RT Journal
A1 Garcia C, Neuburg M, Carlson-Sweet K
T1 A model to teach elliptical excision and basic suturing techniques
JF Archives of Dermatology
JO Archives of Dermatology
YR 2006
FD April 1
VO 142
IS 4
SP 523
OP 533
DO 10.1001/archderm.142.4.526
UL http://dx.doi.org/10.1001/archderm.142.4.526
AB 
Initially, residents undergo a 1- to 2-hour training session to learn the design and execution of elliptical excision, undermining, and various suturing techniques, including cutaneous simple interrupted and running, vertical mattress, and subcutaneous buried. Two weeks later, they perform the tasks again while the attending dermatologic surgeon grades their performance using a checklist and a global rating scale. The checklist describes 10 tasks broken down into smaller steps, and each step is marked as either “performed” or “failed to perform” (Table). The global rating scale is a subjective evaluation of the overall ability of trainees. It uses a sliding scale of 1 (unsatisfactory) to 5 (outstanding) to grade knowledge of technical details, handling of instruments and “tissue,” and smoothness or awkwardness of movements (global rating scale available as an online eTable). Feedback is provided immediately, and residents work on areas that need improvement before they attempt surgery in live patients.