Surgical Education Clinical Trial
Official title:
A Gamified Network for Surgical Education During COVID-19: A Randomized Controlled Trial
Background: Traditionally, medical students learn surgical skills through the observation of
a resident or a surgeon performing the technique. Due to inconsistent practice opportunities
in the clinical setting, a disparity of skill levels among students has been observed. In
addition, the poor availability of faculty professors is a limiting factor in teaching and
adequately preparing medical students for clerkship years. With the ongoing COVID-19
pandemic, medical students do not have access to traditional suturing learning opportunities.
Didactic courses are available on videoconferencing platforms, but they do not include
technical training.
Objective: Our overarching goal is to evaluate the efficacy of web-based peer-learning for
advanced suturing techniques (i.e., running subcuticular sutures). The investigators will use
GEN (Gamified Educational Network), a newly developed online learning tool. The investigators
will assess students' ability to identify and to perform the right technique. The
investigators will also assess students' satisfaction with regards to GEN.
Methods: The investigators will conduct a prospective randomized controlled trial with
blinding of expert examiners. First-year medical students in the Faculty of Medicine of
Université de Montréal will be randomized to four groups: 1) control group, 2) self-learning,
3) peer-learning, and 4) peer-learning with expert feedback. Each arm will have 15
participants who will learn how to perform running subcuticular sutures through videos on
GEN. For our primary outcome, students' ability to identify the right technique will be
evaluated before and after the intervention on GEN. They will view eight videos and rate the
surgical technique using the OSATS (Objective Structured Assessment of Technical Skills)
Global Rating Scale (GRS) and the Subcuticular Suture Checklist as evaluation criteria. For
our secondary outcomes, students will anonymously record themselves performing a running
subcuticular suture and will be evaluated using the same scales. Then, a survey will be sent
to analyze the overall performance of the platform.
Results: The study will be conducted in accordance with the Declaration of Helsinki and has
been approved by our institutional review board (CERSES 20-068-D). No participants have been
recruited yet.
Conclusions: Peer-learning through GEN has the potential to overcome significant limitations
related to the pandemic and the lack of availability of faculty professors. Further, a
decrease of the anxiety related to traditional suturing classes can be expected. The
investigators aim to create an innovative and sustainable method of teaching surgical skills
to improve the efficiency and the quality of surgical training in medical faculties. With the
current world events of COVID-19, the necessity for such tools are imperative.
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