Objective  To develop a real and comprehensive all-elements surgical simulation teaching for clinical skills training, and observe the differences between this method and the traditional standardized training.

  Methods  All interns were randomly divided into experimental group (all-elements surgical simulated surgery training group) and control group (traditional standardized training teaching group). The control group was trained according to the operating procedures in traditional textbooks, while the experimental group was trained according to the All-elements Surgical Simulated Surgery Tutorial compiled by the subject group. After the training was completed, the students took basic surgical skills assessment, and questionnaires was issued to investigate how they felt about the course.

  Results  A total of 80 interns were included, with 40 each in the test and control groups. In the examination of surgical clinical skills, the scores of students in the experimental group were higher than those in the control group, including disinfection and drape, incision and suture, ligation and hemostasis, dressing and suture removal, debridement, abscess incision, thoracic drainage extraction. The differences between the two groups were statistically significant (all P < 0.01). In the questionnaire for feedback of teaching effect, the scores of students in the experimental group were higher than those in the control group, including self-operation ability, clinical self-thinking ability, self-learning efficiency, teaching methods acceptance, and the differences between the groups were statistically significant (all P < 0.05).

  Conclusions  Compared with the traditional standardized training, the all-elements operation training can significantly improve the operation skill of interns. At the same time, interns have better acceptance and satisfaction with the new training method.