DeMaria Samuel, Bryson Ethan O, Bodian Carol, Khelemsky Yury, Sim Alan J, Schwartz Andrew D, Katz Daniel, Levine Adam I
Department of Anesthesiology, Mount Sinai Medical Center, New York, NY 10029, USA.
Middle East J Anaesthesiol. 2011 Oct;21(3):347-53.
The development of medical students' perceptions of different medical specialties is based on many factors and influences their career choices and appreciation of other practitioners' knowledge and skills. The goal of this study was to determine if participation in a series of anesthesiologist-run, simulation-based physiology labs changed first year medical students' perceptions of anesthesiologists.
One hundred first-year medical students were surveyed at random three months before completion of a simulation-based physiology lab run by anesthesiologists. All participants received the same survey instrument, which employed a 5-point Rating Scale to rate the appropriateness of several descriptive terms as they apply to a particular specialist or specialty. A post-simulation survey was performed to track changes in attitudes.
Response rates to the survey before and after the simulation labs were 75% and 97% (ofthe initial cohort responding), respectively. All students who filled out the post-simulation surveys had been exposed to anesthesiologists in the prior three months whereas none had interacted with surgeons in the interim. Nearly all had interacted with internal medicine specialists in that time period. No changes in the medical students' perceptions of surgeons or internal medicine specialists were evident. Statistically significant changes were found for most descriptors of anesthesiologists, with a trend towards a more favorable perception after the simulation program.
Using a survey instrument containing descriptors of different medical specialists and specialties, we found an improved attitude towards anesthesiology after medical students participated in an anesthesiologist-run simulation-based physiology lab series. Given the importance of providing high quality medical education and attracting quality applicants to the field, integrati-on of anesthesiology staff into medical student courses at the non-clinical level appears useful.
医学生对不同医学专业的认知发展受多种因素影响，这会影响他们的职业选择以及对其他从业者知识和技能的评价。本研究的目的是确定参与一系列由麻醉医生主导的、基于模拟的生理学实验室是否会改变一年级医学生对麻醉医生的认知。
在由麻醉医生主导的基于模拟的生理学实验室课程结束前三个月，对100名一年级医学生进行随机调查。所有参与者都收到相同的调查问卷，该问卷采用5分制评分量表来评估几个描述性术语适用于特定专科医生或专业的程度。进行模拟后调查以跟踪态度变化。
模拟实验室前后的调查回复率分别为75%和97%（基于最初回复的队列）。所有填写模拟后调查问卷的学生在之前三个月都接触过麻醉医生，而在此期间没有人与外科医生互动过。几乎所有人在此期间都与内科医生互动过。医学生对外科医生或内科医生的认知没有明显变化。在麻醉医生的大多数描述词方面发现了具有统计学意义的变化，模拟课程后有更积极认知的趋势。
通过使用包含不同医学专科医生和专业描述词的调查问卷，我们发现医学生参与由麻醉医生主导的基于模拟的生理学实验室系列课程后，对麻醉学的态度有所改善。鉴于提供高质量医学教育和吸引优秀申请者进入该领域的重要性，在非临床层面将麻醉学工作人员纳入医学生课程似乎是有用的。
