Sobbing Jackson, Duong Jennifer, Dong Frank, Grainger David
J Grad Med Educ. 2015 Sep;7(3):412-6. doi: 10.4300/JGME-D-14-00667.1.
Resident physicians provide much of the clinical teaching for medical students during their clerkship rotations, but often receive no formal preparation or structure for teaching and mentoring students.
We sought to evaluate a medical student mentoring program (MSMP) for students during their obstetrics and gynecology clerkship at a midwestern teaching hospital during the 2013-2014 academic year.
A senior resident physician was assigned 1 to 2 medical students for a 6-week rotation. Students were provided MSMP information during clerkship orientation; residents were given information on MSMP requirements and were randomly assigned to students. We surveyed students and residents about their experience with the MSMP.
Of 49 eligible medical students, 43 (88%) completed postsurveys. All students reported not having a mentoring program on other clerkships. Postclerkship, students indicated that they would participate in the MSMP again (32 of 38, 84%), and felt that having a mentor on other clerkships (30 of 36, 83%) would be beneficial. Students reported receiving educational (20 of 41, 49%) and procedural (33 of 41, 80%) instruction, personal development feedback (23 of 41, 56%), and career advice (14 of 41, 34%) from resident mentors. Out of a total of 45 possible surveys by residents, 17 (38%) were completed. Residents did not feel burdened by students (14 of 17, 82%), and all responded that they would participate in the MSMP again.
Feedback from medical students suggests that a mentoring program during clerkships may provide potential benefits for their careers and in 1-on-1 instruction.
住院医师在医学生临床实习轮转期间承担了大部分临床教学工作,但他们在教学和指导学生方面往往没有接受过正式培训,也缺乏相应的教学架构。
我们旨在评估2013 - 2014学年在一家中西部教学医院为妇产科临床实习医学生开展的医学生指导计划(MSMP)。
为一名高级住院医师分配1至2名医学生进行为期6周的轮转。在实习入职培训期间向学生提供MSMP信息;向住院医师提供MSMP要求的信息,并随机分配学生。我们就他们参与MSMP的经历对学生和住院医师进行了调查。
在49名符合条件的医学生中,43名(88%)完成了调查后问卷。所有学生均表示在其他临床实习中没有指导计划。实习结束后,表示会再次参与MSMP的学生有32名(38名中的84%),并认为在其他临床实习中有导师(36名中的30名,83%)会有帮助。学生报告称从住院医师导师处获得了教育指导(41名中的20名,49%)、操作指导(41名中的33名,80%)、个人发展反馈(41名中的23名,56%)以及职业建议(41名中的14名,34%)。在住院医师可能完成的总共45份调查问卷中,17份(38%)被完成。住院医师并不觉得学生给他们带来负担(17名中的14名,82%),并且所有人都表示会再次参与MSMP。
医学生的反馈表明,临床实习期间的指导计划可能对他们的职业发展以及一对一教学有潜在益处。