Fatemeh Dabiri, Sepideh Hajian, Farid Zayeri, Saeed Hosseini Teshnizi, Mahta Abbasi Fashami
Improving the reproductive health literacy of couples on the verge of marriage through the FOCUS-PDCA model: Mixed-method study
Health science reports
surgical skills laboratories augment educational training deepening ones understanding anatomy allowing safe practice technical skills novel highfidelity cadaverfree simulators provide opportunity increase access skills laboratory training neurosurgical field historically evaluated skill subjective assessment outcome measures opposed process measures objective quantitative indicators technical skill progression authors conducted pilot training module spaced repetition learning concepts evaluate feasibility impact proficiency 6week module used simulator pterional approach representing skull dura mater cranial nerves arteries upsurgeon srl neurosurgery residents academic tertiary hospital completed videorecorded baseline examination performing supraorbital pterional craniotomies dural opening suturing anatomical identification microscope participation full 6week module voluntary precluded randomizing class year intervention group participated four additional facultyguided trainings 6th week residents intervention control repeated initial examination video recording videos evaluated three neurosurgical attendings affiliated institution blinded participant grouping year scores assigned via global rating scales grss taskbased specific checklists tscs previously built craniotomy cgrs ctsc microsurgical exploration mgrs mtsc fifteen residents participated 8 intervention 7 control intervention group included greater number junior residents postgraduate years 13 78 compared control group 17 external evaluators internal consistency within 05 kappa probability z 000001 total average time improved 542 minutes p 0003 intervention 605 p 007 control 515 p 0001 intervention group began lower scores categories surpassed comparison group cgrs 1093 13616 ctsc 40 7410 percent improvements intervention group cgrs 25 p 002 ctsc 84 p 0002 mgrs 18 p 0003 mtsc 52 p 0037 controls improvements cgrs 4 p 019 ctsc 00 p 099 mgrs 6 p 007 mtsc 31 p 0029 participants underwent 6week simulation course showed significant objective improvement technical indicators particularly individuals early training small nonrandomized grouping limits generalizability regarding degree impact however introducing objective performance metrics spaced repetition simulation would undoubtedly improve training larger multiinstitutional randomized controlled study help elucidate value educational method