St James's University Hospital NHS Trust, Leeds, West Yorkshire, UK.
J Surg Educ. 2013 May-Jun;70(3):326-33. doi: 10.1016/j.jsurg.2013.01.008.
Teaching in the operating room (OR) may add substantial value to undergraduate medical education but at present, the value of this as a core-learning environment is unclear. We assessed student attitudes to see how the experience may be improved.
All medical students from University of Leeds, UK were invited to complete an online-based questionnaire. The questionnaire gathered quantitative and qualitative responses relating to previous experiences, acquired benefits, and desired improvements. Students rated their overall satisfaction on a 10-point scale.
A total of 292 students (20.8%) responded to the survey, out of whom 91.4% had previous OR experience. The median overall satisfaction was 7/10; 43.1% described bad or unfavorable experiences. Common themes included feeling intimidated, unwelcome, or ignored by staff, unrealistic expectations of knowledge, and poor or inadequate learning experiences. Benefits of attending the OR were improvements in scrub technique (82.3%), knowledge of anatomy (72.3%), anesthetics (67.5%), and surgical procedures (86.1%). Desired improvements included more opportunity to participate in the procedure (74.4%), encouragement from supervisors (73.6%), improved teaching (71.4%), and better induction to the OR environment (56%).
Overall satisfaction of OR teaching is reasonable and many benefits are derived from attending the OR. However, bad experiences are common and this is detrimental to the student learning experience. The experience may be of increased value to undergraduate medical education within a dedicated and structured surgical teaching program.
在手术室（OR）进行教学可能会为本科生医学教育带来巨大的价值，但目前，这种核心学习环境的价值尚不清楚。我们评估了学生的态度，以了解如何改进这种体验。
英国利兹大学的所有医学生都被邀请填写在线问卷。该问卷收集了与先前经验、获得的收益和期望改进相关的定量和定性反馈。学生们对整体满意度进行了 10 分制的评分。
共有 292 名学生（20.8%）对调查做出了回应，其中 91.4%有过 OR 经验。总体满意度中位数为 7/10；43.1%的学生描述了糟糕或不利的体验。常见的主题包括感到被工作人员恐吓、不被欢迎或被忽视、对知识的不切实际的期望以及学习体验不佳或不足。参加 OR 的好处包括提高了刷手技术（82.3%）、解剖学知识（72.3%）、麻醉知识（67.5%）和手术程序知识（86.1%）。期望的改进包括更多参与手术的机会（74.4%）、来自主管的鼓励（73.6%）、改进教学（71.4%）和更好地适应 OR 环境（56%）。
OR 教学的整体满意度是合理的，并且从参加 OR 中获得了许多收益。然而，糟糕的体验很常见，这对学生的学习体验是不利的。在专门的、结构化的外科教学计划中，这种体验可能会对本科生医学教育具有更大的价值。
