Surgical skill acquisition with self-directed practice using computer-based video training.
BACKGROUND
Computer-based video training (CBVT) provides flexible opportunities for surgical trainees to learn fundamental technical skills, but may be ineffective in self-directed practice settings because of poor trainee self-assessment. This study examined whether CBVT is effective in a self-directed learning environment among novice trainees.


METHODS
Thirty novice trainees used CBVT to learn the 1-handed square knot while self-assessing their proficiency every 3 minutes. On reaching self-assessed skill proficiency, trainees were randomized to either cease practice or to complete additional practice. Performance was evaluated with computer and expert-based measures during practice and on pretests, posttests, and 1-week retention tests.


RESULTS
Analyses revealed performance improvements for both groups (all P < .05), but no differences between the 2 groups (all P > .05) on all tests.


CONCLUSIONS
CBVT for the 1-handed square knot is effective in a self-directed learning environment among novices. This lends support to the implementation of self-directed digital media-based learning within surgical curricula.
Jowett
Nathan
N
Department of Surgery, University of Toronto, Surgical Skills Centre at Mount Sinai Hospital, 600 University Avenue, Level 2, Room 250, Ontario, Canada M5G 1x5.
LeBlanc
Vicki
V
Xeroulis
George
G
MacRae
Helen
H
Dubrowski
Adam
A
D002983:Clinical Competence; D003194:Computer-Assisted Instruction; D004504:Education, Medical, Undergraduate; D004521:Educational Measurement; D006801:Humans; D012655:Self-Evaluation Programs; D013514:Surgical Procedures, Operative / Q000193:education*; D013536:Suture Techniques / Q000193:education; D014741:Video Recording