• Kristina J Liu, Elizabeth Tkachenko, Abigail Waldman, Marko T Boskovski, Rebecca I Hartman, Adriane A Levin, Bichchau M Nguyen, Emily S Ruiz, Victoria R Sharon, Laura Sowerby, Jeffrey Tiger, F Clarissa Yang, and Arash Mostaghimi.
• Department of Dermatology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts. Electronic address: kjliu@bwh.harvard.edu.
• J. Am. Acad. Dermatol. 2019 Dec 1; 81 (6): 1271-1276.

BackgroundMedical education is evolving to emphasize trainee engagement. The impact of a flipped classroom curriculum and surgical simulation on dermatology resident education has not been evaluated.ObjectiveTo assess the impact of video education and surgical simulation on dermatology resident procedural skills.MethodsWe created a curriculum on foundational surgical skills for 31 first- and second-year dermatology residents at 3 institutions. The flipped classroom approach replaces traditional in-person lectures with at-home viewing of instructional videos. After this self-directed learning, trainees had 3 hands-on sessions using simulated skin models. The Objective Structured Assessment of Technical Skills (OSATS) instrument was used to assess residents performing a simulated elliptical excision with intermediate repair before and after the curriculum. Residents completed precurriculum and postcurriculum surveys evaluating operative confidence and perceived value of the curriculum.ResultsResidents' total OSATS score increased from a median of 27 (interquartile range, 22-38.5) before the curriculum to 46 (interquartile range, 39.5-51.5) after the curriculum (P < .001). Self-reported confidence in surgical performance significantly improved, and residents were highly satisfied.LimitationsLimitations include the small sample size and potential influence from concurrent learning on surgical rotations.ConclusionsVideo education and simulation are effective for improving dermatology residents' procedural skills. We hope to serve as a template for other institutions and nondermatology trainees hoping to improve procedural skills.Copyright © 2019 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

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