The Sequence of Steps: A Key Concept Missing in Surgical Training—A Systematic Review and Recommendations to Include It

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dc.article.number1436
dc.catalogadorvfo
dc.contributor.authorGalvez-Yanjari, Víctor
dc.contributor.authorde la Fuente, René
dc.contributor.authorMuñoz-Gama, Jorge
dc.contributor.authorSepúlveda, Marcos
dc.date.accessioned2024-05-31T14:24:27Z
dc.date.available2024-05-31T14:24:27Z
dc.date.issued2023
dc.description.abstract© 2023 by the authors.Background: Surgical procedures have an inherent feature, which is the sequence of steps. Moreover, studies have shown variability in surgeons’ performances, which is valuable to expose residents to different ways to perform a procedure. However, it is unclear how to include the sequence of steps in training programs. Methods: We conducted a systematic review, including studies reporting explicit teaching of a standard sequence of steps, where assessment considered adherence to a standard sequence, and where faculty or students at any level participated. We searched for articles on PubMed, EMBASE, CINAHL, Web of Science, and Google Scholar databases. Results: We selected nine articles that met the inclusion criteria. The main strategy to teach the sequence was to use videos to demonstrate the procedure. The simulation was the main strategy to assess the learning of the sequence of steps. Non-standardized scoring protocols and written tests with variable validity evidence were the instruments used to assess the learning, and were focused on adherence to a standard sequence and the omission of steps. Conclusions: Teaching and learning assessment of a standard sequence of steps is scarcely reported in procedural skills training literature. More research is needed to evaluate whether the new strategies to teach and assess the order of steps work. We recommend the use of Surgical Process Models and Surgical Data Science to incorporate the sequence of steps when teaching and assessing procedural skills.
dc.description.funderANID FONDECYT
dc.description.funderAgencia Nacional de Investigación y Desarrollo de Chile
dc.fechaingreso.objetodigital2024-05-31
dc.identifier.doi10.3390/ijerph20021436
dc.identifier.eissn16604601
dc.identifier.issn1660-4601
dc.identifier.pubmedid36674190
dc.identifier.scopusidSCOPUS_ID:85146790097
dc.identifier.urihttps://doi.org/10.3390/ijerph20021436
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/86166
dc.issue.numero2
dc.language.isoen
dc.lugar.publicacionBasel, Switzerland
dc.publisherMDPI
dc.relation.ispartofInternational Journal of Environmental Research and Public Health
dc.revistaInternational Journal of Environmental Research and Public Health
dc.rightsacceso abierto
dc.subjectAssessment
dc.subjectProcedural skills
dc.subjectSequence of steps
dc.subjectTeaching
dc.subject.ods04 Quality education
dc.subject.ods03 Good health and well-being
dc.subject.odspa04 Educación de calidad
dc.subject.odspa03 Salud y bienestar
dc.titleThe Sequence of Steps: A Key Concept Missing in Surgical Training—A Systematic Review and Recommendations to Include It
dc.typeartículo
dc.volumen20
sipa.trazabilidadSCOPUS;02-03-2023
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