Tatum Roger P, Jensen Aaron, Langdale Lorrie A
Department of Surgery, University of Washington, School of Medicine, Seattle, WA 98108, USA.
Am J Surg. 2009 Sep;198(3):436-41. doi: 10.1016/j.amjsurg.2008.11.035. Epub 2009 Apr 1.
The purpose of this analysis was to determine if the surgical clerkship model and site affect educational outcomes and student postclerkship perceptions.
Data from University of Washington students participating in surgical clerkships at traditional/academic or community/apprentice sites across Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) between 2005 and 2007 were gathered retrospectively. Comparisons of final examination scores as well as postclerkship student evaluations of the educational experience were made between traditional and community training sites.
The mean final examination scores at WWAMI sites were significantly higher than those at traditional academic sites. Furthermore, WWAMI sites were rated higher with respect to time spent by faculty in direct observation, quality of the clerkship as a whole, and overall contribution to medical education.
Community surgical clerkship sites remote from an academic institution can provide an excellent learning experience for students.
本分析的目的是确定外科实习模式和实习地点是否会影响教育成果以及学生实习后的看法。
回顾性收集了2005年至2007年期间华盛顿大学学生在华盛顿、怀俄明、阿拉斯加、蒙大拿和爱达荷（WWAMI）地区的传统/学术或社区/学徒制地点参加外科实习的数据。对传统培训地点和社区培训地点的期末考试成绩以及学生实习后对教育经历的评价进行了比较。
WWAMI地区的平均期末考试成绩显著高于传统学术地点。此外，在教师直接观察所花费的时间、整个实习的质量以及对医学教育的总体贡献方面，WWAMI地区的评分更高。
远离学术机构的社区外科实习地点可以为学生提供出色的学习体验。
