title: Development of an orthopaedic surgical skills curriculum for post-graduate year one resident learners - the University of Iowa experience.
abstract: Orthopaedic surgery requires a high degree of technical skill. Current orthopaedic surgical education is based largely on an apprenticeship model. In addition to mounting evidence of the value of simulation, recent mandated requirements will undoubtedly lead to increased emphasis on surgical skills and simulation training. The University of Iowa's Department of Orthopaedic Surgery has created and implemented a month long surgical skills training program for PGY-1 residents. The goal of the program was to improve the basic surgical skills of six PGY-1 orthopaedic surgery residents and prepare them for future operative experiences. A modular curriculum was created by members of the orthopaedic faculty which encompassed basic skills felt to be important to the general orthopaedic surgeon. For each module multiple assessment techniques were utilized to provide constructive critique, identify errors and enhance the performance intensity of trainees. Based on feedback and debriefing surveys, the resident trainees were unanimously satisfied with the content of the surgical skills month, and felt it should remain a permanent part of our educational program. This manuscript will describe the development of the curriculum, the execution of the actual skills sessions and analysis of feedback from the residents and share valuable lessons learned and insights for future skills programs.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Karam
authors.forename: Brian
authors.initials: B
authors.lastname: Westerlind
authors.forename: Donald D
authors.initials: DD
authors.lastname: Anderson
authors.forename: J Lawrence
authors.initials: JL
authors.lastname: Marsh
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D004521:Educational Measurement; D006801:Humans; D007396:Internship and Residency; D009985:Orthopedics / Q000193:education*
references.citation: Am J Orthop (Belle Mead NJ). 2007 Dec;36(12):E172-9; discussion E179
references.pmid: 18264560
references.citation: J Bone Joint Surg Am. 2013 Jul 3;95(13):e92
references.pmid: 23824397
references.citation: Iowa Orthop J. 2012;32:76-82
references.pmid: 23576925
references.citation: J Bone Joint Surg Am. 2013 Jan 2;95(1):e4
references.pmid: 23283381
references.citation: Ann Surg. 2002 Oct;236(4):458-63; discussion 463-4
references.pmid: 12368674