Thoughtful surgical practice for therapeutic self: A randomized control trial

  • Tausief Fatima Ameer-Ud-Din-Medical college Lahore
  • Rehan Ahmed Khan Riphah International Medical College
  • Faryal Azher Rawalpindi Medical University Rawalpindi
  • Usman Mahboob Khyber Medical University
Keywords: Reflective practice, Clinical skill, Surgical training activities, Clinical skill competencies


Objectives: To determine the role of structured reflection in teaching basic surgical skills in undergraduate students.

Methods: A randomized control trial was done in two medical colleges of Punjab, from January to December 2017 in which participants were divided into two groups through stratified random sampling. Structured reflection was done by interventional group after training. Post-test was taken to assess their surgical skills. Independent t-test compared the mean of two groups. One-way ANOVA was calculated to measure the difference within the different sub-categories of experimental group.

Results: Out of 140 students that participated in the study, 138 students stayed till the end (retention rate 98.5%, attrition rate 1.5%). Independent t-test (p-value = 0.01) showed statistically significant difference in both control and interventional groups. One-way ANOVA with robust test of equality of Means showed a positive relationship of reflective capacity and acquisition of surgical skills.

Conclusion: The novices who demonstrates better reflective capacity exhibit better acquisition of surgical skills.


How to cite this:
Fatima T, Khan RA, Azhar F, Mahboob U. Thoughtful surgical practice for therapeutic self: A randomized control trial. Pak J Med Sci. 2020;36(7):1466-1470. doi:

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Rehan Ahmed Khan, Riphah International Medical College

MBBS(Pak), FCPS (Pak), FRCS (Ire), JM-HPE (Ned), MSc HPE (UK), PhD (Scholar) University of Maastricht (Ned)

Professor of surgery


Rawalpindi, Pakistan.

Faryal Azher, Rawalpindi Medical University Rawalpindi


Assistant professor surgery

Rawalpindi medical college

Rawalpindi, Pakistan

Usman Mahboob, Khyber Medical University


Institute of Health Professions Education & Research (IHPER)

Khyber Medical University (KMU)

Peshawar, Pakistan.

How to Cite
Fatima, T., Khan, R., Azher, F., & Mahboob, U. (2020). Thoughtful surgical practice for therapeutic self: A randomized control trial. Pakistan Journal of Medical Sciences, 36(7).
Original Articles