Johnson Patricia, Sly Christine, Warnke Patrick H
Faculty of Health Sciences and Medicine, Bond University, Robina, Queensland, Australia.
Australas Med J. 2013;6(2):79-87. doi: 10.4066/AMJ.2013.1550. Epub 2013 Feb 28.
A major focus of the medical school curriculum is to ensure medical students are well prepared prior to entering clinical rotations, which includes the compulsory surgical rotation.
The objective of this research was to design and formally evaluate a set of real-life surgical workshops aimed at better preparing medical students for their clinical rotation in surgery. These workshops would be incorporated into the pre-clinical medical school curriculum.
Dedicated surgical workshops were introduced into the preclinical component of the Bachelor of Medicine/Bachelor of Surgery (MBBS) program at our University in 2009. These workshops encompassed training in the clinical skills needed in the perioperative and wider hospital setting. A survey comprising of eight to nine ranked questions (utilising a five-point Likert Scale) as well as three short answer questions was administered to the medical students after they completed their compulsory surgical clinical rotation.
The overall response rate to the survey evaluating the surgical workshops was 79% (123/155). The mean of the ranked questions ranged from 4.05 to 4.89 which indicated that the students found the workshops useful. When evaluating the short answer questions (via topic coding), additional information was provided that supported and explained the survey findings and also included suggestions for improvements.
The findings of the medical student survey demonstrated the value of incorporating dedicated preparatory surgical workshops in the medical school pre-clinical curriculum. However, further research is warranted to determine if this inclusion translated into improved student performance during the clinical surgical rotation.
医学院课程的一个主要重点是确保医学生在进入临床实习前做好充分准备,这包括必修的外科实习。
本研究的目的是设计并正式评估一套现实生活中的外科工作坊,旨在让医学生在外科临床实习中更好地做好准备。这些工作坊将纳入医学院的临床前课程。
2009年,我校将专门的外科工作坊引入医学学士/外科学士(MBBS)项目的临床前部分。这些工作坊涵盖了围手术期及更广泛医院环境所需临床技能的培训。在医学生完成必修的外科临床实习后,对他们进行了一项包含八到九个排序问题(采用五点李克特量表)以及三个简答题的调查。
评估外科工作坊的调查总体回复率为79%(123/155)。排序问题的平均分在4.05至4.89之间,这表明学生们认为这些工作坊很有用。在评估简答题(通过主题编码)时,提供了额外信息,这些信息支持并解释了调查结果,还包括改进建议。
医学生调查结果表明,在医学院临床前课程中纳入专门的外科预备工作坊具有价值。然而,有必要进一步研究这种纳入是否转化为临床外科实习期间学生表现的提高。