Shipper Edward S, Miller Sarah E, Hasty Brittany N, De La Cruz Monica M, Merrell Sylvia Bereknyei, Lin Dana T, Lau James N
Department of Surgery, Stanford Medical Center, Stanford University, Stanford, California.
Department of Surgery, Stanford Medical Center, Stanford University, Stanford, California.
J Surg Res. 2018 May;225:157-165. doi: 10.1016/j.jss.2018.01.002. Epub 2018 Feb 21.
Residency application rates to general surgery remain low. The purpose of this study is to describe the educational value of a curriculum designed to increase preclinical medical student interest in surgical careers to better understand the process by which medical students decide to pursue a career in surgery.
We used qualitative methodology to describe the educational value of a technical and nontechnical skills curriculum offered to preclinical medical students at our institution. We conducted semistructured interviews of students and instructors who completed the curriculum in 2016. The interviews were recorded, transcribed, and inductively coded. The data were analyzed for emergent themes.
A total of eight students and five instructors were interviewed. After analysis of 13 transcripts, four themes emerged: (1) The course provides a safe environment for learning, (2) acquisition and synthesis of basic technical skills increases preclinical student comfort in the operating room, (3) developing relationships with surgeons creates opportunities for extracurricular learning and scholarship, and (4) operative experiences can inspire students to explore a future career in surgery.
These factors can help inform the design of future interventions to increase student interest, with the ultimate goal of increasing the number of students who apply to surgical residency programs.
普通外科住院医师申请率仍然较低。本研究的目的是描述一门课程的教育价值,该课程旨在提高临床前医学生对外科职业的兴趣,以便更好地理解医学生决定从事外科职业的过程。
我们采用定性方法来描述本校为临床前医学生提供的技术和非技术技能课程的教育价值。我们对2016年完成该课程的学生和教师进行了半结构化访谈。访谈进行了录音、转录并进行归纳编码。对数据进行分析以找出新出现的主题。
共访谈了8名学生和5名教师。在分析了13份访谈记录后,出现了四个主题:(1)该课程为学习提供了安全的环境;(2)基本技术技能的获得与综合运用提高了临床前学生在手术室的舒适度;(3)与外科医生建立关系为课外学习和学术研究创造了机会;(4)手术体验能够激励学生探索未来的外科职业。
这些因素有助于为未来提高学生兴趣的干预措施设计提供参考,最终目标是增加申请外科住院医师培训项目的学生人数。