Evidence map›Paper›PMID 42158801›Full record

ArticleCureus2026

A Low-Cost, Portable Knot-Tying Trainer for Preclinical Surgical Skills Practice.

Autumn A Stevens, Tyler DePriest, Rita Bliesner, Annah M Smelley, Kaitlyn Haverty, James R Nolin

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Autumn A StevensMedicine, Alabama College of Osteopathic Medicine, Dothan, USA.
Tyler DePriestMechanical Engineering, University of South Florida, Tampa, USA.
Rita BliesnerMedicine, Alabama College of Osteopathic Medicine, Dothan, USA.
Annah M SmelleyMedicine, Alabama College of Osteopathic Medicine, Dothan, USA.
Kaitlyn HavertyMedicine, Alabama College of Osteopathic Medicine, Dothan, USA.
James R NolinSimulation, Alabama College of Osteopathic Medicine, Dothan, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Preclinical medical students often require additional opportunities for repeated practice to develop familiarity and confidence with foundational surgical skills before clinical clerkships. Access to affordable, portable practice tools outside of formal skills laboratories remains limited. We developed SutureStand, a low-cost, portable knot-tying trainer designed to support frequent, self-directed practice among preclinical medical students. Approach We conducted a pilot feasibility study to evaluate the usability and perceived educational value of the trainer among first- and second-year medical students at the Alabama College of Osteopathic Medicine. Participants assembled the device and practiced surgical hand ties during a structured skills session, followed by a survey to assess device perception. Evaluation Participants completed an anonymous survey assessing the ease of assembly, comparison with a standard knot-tying board, and the likelihood of future use of the device. Survey responses were analyzed using descriptive statistics, including mode analysis and chi-square testing to explore differences by class year. Participants rated the trainer as comparable to standard knot-tying boards and identified portability, affordability, and size as primary advantages. Most respondents reported high usability and perceived educational value, and a majority expressed interest in continued use of the trainer for future self-directed practice. Implications This low-cost, portable knot-tying trainer represents a feasible educational innovation to support early, self-directed surgical skills practice in preclinical medical education. By reducing barriers to access and facilitating repeated practice, the trainer may enhance early engagement with foundational surgical skills. Further evaluation using objective performance measures is warranted to better characterize its educational impact.

Indexed as

low-cost training devicemedical educationsurgical simulationsurgical skills trainingsuturing skills

Identifiers

PMID42158801
PMCPMC13182668

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.