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University of Bergen suturing skills assessment tool (UBAT)

Tool

Quality indicators Yes No
Grabs the needle with the instruments? (Not with fingers) 1 0
Holds the forceps correctly? 1 0
Penetrates the tissue with a 90° angle? (Penetrates and pulls needle out on the curve) 1 0
Grabs the suture (thread) in a correct fashion? (Not in a way that potentially could lead to suture breakage) 1 0
Manages the suture without tangling the ends in the knot? (Incorrect when: leaves the ends of the suture too long and does not grab the thread at the end) 1 0
Ties a correct square knot? 1 0
Makes parallel sutures? (Equal length from the wound edge and equal depth on both sides) 1 0
Gentle tissue handling? (No tissue damage) 1 0
Number of correct items in above list
Subjective assessment: Did the candidate display adequate suturing skills for safe clinical practice?

above adapted from: https://link.springer.com/article/10.1007/s00238-019-01615-w/tables/1

Comments

  1. mixes process with outcome
    1. parallel sutures and square knot)
    2. process 6, outcome 2
  2. conflates measures
    1. parallel sutures - depth and length are two independent measures
  3. does not account for frequency of mistakes in score
  4. some 'mistakes' less serious e.g. grabbing needle with instrument
  5. has a 'global' rating - but only “yes” or “no” for safe clinical practice

Reference

Almeland, S. K., Lindford, A., Sundhagen, H. P., Hufthammer, K. O., Strandenes, E., Svendsen, H. L., Guttormsen, A. B., & Hansson, E. (2020). The effect of microsurgical training on novice medical students’ basic surgical skills—A randomized controlled trial. European Journal of Plastic Surgery, 43(4), 459–466. https://doi.org/10.1007/s00238-019-01615-w

See also

ac/ubat.1596179263.txt.gz · Last modified: 2020/07/31 07:07 by admin