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医学生对医学教育中动物模型看法的主观评估。

A subjective assessment of medical student perceptions on animal models in medical education.

作者信息

Daly Shaun C, Wilson Nicole A, Rinewalt Daniel E, Bines Steven D, Luu Minh B, Myers Jonathan A

机构信息

Rush Medical College, Rush University Medical Center, Chicago, Illinois.

Rush Medical College, Rush University Medical Center, Chicago, Illinois.

出版信息

J Surg Educ. 2014 Jan-Feb;71(1):61-4. doi: 10.1016/j.jsurg.2013.06.017. Epub 2013 Aug 17.

Abstract

BACKGROUND

There remains increasing societal pressure to limit the use of animals in medical education. The purpose of this study was to explore the subjective perceptions that medical students exposed to an animal model curriculum feel about the laboratory and its continued use.

METHODS

A 6-month prospective study was performed during the medical college core surgical clerkship. Medical students participated in both a trainer-based simulation workshop (dry laboratory) and a live-tissue animal laboratory (wet laboratory) in addition to their operative experience. Students completed a 23-question Likert survey at the end of the surgical clerkship. Data were compared using the chi-square test.

RESULTS

More students reported increased subjective stress levels in the wet laboratory (32.4%) compared with the dry laboratory (5.4%, p < 0.001). In addition, more students felt the wet laboratory (vs dry laboratory) prepared them for the anxiety (55.4% vs 24.3%, p < 0.001) and technical demands (67.6% vs 44.6%, p = 0.005) of the operating room. The majority of medical students (>90%) felt the wet laboratory was an important experience and should be continued.

CONCLUSIONS

The results of this study show a subjective benefit perceived by medical students when it comes to participation in an animal laboratory during their surgical clerkship. As such, over 90% of participating medical students feel the animal laboratory is important in medical education and should be continued in their surgical curriculum.

摘要

背景

限制在医学教育中使用动物的社会压力日益增大。本研究的目的是探讨接触动物模型课程的医学生对实验室及其继续使用的主观感受。

方法

在医学院核心外科实习期间进行了一项为期6个月的前瞻性研究。医学生除了有手术经验外,还参加了基于培训师的模拟工作坊(干式实验室)和活体组织动物实验室(湿式实验室)。学生们在外科实习结束时完成了一项包含23个问题的李克特量表调查。使用卡方检验对数据进行比较。

结果

与干式实验室(5.4%)相比,更多学生报告在湿式实验室中主观压力水平增加(32.4%,p<0.001)。此外,更多学生认为湿式实验室(与干式实验室相比)使他们为手术室的焦虑(55.4%对24.3%,p<0.001)和技术要求(67.6%对44.6%,p=0.005)做好了准备。大多数医学生(>90%)认为湿式实验室是一次重要的经历,应该继续保留。

结论

本研究结果表明,医学生在外科实习期间参与动物实验室时能感受到主观益处。因此,超过90%的参与研究的医学生认为动物实验室在医学教育中很重要,应该在他们的外科课程中继续保留。

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