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Abstract Title | Emergency surgical skill training for military medical students in cadaveric models

Authors

Hsu-Kai Huang
Hao-Ming Chang
Hung Chang
Chien-Sung Tsai
Jyh-Cherng Yu
Kuo-Sing Ma

Theme

10AA Surgery

INSTITUTION

Department of Surgery,Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
Department of Anatomy, National Defense Medical Center, Taipei, Taiwan

Background

Our students need to perform military medical service independently after graduation. Reduction in working hours and legal restrictions of interns resulted in lack of operative experience and confidence. We aim to use the embalmed cadavers to recreating clinical scenarios for emergency surgical skills training.

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Summary of Work

This program is held annually since 2006. Surgical skills included cricothyroidotomy, tube thoracostomy, diagnostic peritoneal lavage, central venous catheterization, pericardiocentesis, venous cutdown, fasciotomy and skeletal traction. Feedback was obtained from the participants by questionnaire. All incisions and defects were repaired and cadavers were prepared for human dissection program of second-year medical students.

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Summary of Results

Students were appreciative of the opportunity to perform emergency surgical intervention. The pass rate for Objective Structured Clinical Examination (OSCE) in 2013 and 2014 were both 100%.

Conclusion

Cadaver is a good teaching model for emergency surgical skills training. Students can improve their operative confidence and consequently patient safety in emergency management.

Take-home Messages

Cadaveric model is a feasible and economical method for emergency surgical skills training and cadavers can be preserved for human dissection program after repairing defect. Students can improve surgical skills and operative confidence in emergency care.

Background

Cadaveric dissection is the fundamental course in teaching human anatomy and simulation models are used for surgical skills training. Pass of the Objective Structured Clinical Examination (OSCE) is required by the Ministry of Examination before participate in the medical licensing exam step 2 in Taiwan. We aim to integrate the recourses from medical school and hospital and use the embalmed cadavers to re-create clinical scenarios for surgical skill training.