摘要：AbstractThe purpose of this study was to look for equivalency between Self-directed (SD) and guided learning of a relatively complex surgical technique. Residents learned three Z-plasty repairs, were given a pre-test and after an hour of practice, a post-test. Fifteen surgical residents were randomly assigned into a SD group (choose practice order) or a Control group (prescribed a practice order yoked to a subject in the SD group). No learning advantage of guided practice over SD practice was found (p<.05). Our findings suggest that SD practice schedules may be in fact suitable for learning complex technical skills.
