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Learning the simple skin suture is part of the surgical basics required for all medical students, including future general practitioners.
However, there is no data in the educational literature to help choose the best learning technique.
Several teams have offered video learning showing the correct technique. Level n+1 peer learning was also proposed, without and with supervision by an expert.
The investigators propose to carry out a prospective study comparing the quality of sutures and knowledge according to the chosen learning method.
Send to medical student a teaching package two weeks before simulation session to practice skin suture. There are 4 teaching packages related to 4 interventional groups The skin suture performed by medical students are recorded on video. 1 video per medical student.
The skin sutures recorded in these video are rated by two blinded expert with evaluation grid.
After the simulation session, the students complete knowledge, self-confidence, satisfaction and mental load questionnaires
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| gr A: powerpoint and tutor | Active Comparator | teaching with powerpoint and tutor |
|
| gr B: powerpoint and tutor and video skill | Active Comparator | teaching with powerpoint and tutor and video showing skill to perform a skin suture |
|
| gr C: powerpoint and tutor and video error | Active Comparator | teaching with powerpoint and tutor and video showing errors |
|
| gr D: powerpoint and tutor and video skill and error | Active Comparator | teaching with powerpoint and tutor and video showing skill to perform a skin suture and errors |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| powerpoint and tutor | Other | Powerpoint on indication of skin suture and tutor for the skill to perform skin suture |
|
| Measure | Description | Time Frame |
|---|---|---|
| quality of skin suture | Quality of suture on anonymized video recording during the assessment day, rated by the blinded expert using an evaluation grid evaluation grid is made up of 14 items from the litterature the minimum value is: 0 (worse outcome) and maximum value is: 15 points (better outcome) | 15 days after simulation session |
| Measure | Description | Time Frame |
|---|---|---|
| knowledge of student | 8 multiple choice questions (5 items per MCQ); the minimum value is: 0 (worse outcome) and maximum value is: 8 points (better outcome) | 15 days after simulation session |
| self-confidence of student |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lise Laclautre | Contact | 04 73 75 11 95 | drci@chu-clermontferrand.fr |
| Name | Affiliation | Role |
|---|---|---|
| Alexandre Lautrette | University Hospital, Clermont-Ferrand | Principal Investigator |
| Nicolas D'Ostrevy | University Hospital, Clermont-Ferrand | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Clermont-Ferrand | Recruiting | Clermont-Ferrand | 63000 | France |
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| video skill | Other | Video showing skill to perform a skin suture |
|
| video errors | Other | Video showing errors of skin suture |
|
self evaluation with a Likert scale (5points); point 0 corresponds to "no confidence"; point 5 corresponds to "total confidence"
| 15 days after simulation session |
| mental load of student | self evaluation with a Likert scale (9points); point 0 corresponds to "very low"; point 9 corresponds to "very high" | 15 days after simulation session |
| geraud galvaing |
| Centre Jean Perrin |
| Principal Investigator |