Boehler Margaret L, Rogers David A, Schwind Cathy J, Fortune John, Ketchum Janet, Dunnington Gary
Department of Surgery, Southern Illinois University School of Medicine, PO Box 19655, Springfield, IL 62794-9655, USA.
Am J Surg. 2004 Jun;187(6):695-7. doi: 10.1016/j.amjsurg.2003.12.052.
The transition from medical student to surgery internship can be stressful. The goal of this project was to design, implement, and evaluate a 1-month long elective course that would meet the majority of the American College of Surgeons Graduate Medical Education Committee prerequisites for graduate surgical education
The major elements of the curriculum included faculty- and resident-facilitated case-based sessions and cadaver dissections. In addition, the students participated in skills laboratory experiences, Intensive Care Unit rounds, and mock interviews and clinical pages. The students took a knowledge pretest and post-test that was compared with the performance of 8 surgical interns on the same examination.
The highest rated elements of the course were those that provided hands-on experience or practical knowledge. The post-test knowledge examination scores were significantly higher than pretest scores and surgical intern scores.
It was possible to develop a 1-month senior medical student elective course that provided students with the essential prerequisites believed to be essential for all surgical interns.
从医学生过渡到外科实习医生可能会有压力。本项目的目标是设计、实施并评估一门为期1个月的选修课程,该课程将满足美国外科医师学会毕业后医学教育委员会对毕业后外科教育的大部分先决条件。
课程的主要内容包括由教员和住院医师主持的基于病例的课程以及尸体解剖。此外,学生们还参加了技能实验室体验、重症监护病房查房、模拟面试和临床病例讨论。学生们进行了知识预测试和后测试,并与8名外科实习医生在同一考试中的表现进行了比较。
该课程中评分最高的部分是那些提供实践经验或实用知识的部分。后测知识考试成绩显著高于前测成绩和外科实习医生的成绩。
有可能开发一门为期1个月的高年级医学生选修课程,为学生提供所有外科实习医生认为必不可少的基本先决条件。