Heimroth Jamie, Jones Victoria M, Howard Jeffrey D, Sutton Erica R H
Am Surg. 2018 Jun 1;84(6):783-788.
To promote residency preparedness, the Association of American Medical Colleges defined 13 core entrustable professional activities for entering residency (CEPAERs), which represent tasks that students should be able to perform on day one of residency. At the authors' institution, a four-week surgery boot camp course is offered to senior medical students, which may provide an effective mechanism for teaching the CEPAERs. Nine senior students participating in a surgery boot camp course were subjected to pre- and post-course surveys. Student expectations were closely aligned with the CEPAERs. Competence was demonstrated in all CEPAERs; however, four students did require remediation with Advanced Cardiovascular Life Support before achieving competence. In the "death on the wards module," we found a significant increase in student confidence (19.78, SD 1.47, P > 0.05 vs 31.56, SD 1.49, P < 0.01) and knowledge (16.11, SD 1.32, P > 0.05 vs 31.33, SD 2.04, P < 0.01). In a one-year follow-up survey, all participants agreed that the boot camp course was useful and positively impacted their intern year. Surgical boot camp courses provide an effective and reproducible means for teaching the CEPAERs and was found useful in preparing medical students for residency.
为提高住院医师培训准备水平，美国医学院协会确定了13项进入住院医师培训阶段的核心可托付专业活动（CEPAERs），这些活动代表了学生在住院医师培训第一天就应能够完成的任务。在作者所在机构，为高年级医学生提供了为期四周的外科集训课程，这可能为教授CEPAERs提供一种有效机制。对9名参加外科集训课程的高年级学生进行了课前和课后调查。学生的期望与CEPAERs密切相关。在所有CEPAERs中都展示了能力；然而，有4名学生在达到能力水平之前确实需要接受高级心血管生命支持方面的补习。在“病房死亡模块”中，我们发现学生的信心（19.78，标准差1.47，P>0.05对比31.56，标准差1.49，P<0.01）和知识（16.11，标准差1.32，P>0.05对比31.33，标准差2.04，P<0.01）有显著提高。在一项为期一年的随访调查中，所有参与者都认为集训课程很有用，并对他们的实习年产生了积极影响。外科集训课程为教授CEPAERs提供了一种有效且可重复的方法，并且被发现有助于医学生为住院医师培训做好准备。
