从事医学职业是正确的选择吗？医师见习项目对本科医学预科学生的影响。

Is a career in medicine the right choice? The impact of a physician shadowing program on undergraduate premedical students.

作者信息

Wang Jennifer Y, Lin Hillary, Lewis Patricia Y, Fetterman David M, Gesundheit Neil

机构信息

J.Y. Wang is a senior medical student, Stanford School of Medicine, Stanford, California. H. Lin is a senior medical student, Stanford School of Medicine, Stanford, California. P.Y. Lewis is an undergraduate premedical adviser, Stanford University Office of Undergraduate Advising and Research, Stanford, California. D.M. Fetterman is professor of business, University of Charleston, Charleston, West Virginia, and professor of anthropology, San Jose State University, California, and president, Fetterman & Associates, San Jose, California. N. Gesundheit is professor of medicine and associate dean for student advising, Stanford School of Medicine, Stanford, California.

出版信息

Acad Med. 2015 May;90(5):629-33. doi: 10.1097/ACM.0000000000000615.

DOI:10.1097/ACM.0000000000000615

PMID:25565263

Abstract

PROBLEM

Undergraduate (i.e., baccalaureate) premedical students have limited exposure to clinical practice before applying to medical school-a shortcoming, given the personal and financial resources required to complete medical training.

APPROACH

The Stanford Immersion in Medicine Series (SIMS) is a program that streamlines the completion of regulatory requirements for premedical students and allows them to develop one-on-one mentor-mentee relationships with practicing physicians. The program, offered quarterly since 2007, is an elective available for Stanford University sophomores, juniors, and seniors. Participants apply to the program and, if accepted, receive patient rights and professionalism training. Students shadow the physician they are paired with at least four times and submit a reflective essay about their experience.SIMS program coordinators administered surveys before and after shadowing to assess changes in students' perceptions and understanding of medical careers.

OUTCOMES

The authors observed, in the 61 Stanford premedical students who participated in SIMS between March and June 2010 and completed both pre- and postprogram questionnaires, significant increases in familiarity with physician responsibilities and in understanding physician-patient interactions. The authors detected no significant changes in student commitment to pursuing medicine. Student perceptions of the value of shadowing-high both pre- and post shadowing-did not change.

NEXT STEPS

Physician shadowing by premedical baccalaureate students appears to promote an understanding of physician roles and workplace challenges. Future studies should identify the ideal timing, format, and duration of shadowing to optimize the experience and allow students to make informed decisions about whether to pursue a medical career.

摘要

问题

本科（即学士学位）医学预科学生在申请医学院之前接触临床实践的机会有限——考虑到完成医学培训所需的个人和财务资源，这是一个缺点。

方法

斯坦福医学沉浸式系列课程（SIMS）是一个项目，它简化了医学预科学生的监管要求，并使他们能够与执业医师建立一对一的师徒关系。该项目自2007年起每季度提供一次，是斯坦福大学大二、大三和大四学生的选修课。参与者申请该项目，若被接受，将接受患者权利和职业素养培训。学生至少跟随与其配对的医生见习四次，并提交一篇关于其经历的反思性文章。SIMS项目协调员在见习前后进行了调查，以评估学生对医学职业的认知和理解的变化。