近伴教学查房对基础外科实习学生满意度的影响。

Impact of near-peer teaching rounds on student satisfaction in the basic surgical clerkship.

作者信息

Lin Joseph A, Farrow Norma, Lindeman Brenessa M, Lidor Anne O

机构信息

Department of Surgery, Johns Hopkins University School of Medicine, 1800 Orleans St, Baltimore, MD 21287, USA; Department of Surgery, University of California San Francisco, 513 Parnassus Ave, San Francisco, CA 94143, USA.

Department of Surgery, Johns Hopkins University School of Medicine, 1800 Orleans St, Baltimore, MD 21287, USA; Department of Surgery, Duke University School of Medicine, Durham, NC, USA.

出版信息

Am J Surg. 2017 Jun;213(6):1163-1165. doi: 10.1016/j.amjsurg.2016.09.030. Epub 2016 Sep 30.

DOI:10.1016/j.amjsurg.2016.09.030

PMID:28277232

Abstract

BACKGROUND

Teaching rounds are rarely featured in the surgery clerkship. Senior students interested in surgery are suited to precept teaching rounds. Near-peer teaching can provide benefits to both learners and preceptors.

METHODS

Near-peer teaching rounds consisted of senior student-precetors leading groups of 3 clerkship students on teaching rounds once during the clerkship. We prospectively surveyed student satisfaction before and after instituting near-peer teaching rounds. We retrospectively gathered qualitative narratives from student-preceptors.

RESULTS

The survey response rate was 93% before near-peer teaching rounds were instituted and 85% after. Satisfaction with the learning environment and the quality and amount of small-group teaching were significantly higher after the institution of near-peer teaching rounds (P ≤ .001 for all 3). Satisfaction with the overall clerkship and baseline interest in surgery were not significantly different. Student-preceptors reported gaining valuable experience for future roles in academia as residents and attending surgeons.

CONCLUSIONS

Student satisfaction with small-group teaching and the learning environment increased after the institution of near-peer teaching rounds in the surgery clerkship. Student-preceptors gained early experience for careers in academic surgery.

摘要

背景

教学查房在外科实习中很少出现。对手术感兴趣的高年级学生适合担任教学查房的带教老师。近龄同伴教学对学习者和带教老师都有好处。

方法

近龄同伴教学查房由高年级学生带教老师在实习期间带领3名实习学生组成的小组进行一次教学查房。我们在开展近龄同伴教学查房之前和之后对学生满意度进行了前瞻性调查。我们回顾性收集了学生带教老师的定性叙述。

结果

在开展近龄同伴教学查房之前，调查回复率为93%，之后为85%。开展近龄同伴教学查房后，对学习环境、小组教学质量和数量的满意度显著提高（所有3项均P≤0.001）。对整体实习的满意度和对外科的基线兴趣没有显著差异。学生带教老师报告称，他们获得了宝贵的经验，有助于未来担任住院医师和主治外科医生时在学术界发挥作用。