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Comparison of Peyton's Four-Step Approach and Halsted's 'See One, Do One' Method for Teaching Basic Surgical Skills

NCT07735026 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 50

Last updated 2026-08-10

No results posted yet for this study

Summary

This study aimed to compare Halsted's "See One, Do One" method with Peyton's Four-Step Approach for teaching basic surgical skills to undergraduate medical students in a simulated skills-laboratory setting at Department of Surgery, Dow University of Health Sciences \& Dr. Ruth K. M. Pfau Civil Hospital Karachi. Medical students were randomised to Halsted and Peyton Arms and were taught Four Surgical Skills i-e Gloving by open method, Incision Making, Interrupted suturing, One-handed reef knot. After three months, all participants were recalled to perform the same set of skills. Each participant performed individually in a controlled setting while being video recorded. The recordings were later evaluated by an independent assessor(academic surgeon) blinded to the participants' group allocation.

Skill performance was assessed using a six-point Likert scale, where 1 = unsatisfactory, 2 = satisfactory with mistakes, 3 = satisfactory, 4 = average, 5 = good, and 6 = perfect.

Conditions

  • Retention of Basic Surgical Skills
  • Surgical Skills Performance Score

Interventions

BEHAVIORAL

Halsted's approach

Participants in Halsted group were taught the following four skills employing Halsted 'see one do one' approach: 1. Gloving by open method. 2. Incision Making 3. Interrupted suturing 4. One-handed reef knot

BEHAVIORAL

Peyton's approach

Participants in this group were taught the following four skills employing Peyton's Four-step approach: 1. Gloving by open method. 2. Incision Making 3. Interrupted suturing 4. One-handed reef knot

Sponsors & Collaborators

  • Dow University of Health Sciences

    lead OTHER

Principal Investigators

  • Syed Ali Haider, FCPS,F.MAS, FACS · Dow University of Health Sciences & Dr. Ruth K. M. Pfau Civil Hospital Karachi

Study Design

Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Model
PARALLEL

Eligibility

Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2025-01-09
Primary Completion
2026-03-23
Completion
2026-03-23

Countries

  • Pakistan

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07735026 on ClinicalTrials.gov