title: Skills coaches as part of the educational team: a randomized controlled trial of teaching of a basic surgical skill in the laboratory setting.
abstract: BACKGROUND
  The aim of this study was to compare the laboratory teaching of a basic technical skill by a nonphysician skills coach and a faculty surgeon.
  
  
  METHODS
  Medical students were randomized to instruction of skin suturing in the skills laboratory by a faculty surgeon or by a nonphysician skills coach. Testing of performance occurred at 3 time points. Other faculty surgeons, blinded to identities and training groups, rated performance.
  
  
  RESULTS
  Forty-nine students participated. Baseline fourth-year student mean scores showed no significant difference between training groups. Third-year and fourth-year student performance showed no difference between training groups on postintervention testing. Delayed testing also showed no difference in third-year student scores.
  
  
  CONCLUSIONS
  Training by either a nonsurgeon skills coach or a faculty surgeon resulted in no difference in performance on a basic surgical skill. This was true for students with and without prior experience and was also true after subsequent clinical experiences. Nonphysician coaches may ease the teaching burden of surgical faculty members while providing similar quality of instruction for trainees.
authors.affiliation: Department of Surgery, University of Rochester, Rochester, NY, USA. michael_kim@urmc.rochester.edu
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Kim
authors.forename: Margaret L
authors.initials: ML
authors.lastname: Boehler
authors.forename: Janet K
authors.initials: JK
authors.lastname: Ketchum
authors.forename: Reuben
authors.initials: R
authors.lastname: Bueno
authors.forename: Reed G
authors.initials: RG
authors.lastname: Williams
authors.forename: Gary L
authors.initials: GL
authors.lastname: Dunnington
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000379:methods; D004504:Education, Medical, Undergraduate / Q000379:methods*; D005180:Faculty, Medical; D005260:Female; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D007753:Laboratories; D008297:Male; D008611:Mentors; D009872:Operating Room Technicians; D013337:Students, Medical; D013647:Task Performance and Analysis; D014481:United States