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解剖课上的手术示教对医学生对外科医生和外科职业认知的影响。

The influence of surgical demonstrations during an anatomy course on the perceptions of first-year medical students toward surgeons and a surgical career.

机构信息

Department of Surgery, University of Nebraska Medical Center College of Medicine, Omaha, Nebraska 68198, USA.

出版信息

J Surg Educ. 2010 Sep-Oct;67(5):320-4. doi: 10.1016/j.jsurg.2010.07.016.

Abstract

OBJECTIVE

We previously have demonstrated the educational benefits of surgical demonstrations to first-year medical students. The aim of this current study was to analyze the influence of these demonstrations on the perceptions of students toward surgeons and a possible career in surgery.

METHODS

A faculty member from the Department of Surgery provided an instruction on pancreatic malignancies and management to first-year medical students during their gross anatomy course. After this instruction, using a lightly embalmed cadaver, the clinically relevant anatomy was detailed and a pancreaticoduodenectomy was performed on the cadaver. Immediately after the demonstration, a brief survey was conducted to obtain feedback from the students about the experience.

RESULTS

A total of 170 students over 2 years returned the survey for a response rate of 69%. The demonstration provided 77% of students with a favorable impression of surgeons, and 90% of the students felt that this exposure gave them an understanding of the knowledge, skills, and qualities needed to become a surgeon. Additionally, 57% of respondents stated that watching the demonstration increased the likelihood of them pursuing a surgical career. For the 67% of students who were considering a surgery career, the demonstration reinforced their interest; however, for the students who were not interested in surgery, the demonstration did not alter their opinion.

CONCLUSION

The results of this study showed that surgical demonstrations to first-year medical students can influence their perceptions favorably about surgeons and a surgical career. This interaction provided students with information and motivation to pursue a career in surgery and also may counteract any negative stereotypes of the field that first-year students may have had.

摘要

目的

我们之前已经证明了手术示教对医学生的教育益处。本研究旨在分析这些示教对学生对外科医生和外科职业的看法的影响。

方法

外科系的一名教员在学生的大体解剖课程中提供了关于胰腺恶性肿瘤和治疗的指导。在该指导之后,使用轻度防腐的尸体详细讲解了相关的临床解剖结构,并在尸体上进行了胰十二指肠切除术。在演示结束后,立即进行了一项简短的调查,以从学生那里获得对该体验的反馈。

结果

在过去的两年中,共有 170 名学生返回了调查,回应率为 69%。该演示为 77%的学生提供了对外科医生的良好印象,90%的学生认为这种接触使他们了解了成为外科医生所需的知识、技能和素质。此外,57%的受访者表示,观看演示增加了他们从事外科职业的可能性。对于 67%考虑从事外科职业的学生来说,演示增强了他们的兴趣;然而,对于对外科不感兴趣的学生,演示并没有改变他们的看法。

结论

本研究的结果表明,向医学生进行外科演示可以使他们对外科医生和外科职业有良好的看法。这种互动为学生提供了有关外科职业的信息和动力,也可能消除一年级学生可能对外科领域的任何负面刻板印象。

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