A Novel Critical Skills Curriculum for Surgical Interns Incorporating Simulation Training Improves Readiness for Acute Inpatient Care

Mara B. Antonoff, Ryan C. Shelstad, Constance C Schmitz, Jeffrey G Chipman, Jonathan D'Cunha

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


Introduction: Surgical interns encounter complex, acute care situations often managed with limited supervision. Furthermore, medical school training does not adequately prepare students for special surgical considerations. Using simulation training, we implemented a course aimed at improving surgical intern readiness for responding to unique, life-threatening issues encountered in daily surgical care. Methods: Twenty University of Minnesota surgical interns participated in the 3-week course. The first session consisted of interactive didactics and simulation covering hypoxia, shock, and metabolic disturbances; the second session addressed cardiopulmonary emergencies, including ventricular assist device and pacemaker use. Electronic simulation scenarios comprised the third session, allowing learners to demonstrate learned/practiced skills. The outcomes were assessed objectively (pretest and posttest) and subjectively (standardized feedback evaluations). Results: Fifteen learners completed the pretest and posttest. The mean absolute score increase was 14% with average relative score improvement of 43%. Twenty learners completed feedback evaluations using a standard 5-point Likert scale. Respondents scored the first 2 sessions on topic importance (5 = very important), giving the first session 4.90 (± 0.31) and the second session 4.45 (± 0.89). Respondents ranked their confidence in executing practiced skills on actual patients (5 = very confident) as 4.24 (± 0.71). There was uniform support for the value of the electronic simulation scenarios as enhanced learning tools. Conclusions: We developed a course for surgical interns incorporating didactics and simulation. Learners demonstrated objective improvement in testing and reported that the course topics were highly important. After course completion, learners provided feedback indicating a high level of confidence in executing practiced skills, suggesting improved preparation for acute surgical care.

Original languageEnglish (US)
Pages (from-to)248-254
Number of pages7
JournalJournal of surgical education
Issue number5
StatePublished - Sep 1 2009


  • Interpersonal and Communication Skills
  • Medical Knowledge
  • Patient Care
  • Practice-Based Learning and Improvement
  • curriculum
  • education
  • internship
  • patient simulation


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