A Method for Learning Surgical Knot-Tying Technique in a General Medicine Training Program.
- VernacularTitle:総合診療方式における外科研修の一環としての結さつ手技習得法
- Author:
Takahisa FUJIKAWA
;
Satoru NISHIMURA
;
Kazuhiro HATTA
;
Kanji IGA
;
Takanobu IMANAKA
- Publication Type:Journal Article
- Keywords:
knot-tying technique;
minor outpatient surgery;
general medicine training program;
learning plan
- From:Medical Education
1997;28(4):225-230
- CountryJapan
- Language:Japanese
-
Abstract:
To evaluate the learning process in a general medicine training program for skills used in minor outpatient surgery, we introduced a new educational program for knot-tying technique. Eleven 1st year residents were enrolled in the program. The program consisted of initial instruction by senior surgeons through a video system, continuous training with a phantom at weekly surgical conferences, and practical application in the operating room. We objectively evaluated the effectiveness of this program with our unique scoring system for tying which includes speed, form, and securityof the knots. The scores after 4 months, especially the speed score, were significantly, better than those at the beginning of the program (P<0.05), and the scores for form and security tended to be higher than those of 2nd-year residents. We conclude that this unique program for knot tying is effective for teaching proper techniques for tying tight and secure knots and may be used as a part of general medicine training program.
