Flannery Thomas, Gormley Gerry
Department of Neurosurgery, Belfast Health & Social Care Trust , Belfast , UK.
Br J Neurosurg. 2014 Oct;28(5):680-4. doi: 10.3109/02688697.2014.896873. Epub 2014 Mar 14.
Medical students often attend the neurosurgical theatre during their clinical neurosciences attachment. However, few studies have been performed to objectively assess the value of this theatre-based learning experience. The main aim of this study was to explore student perceptions on the contribution of neurosurgical theatre attendance to clinical neuroscience teaching.
Third-year medical students undergoing their 2-week clinical neurosciences rotation at the Royal Hospitals Belfast were invited to participate in this study. A multi-method strategy was employed using a survey questionnaire comprising of closed and open-ended questions followed by semi-structured interviews to gain a greater 'in-depth' analysis of the potential contribution of neurosurgical theatre attendance to neuroscience teaching.
Based on the completed survey responses of 22 students, the overall experience of neurosurgical theatre-based learning was a positive one. 'In-depth' analysis from semi-structured interviews indicated that students felt that some aspects of their neurosurgical theatre attendance could be improved. Better preparation such as reading up on the case in hand and an introduction to simple theatre etiquette to put the student at ease (in particular, for students who had never attended theatre previously), would improve the learning experience. In addition, having an expectation of what students are expected to learn in theatre making it more learning outcomes-based would probably make it feel a more positive experience by the student.
The vast majority of students acknowledged the positive learning outcomes of neurosurgical theatre attendance and felt that it should be made a mandatory component of the curriculum.
医学生在临床神经科学实习期间经常会去神经外科手术室观摩。然而,很少有研究客观评估这种基于手术室的学习体验的价值。本研究的主要目的是探讨学生对神经外科手术室观摩对临床神经科学教学贡献的看法。
邀请在贝尔法斯特皇家医院进行为期2周临床神经科学轮转的三年级医学生参与本研究。采用了多方法策略,使用一份包含封闭式和开放式问题的调查问卷,随后进行半结构化访谈,以更深入地分析神经外科手术室观摩对神经科学教学的潜在贡献。
根据22名学生填写完整的调查问卷回复,基于神经外科手术室的学习总体体验是积极的。半结构化访谈的深入分析表明,学生们觉得他们神经外科手术室观摩的某些方面可以改进。更好的准备工作,如提前研读手头的病例,并介绍简单的手术室礼仪以使学生放松(特别是对于以前从未去过手术室的学生),将改善学习体验。此外,明确学生在手术室应该学到什么的期望,使其更基于学习成果,可能会让学生感觉这是一种更积极的体验。
绝大多数学生认可神经外科手术室观摩带来的积极学习成果,并认为它应该成为课程的必修部分。