The Johns Hopkins University School of Medicine, Baltimore, Maryland.
JAMA Surg. 2013 Oct;148(10):968-70. doi: 10.1001/jamasurg.2013.363.
Decreasing application into trauma surgery may be attributed to decreased exposure during medical school. We instituted a voluntary trauma call program for students to provide exposure to the field. After 3 years, participants completed a survey to gauge their experience. Of 126 students who participated, 68 completed the survey (54%). Interest in trauma surgery among students not previously planning on a career in surgery (n = 48) improved after the experience (4.4-5.3 of 10 points; P < .005). Operative experience, exposure to a higher number of trauma cases, and time with residents were associated with increased interest in trauma surgery. Witnessing patient death for the first time was associated with decreased interest in trauma surgery. A voluntary overnight shadowing program improves medical students' perceptions of trauma surgery and increases their reported likelihood to apply into a surgical residency.
减少创伤外科的应用可能归因于医学院期间接触的减少。我们为学生设立了一个自愿的创伤呼叫计划，以提供对该领域的接触。3 年后，参与者完成了一项调查，以评估他们的经验。在 126 名参与的学生中，有 68 名（54%）完成了调查。在经历之后，原本没有计划从事外科手术职业的学生对创伤外科的兴趣增加（从 10 分中的 4.4 分提高到 5.3 分；P <.005）。手术经验、接触更多创伤病例和与住院医生在一起的时间与对创伤外科的兴趣增加有关。首次目睹患者死亡与对创伤外科的兴趣降低有关。自愿的过夜观察计划可以改善医学生对创伤外科的看法，并增加他们申请外科住院医师的可能性。
