Peer-assisted Virtual Learning in Basic Surgical Skills for Medical Students in Malaysia during the COVID-19 Pandemic

Peer-assisted Virtual Learning in Basic Surgical Skills for Medical Students in Malaysia during the COVID-19 Pandemic

Raymen Arviin Chandrasagran, Yee Siew Lim , Muhammad Zulkarnain Abd Rahim, Woei Xian Lim, Abiramy Rajendra, Wen Han Chooi, June Lyn Goh, Yuki Julius Ng

Introduction:
The COVID-19 pandemic led to the suspension of all in-person medical teaching in Malaysia, including essential surgical skills training. In response, InciSioN Malaysia developed and conducted a virtual peer-to-peer (PTP) suturing workshop to assess its feasibility and reception among undergraduate medical students.
Methods:
Participants received a pre-workshop handbook detailing basic knotting and suturing techniques. The two-hour workshop was conducted via Zoom using a two-device setup: smartphones to demonstrate hands-on skills and laptops for interaction. Participants were divided into small PTP groups, with tutors demonstrating techniques in real-time and providing immediate feedback.
Results:
Tutors reported challenges in setting up equipment and ensuring proper visual angles. Some participants struggled with interpreting knotting instructions. Variability in camera positioning and unstable internet connections occasionally hindered feedback delivery. Despite these limitations, all participants reported satisfaction with the session, and 80% rated the workshop and lecture quality above 4 out of 5. Participants expressed increased motivation to continue practicing the taught skills.
Discussion:
Virtual PTP workshops reduce barriers such as time, cost, and travel, broadening access to surgical education, especially under restrictions or in underserved areas. While technical issues remain, they can be mitigated with pre-session setup guidance. Small group formats foster engagement and timely feedback.
Conclusion:
Online peer-led surgical skills workshops are a feasible and well-received approach for continuing surgical education. This model shows promise in expanding surgical training access, particularly in remote or resource-limited settings.

Keywords: Basic surgical skills; coronavirus disease 2019; medical students; peer teaching; virtual learning