Effectiveness of Basic Surgical Skill Development Program among Interns at Tertiary Care Centre

Main Article Content



Introduction:  An intern is emerging practitioners, who completed their medical course and have to be trained during their internship postings. It is a major step for every compulsory rotating medical intern to ensure the safety of each and every patient and to acquire surgical skills, knowledge and fundamental tasks. The benefits of simulation-based training include learning how to communicate and make decisions as well as understanding the repercussions of such actions in a real-world setting.
Aim: This study was done to assess the effectiveness of basic surgical skill development among interns at tertiary care centre
Material and Methods: A cross sectional observation study was conducted among interns in general surgery department for the academic year 2021-2022 (April to March). A total of 100 trainees participated in this study and were evaluated based on printed questionnaire in  eleven domines of DOPS form consisting of Understanding of Indications, Obtaining informed consent, Appropriate preparation, Technical Ability, Awareness of complications, Post Procedure management, Communication skills, Professionalism, Overall ability, Overall clinical competence, and Performing procedures. Surgery faculties and postgraduates assessed the effectiveness of the program using DOPS form (direct observation of procedural skill) by mentioning it as satisfactory or not satisfactory based on understanding of their surgical skills and their performance with the mannequins. A p value of <0.05 was considered significant and all the analysis were done using SPSS 24.
Results:  Comparison of various domines of DOPS on surgical skill among trainees revealed that there was signicant difference (p<0.001) observed before and after the skill lab using paired t test.

Conclusion: The sole domain of surgical department was building technical skills among medical students and this can be initiated with the surgical skill development program.

Article Details

How to Cite
Balachandar.G, Bhaskar.M, & Midhun.M.J. (2023). Effectiveness of Basic Surgical Skill Development Program among Interns at Tertiary Care Centre. Journal of Coastal Life Medicine, 11(2), 375–383. Retrieved from https://www.jclmm.com/index.php/journal/article/view/1005


Carter BN. The fruition of Halsted's concept of surgical training. Surgery. 1952 Sep;32(3):518-27.

Schwind CJ, Boehler ML, Rogers DA, Williams RG, Dunnington G, Folse R, Markwell SJ. Variables influencing medical student learning in the operating room. The American journal of surgery. 2004 Feb 1;187(2):198-200.

Ringsted C, Schroeder TV, Henriksen J, Ramsing B, Lyngdorf P, Jønsson V, Scherpbier A. Medical students' experience in practical skills is far from stakeholders' expectations. Medical Teacher. 2001 Jan 1;23(4):412-6.

Dehmer JJ, Amos KD, Farrell TM, Meyer AA, Newton WP, Meyers MO. Competence and confidence with basic procedural skills: the experience and opinions of fourth-year medical students at a single institution. Academic Medicine. 2013 May 1;88(5):682-7.

Ericsson KA. Deliberate practice and acquisition of expert performance: a general overview. Acad Emerg Med. 2008;15:988–994

Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medi- cine and related domains. Acad Med. 2004;79(10 Suppl):S70–S81.

Peyre SE et al (2006) A surgical skills elective can improve students confidence prior to internship J Surg Res 133(1):11-15.

McAnena PF, O’Halloran N, Moloney BM, Courtney D, Waldron RM, Flaherty G, Kerin MJ. Undergraduate basic surgical skills education: impact on attitudes to a career in surgery and surgical skills acquisition. Irish Journal of Medical Science (1971-). 2018 May;187:479-84.

Moulton CA, Dubrowski A, MacRae H, Graham B, Grober E, Reznick R. Teaching surgical skills: what kind of practice makes perfect?: a randomized, controlled trial. Annals of surgery. 2006 Sep;244(3):400.

Berg DA, Milner RE, Fisher CA, Goldberg AJ, Dempsey DT, Grewal H. A cost-effective approach to establishing a surgical skills laboratory. Surgery. 2007 Nov 1;142(5):712-21.

Peyre SE, Peyre CG, Sullivan ME, Towfigh S. A surgical skills elective can improve student confidence prior to internship. Journal of Surgical Research. 2006 Jun 1;133(1):11-5.

Luhoway JA, Ryan JF, Istl AC, et al. Perceived barriers to the development of technical skill proficiency in surgical clerkship. J Surg Educ 2019;76:1267–77.

Augustin M. How to learn effectively in medical school: test yourself, learn actively, and repeat in intervals. Yale J Biol Med 2014;87:207–12.

Lella M, Narayana S, Chinnaiyan S. Perception of medical interns towards the skills they acquired. The National Medical Journal of India. 2020 Jul 1;33(4):236-.

Ahmad R, Ahsan MF, Waqar SH, Irshad A, Shah SA, Faisal J. Effectiveness of primary surgical skill workshop in postgraduate surgery and allied trainees. Rawal Medical Journal. 2022 Feb 9;47(3):711-

Padmavathi V, Tekulapally K. Preparedness for Internship: A Survey of New Interns at a Tertiary Care Hospital, Telangana Perspectives in Medical Research 2021; 9 (2):24-27