Department of Neurosurgery, Baylor College of Medicine, Houston, Texas 77030, USA.
J Neurosurg. 2011 Jan;114(1):27-33. doi: 10.3171/2010.5.JNS10245. Epub 2010 Jun 18.
Medical student exposure to neurosurgery is limited. To improve the educational interactions between neurosurgeons and medical students as well as neurosurgical medical student rotations or clerkships (NSCs) we must first understand the current status.
Two questionnaires were sent, one to every neurosurgery course coordinator or director at each US neurosurgery residency program (99 questionnaires) and one to the associated parent medical school dean's office (91 questionnaires), to assess the current status of NSCs and the involvement of neurosurgeons at their respective institutions.
We received responses from 86 (87%) of 99 neurosurgery course coordinators or directors and 64 (70%) of 91 medical school deans' offices. Most NSCs do not have didactic lectures (53 [62%] of 86 NSCs), provide their medical students with a syllabus or educational handouts (53 [62%] of 86), or have a recommended/required textbook (77 [90%] of 86). The most common method of evaluating students in NSCs is a subjective performance evaluation. Of 64 medical school deans, 38 (59%) felt that neurosurgery should not be a required rotation. Neurosurgical rotations or clerkships are primarily offered to students in their 4th year of medical school, which may be too late for appropriate timing of residency applications. Only 21 (33%) of 64 NSCs offer neurosurgery rotations to 3rd-year students.
There is significant room for improvement in the neurosurgeon-to-medical student interactions in both the NSCs and during the didactic years of medical school.
医学生接触神经外科学的机会有限。为了改善神经外科医生与医学生之间的教育互动，以及神经外科医学生轮转或实习（NSC），我们首先必须了解现状。
我们向每个美国神经外科学住院医师计划的神经外科学课程协调员或主任发送了两份问卷（99 份问卷），并向相关母校外科学院长办公室发送了一份问卷（91 份问卷），以评估 NSCs 的现状以及神经外科医生在各自机构中的参与情况。
我们收到了 86 名（87%）神经外科学课程协调员或主任和 64 名（70%）外科学院长办公室的回复。大多数 NSCs 没有理论讲座（86 个 NSCs 中的 53 个，62%），为他们的医学生提供教学大纲或教育讲义（86 个 NSCs 中的 53 个，62%），或有推荐/必需的教科书（86 个 NSCs 中的 77 个，90%）。评估 NSCs 中学生的最常见方法是主观表现评估。在 64 位外科学院长中，38 位（59%）认为神经外科学不应该是必修轮转。神经外科轮转或实习主要提供给医学生在他们的第 4 年，这可能为时已晚，不适合住院医师申请的适当时间。只有 21 个（33%）的 NSCs 为三年级学生提供神经外科轮转。
在 NSCs 和医学生理论学习期间，神经外科医生与医学生之间的互动有很大的改进空间。
