Abstract
This article was migrated. The article was not marked as recommended. Background Competency in surgical scrubbing, gowning and gloving (scrubbing-in) procedures is necessary to participate in surgery, but difficult for trainees to learn due to the fast pace of the operating room and limited availability of experts to provide training. Current methods of scrubbing-in procedures are antiquated. Simulation-based education aligns with the paradigm shift occurring in medical education as we transition from passive models. This study utilized the Delphi technique to identify necessary items to include in a scrubbing-in checklist that can be used in future simulation and assessment tools.MethodsSurgeon experts participated in three rounds of a Delphi process. The panel consisted of surgical specialty residents, fellows and attending surgeons from gynecology, urology, general surgery, plastic, orthopedic and neurosurgery.ResultsFrom January 2018 to September 2018, 39 experts from 6 different surgical subspecialties participated in three Delphi survey rounds. Of the 43 items identified during the first round, 30 (70%) resulted with an importance rating > 4.0. During the final round, a consensus of > 85% was reached for 22 total items (73%).ConclusionWe developed a 22-step checklist for scrubbing-in procedures utilizing the Delphi technique. This checklist will enhance undergraduate medical education simulation curriculums and assessments.
Highlights
Surgical scrubbing, gowning and gloving are integral skills necessary to participate in surgery
A reliable and validated checklist can be incorporated into simulation curricula and clerkship Objective Structured Clinical Examinations (OSCEs) to assess competency in this necessary skill. Our study addresses this gap in undergraduate medical education via the use of the Delphi technique to identify necessary items to include in a checklist for surgical scrubbing, gowning and gloving that can be used in a future simulation and assessment tools
Research assessing the reliability and validity of our checklist is ongoing after which the checklist can be incorporated into undergraduate medical education simulation curriculum and assessment
Summary
Surgical scrubbing, gowning and gloving are integral skills necessary to participate in surgery These skills are difficult for medical trainees to learn due to the fast pace of the operating room (OR), and the limited time and availability of expert medical professionals to provide training. Further compounding these barriers are ineffective teaching methods and the pressure of increased risk to patients due to the inherent high stakes environment of the OR (Park et al, 2007; Pirie, 2010b; Pirie, 2010a; Samia et al, 2013). This study utilized the Delphi technique to identify necessary items to include in a scrubbing-in checklist that can be used in future simulation and assessment tools
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