A video-based, flipped classroom, simulation curriculum for dermatologic surgery: A prospective, multi-institution study.
J Am Acad Dermatol
; 81(6): 1271-1276, 2019 Dec.
Article
en En
| MEDLINE
| ID: mdl-30953701
ABSTRACT
BACKGROUND:
Medical education is evolving to emphasize trainee engagement. The impact of a flipped classroom curriculum and surgical simulation on dermatology resident education has not been evaluated.OBJECTIVE:
To assess the impact of video education and surgical simulation on dermatology resident procedural skills.METHODS:
We created a curriculum on foundational surgical skills for 31 first- and second-year dermatology residents at 3 institutions. The flipped classroom approach replaces traditional in-person lectures with at-home viewing of instructional videos. After this self-directed learning, trainees had 3 hands-on sessions using simulated skin models. The Objective Structured Assessment of Technical Skills (OSATS) instrument was used to assess residents performing a simulated elliptical excision with intermediate repair before and after the curriculum. Residents completed precurriculum and postcurriculum surveys evaluating operative confidence and perceived value of the curriculum.RESULTS:
Residents' total OSATS score increased from a median of 27 (interquartile range, 22-38.5) before the curriculum to 46 (interquartile range, 39.5-51.5) after the curriculum (P < .001). Self-reported confidence in surgical performance significantly improved, and residents were highly satisfied.LIMITATIONS:
Limitations include the small sample size and potential influence from concurrent learning on surgical rotations.CONCLUSIONS:
Video education and simulation are effective for improving dermatology residents' procedural skills. We hope to serve as a template for other institutions and nondermatology trainees hoping to improve procedural skills.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Competencia Clínica
/
Curriculum
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Procedimientos Quirúrgicos Dermatologicos
/
Entrenamiento Simulado
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
Límite:
Adult
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Female
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Humans
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Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Am Acad Dermatol
Año:
2019
Tipo del documento:
Article