医学生外科实习：特点和需求评估。
Medical student subinternships in surgery: characterization and needs assessment.
机构信息
Department of Surgery, Johns Hopkins Hospital, Baltimore, MD 21287, USA.
出版信息
Am J Surg. 2013 Feb;205(2):175-81. doi: 10.1016/j.amjsurg.2012.10.008.
BACKGROUND
Medical students commonly enroll in courses known as "subinternships" before residency application. This study investigated the experiences and needs of students completing subinternships in surgery.
METHODS
Electronic surveys were sent to medical students applying to the surgery residency program at our institution and to medical student clerkship directors for distribution nationally. Approximately 700 surveys were distributed with 275 completed (39%).
RESULTS
Sixty-one percent of respondents indicated subinternships influenced specialty choice, and 82% of this group applied in general surgery. General surgery applicants rated mentorship (93%) and clerkship experience (92%) as important factors for specialty choice. Technical skills education was rated as beneficial by 89% of respondents, but formal laboratories were included only in 21% of courses. Only 49% received course objectives, and less than 10% were given a reading schedule.
CONCLUSIONS
Opportunity exists to define a curriculum for surgical subinternships in order to address student needs for specific didactics for residency preparation and technical skill enhancement.
背景
医学生在申请住院医师之前通常会参加一些被称为“实习前课程”的课程。本研究调查了完成外科实习的学生的经历和需求。
方法
电子调查被发送给我们机构外科住院医师项目的医学生申请人和全国范围内的医学生实习主任以供分发。大约分发了 700 份调查，有 275 份完成（39%）。
结果
61%的受访者表示实习前课程影响了专业选择，其中 82%的人申请了普通外科。普通外科申请人将指导（93%）和实习经验（92%）评为专业选择的重要因素。技术技能教育被 89%的受访者评为有益，但只有 21%的课程包括正式实验室。只有 49%的人收到了课程目标，不到 10%的人收到了阅读计划。
结论
有机会为外科实习前课程制定课程，以满足学生对 residency 准备和技术技能提升的具体教学需求。
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