using Objective Structured Assessment of Technical Skills (OSATS), procedural implementation, knot quality, total time, and suture placement accuracy. RESULTS:Performance score and OSATS-PSC always differed significantly in favor of Peyton's group (p = 0.001). OSATS-GRS (p = 0.01) and task time (p = 0.03) differed only in the summary of the first 3 sutures in favor of Peyton's group. There were no significant intergroup differences in knot quality and accuracy. CONCLUSIONS: Peyton's Four-Step Approach is the preferable method for learning complex laparoscopic skills like ICKT.
RCT Entities:
BACKGROUND: This study aimed to compare the effectiveness of Halsted's method "see one, do one, and teach one" with Peyton's Four-Step Approach for teaching intracorporal suturing and knot tying (ICKT). METHODS: Laparoscopically naïve medical students (n = 60) were randomized to teaching of ICKT with either Halsted's (n = 30) or Peyton's method (n = 30) for 60 minutes. Each student's first 3 and final sutures were evaluated using Objective Structured Assessment of Technical Skills (OSATS), procedural implementation, knot quality, total time, and suture placement accuracy. RESULTS: Performance score and OSATS-PSC always differed significantly in favor of Peyton's group (p = 0.001). OSATS-GRS (p = 0.01) and task time (p = 0.03) differed only in the summary of the first 3 sutures in favor of Peyton's group. There were no significant intergroup differences in knot quality and accuracy. CONCLUSIONS: Peyton's Four-Step Approach is the preferable method for learning complex laparoscopic skills like ICKT.
Keywords:
Halsted; Interpersonal and Communication Skills; Peyton; Practice-Based Learning and Improvement; education; knot tying; laparoscopy; minimally invasive surgery
Authors: Francesco Macchini; Ernesto Leva; Valerio Gentilino; Anna Morandi; Steven Scot Rothenberg Journal: Front Pediatr Date: 2021-02-16 Impact factor: 3.418
Authors: Philip Zeuschner; Philippe Becker; Julia Heinzelbecker; Johannes Linxweiler; Stefan Siemer; Michael Stöckle; Matthias Saar Journal: Urologe A Date: 2022-01-17 Impact factor: 0.639
Authors: E Willuth; S F Hardon; F Lang; C M Haney; E A Felinska; K F Kowalewski; B P Müller-Stich; T Horeman; F Nickel Journal: Surg Endosc Date: 2021-02-26 Impact factor: 4.584