Incoming residents' knot-tying and suturing skills: Are medical school boot camps sufficient?

Am J Surg. 2020 Sep;220(3):616-619. doi: 10.1016/j.amjsurg.2020.01.031. Epub 2020 Jan 21.

Abstract

Introduction: Many medical schools offer M4 boot camps to improve students' preparedness for surgical residencies. For three consecutive years, we investigated the impact of medical school boot camps on intern knot-tying and suturing skills when measured at the start of residency.

Methods: Forty-two interns completed questionnaires regarding their boot camp experiences. Their performance on knot-tying and suturing exercises was scored by three surgeons blinded to the questionnaire results. A comparison of these scores of interns with or without boot camp experiences was performed and statistical analysis applied.

Results: 26 of 42 (62%) interns reported boot camp training. There were no differences in scores between interns with or without a M4 boot camp experience for suturing [9.6(4.6) vs 9.8(4.1), p < 0.908], knot-tying [9.1(3.6) vs 8.4(4.1), p = 0.574], overall performance [2.0(0.6) vs 1.9(0.7), p = 0.424], and quality [2.0(0.6) vs 1.9(0.7), p = 0.665]) (mean(SD)).

Conclusions: We could not demonstrate a statistically significant benefit in knot-tying and suturing skills of students who enrolled in M4 boot camp courses as measured at the start of surgical residency.

Keywords: Boot camp; Education; Technical skills.

MeSH terms

  • Clinical Competence*
  • Education, Medical, Graduate / methods*
  • Educational Measurement / methods*
  • Female
  • Humans
  • Internship and Residency
  • Male
  • Reproducibility of Results
  • Schools, Medical
  • Surveys and Questionnaires
  • Suture Techniques / education*
  • Young Adult