School of Medicine, Duke University, Durham, North Carolina.
School of Medicine, Duke University, Durham, North Carolina.
J Surg Educ. 2019 Mar-Apr;76(2):401-407. doi: 10.1016/j.jsurg.2018.07.016. Epub 2018 Aug 12.
The Health Career Academy (HCA) is a national program which provides a structure to introduce underserved high school students to healthcare careers. Utilizing the HCA framework, we adapted the curriculum to emphasize surgical cases and invited physicians to enrich the learning experience.
DESIGN, SETTING, AND PARTICIPANTS: Medical students adapted a surgical case-based learning (CBL) curriculum at a local high school serving students from a primarily ethnic minority and low-income community (61% Black, 20% Hispanic; 58% free or reduced lunch). Each grade level received a minimum of ten, 90-minute CBL sessions. Expert faculty lecturers supplemented lessons. Medical student volunteers and 10th and 11th grade students completed postsemester surveys.
Over four semesters, HCA held 44 sessions, with 81 students graduating from the program. A total of 66% of sessions featured at least one faculty volunteer. A total of 36 students in 10th and 11th grade and 15 medical student volunteers completed postparticipation surveys. A total of 46.2% of 11th grade students previously participated in the 10th grade curriculum. On a scale of 1 to 4, students rated HCA highly in its overview of career options (mean 3.61, [SD 0.5]) and instilling understanding of patient care (3.78 [0.42]). Students enjoyed learning about career paths (3.61 [0.50]) and health topics (3.83 [0.39]). Of 10th and 11th grade students, 100% considered a healthcare career, with 34.8% of 10th and 61.5% of 11th grade students expressing interest in pursuing a surgical specialty. After volunteering, medical students felt like better educators (4.47 [0.64]) and were more likely to pursue teaching roles (4.2 [0.86]).
The Duke HCA chapter implemented the HCA program featuring CBL sessions emphasizing surgical cases. This program engaged minority students and potentially contributed to student interest in surgical careers. It helped to prepare medical students for future teaching roles. An interactive, surgery-focused program may increase the number of minority youth interested in pursuing health careers.
健康职业学院（HCA）是一个为服务不足的高中生提供医疗职业介绍的全国性项目。我们利用 HCA 框架，改编了课程，强调手术案例，并邀请医生来丰富学习体验。
设计、地点和参与者：医学生在当地一所高中为学生服务，这些学生主要来自少数民族和低收入社区（61%为黑人，20%为西班牙裔；58%享受免费或减价午餐），利用基于案例的学习（CBL）课程改编了一门手术课程，并邀请医生来丰富学习体验。每个年级至少接受了十次 90 分钟的 CBL 课程。专家教师补充了课程。医学专业学生志愿者和十年级和十一年级的学生在学期结束后完成了调查。
在四个学期中，HCA 共举办了 44 次会议，共有 81 名学生毕业。共有 66%的课程至少有一名教师志愿者参加。共有 36 名十年级和十一年级学生以及 15 名医学专业学生志愿者完成了参与后的调查。共有 46.2%的十一年级学生之前参加过十年级的课程。在 1 到 4 的评分标准中，学生对 HCA 提供的职业选择概述（平均 3.61，[标准差 0.5]）和灌输对患者护理的理解（3.78 [0.42]）评价很高。学生们喜欢学习职业道路（3.61 [0.50]）和健康主题（3.83 [0.39]）。在十年级和十一年级学生中，100%的学生考虑从事医疗保健工作，其中 34.8%的十年级学生和 61.5%的十一年级学生对从事外科专业感兴趣。在志愿服务后，医学生感觉自己像更好的教育者（4.47 [0.64]），并且更有可能从事教学工作（4.2 [0.86]）。
杜克 HCA 分会实施了 HCA 项目，其特点是强调手术案例的 CBL 课程。该项目吸引了少数民族学生，并可能促使学生对外科职业产生兴趣。它帮助医学生为未来的教学角色做好了准备。一个互动的、以手术为重点的项目可能会增加对从事健康职业感兴趣的少数族裔青年的数量。
