The effectiveness of the cadaver-based educational seminar for trauma surgery (C-BEST) for residents
1Department of Emergency and Critical Care Medicine, Tokyo Medical University, 6-7-1 Nishishinjuku, 160-0023 Shinjuku-ku, Tokyo, Japan
2Department of Anatomy, Tokyo Medical University, 6-1-1 Shinjuku, 160-8402 Shinjuku-ku, Tokyo, Japan
DOI: 10.22514/sv.2021.140 Vol.18,Issue 1,January 2022 pp.115-121
Submitted: 04 June 2021 Accepted: 16 July 2021
Published: 08 January 2022
To assess the effectiveness of the cadaver-based educational seminar for trauma surgery (C-BEST) for residents using a 10-point self-assessment of confidence levels (SACL) survey. We collected data, including SACL for 21 surgical skills and an evaluation of the contents before, immediately after, and half a year after the seminar, from 42 seminars conducted between January 2013 and March 2019. On comparing SACL results from evaluations at the three time points using statistical analysis, a p value of <0.05 was obtained. We enrolled 412 participants; of the 52 residents, 47 respondents were included in the study. Improvements in all skills were observed on comparing SACL before and immediately after the seminar (2.2 ± 2.6 vs. 5.3 ± 2.5; p < 0.001), but a decrease was observed between immediately after and half a year after the seminar (5.3 ± 2.5 vs. 4.9± 2.7; p < 0.01). Upon examining the results according to each skill, SACL did not decrease between immediately after and half a year after the seminar (p > 0.05). The most performed procedure was left anterior thoracotomy and aortic clamp (n = 13), and the number of residents majoring in surgery increased from 27 to 32 half a year after the seminar. C-BEST boosts more self-confidence of the participating residents immediately after the seminar. Although this effect is not maintained half a year after the seminar, many participants practiced their skills after the seminar. Therefore, C-BEST is useful for residents with little surgical experience; this may also inspire the residents to major in surgery.
Cadaver-based educational seminar for trauma surgery (C-BEST); Skill retention; Half a year follow-up; Self-assessment of confidence levels; Residents
Hiroshi Homma,Jun Oda,Hidefumi Sano,Shinichi Kawata,Masahiro Itoh. The effectiveness of the cadaver-based educational seminar for trauma surgery (C-BEST) for residents. Signa Vitae. 2022. 18(1);115-121.
 Homma H, Oda J, Yukioka T, Hayashi S, Suzuki T, Kawai K, et al. Effectiveness of cadaver-based educational seminar for trauma surgery: skills retention after half-year follow-up. Acute Medicine & Surgery. 2017; 4: 57–67.
 Bakalarski P, Klepacka M, Sówka K, Bojko I, Głowala D, Bodecot B, et al. Cadaver as a didactic tool for auscultating lung sounds. Critical Care Innovations. 2019; 2: 11–18.
 Miyoshi M, Mori T, Tanimura C, Nakane H, Mukuda T, Okazaki K, et al. Impact of Hands-on Experience of a Cadaver Dissection on the Professional Identity Formation of Health Sciences Students. Yonago Acta Medica. 2019; 62: 131–136.
 Kobayashi E, Nudeshima J. Current state of surgical training using cadavers in Japan compared with Western countries. Surgery Today. 2018; 48: 891–893.
 Bowyer MW, Kuhls DA, Haskin D, Sallee RA, Henry SM, Garcia GD, et al. Advanced surgical skills for exposure in trauma (ASSET): the first 25 courses. Journal of Surgical Research. 2013; 183: 553–558.
 Gunst M, O’Keeffe T, Hollett L, Hamill M, Gentilello LM, Frankel H, et al. Trauma operative skills in the era of nonoperative management: the trauma exposure course (TEC). Journal of Trauma. 2009; 67: 1091–1096.
 Lilot M, Evain JN, Vincent A, Gaillard G, Chassard D, Mattatia L, et al. Simulation of difficult airway management for residents: prospective comparative study. Brazilian Journal of Anesthesiology. 2019; 69: 358–368.
 Egol KA, Phillips D, Vongbandith T, Szyld M, Strauss EJ. Do orthopaedic fracture skills courses improve resident performance? Injury. 2015; 46; 547–551.
 Singleton MN, Allen KF, Li Z, McNerney K, Naber UH, Braga MS. Rolling-refresher simulation improves performance and retention of paediatric intensive care unit nurse code cart management. BMJ Simulation and Technology Enhanced Learning. 2018; 4: 77–82.
 Shinohara M, Nakamura T, Kunikata N, Okudera H, Kuroda Y. A half-day stroke workshop based on the Kirkpatrick model to improve new clinical staff behavior. Journal of Advances in Medical Education & Professionalism. 2020; 8: 10–17.
 Shackelford S, Garofalo E, Shalin V, Pugh K, Chen H, Pasley J, et al. Development and validation of trauma surgical skills metrics: preliminary assessment of performance after training. Journal of Trauma and Acute Care Surgery. 2015; 79: 105–110.
 Mackenzie CF, Garofalo E, Shackelford S, Shalin V, Pugh K, Chen H, et al. Using an individual procedure score before and after the advanced surgical skills exposure for trauma course training to benchmark a hemorrhage-control performance metric. Journal of Surgical Education. 2015; 72: 1278–1289.
 Boza C, León F, Buckel E, Riquelme A, Crovari F, Martinez J, et al. Simulation-trained junior residents perform better than general surgeons on advanced laparoscopic cases. Surgical Endoscopy. 2017; 31: 135–141.
 Marshall DC, Salciccioli JD, Walton SJ, Pitkin J, Shalhoub J, Malietzis G. Medical student experience in surgery influences their career choices: a systematic review of the literature. Journal of Surgical Education. 2015; 72: 438–445.
 Coleman R, Kogan I. An improved low-formaldehyde embalming fluid to preserve cadavers for anatomy teaching. Journal of Anatomy. 1998; 192: 443–446.
 Hayashi S, Homma H, Naito M, Oda J, Nishiyama T, Kawamoto A, et al. Saturated salt solution method: a useful cadaver embalming for surgical skills training. Medicine. 2014; 93: e196.
 Hayashi S, Naito M, Kawata S, Qu N, Hatayama N, Hirai S, et al. History and future of human cadaver preservation for surgical training: from formalin to saturated salt solution method. Anatomical Science International. 2016; 91: 1–7.
 Homma H, Oda J, Sano H, Kawai K, Koizumi N, Uramoto H, et al. Advanced cadaver-based educational seminar for trauma surgery using saturated salt solution-embalmed cadavers. Acute Medicine & Surgery. 2019; 6: 123–130.
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