a Orthopaedic Specialist Registrar and NIHR Academic Clinical Fellow, Institute of Orthopaedics and Musculoskeletal Science, Division of Surgery & Interventional Science , University College London , London , UK.
b Orthopaedic Specialist Registrar University College Hospital , London , UK.
Med Teach. 2019 May;41(5):555-560. doi: 10.1080/0142159X.2018.1504163. Epub 2018 Sep 25.
The operating room (OR) is a dynamic, high-pressure clinical setting that offers a unique workplace-based learning environment for students. We undertook a narrative synthesis of the literature to identify factors that influence medical student learning in the OR, and we recommend educational strategies that maximize "theater-based learning". Key words were searched across three databases and Eligible studies included original articles published after 1997 presenting empirical research on factors that influence medical students learning in the OR. Methodological quality was measured using the Newcastle-Ottawa Score for education. We identified 764 studies on the topic of student learning in the OR, of which 16 studies fulfilled inclusion criteria. The quality assessments demonstrated a mean value of 2.1 out of a maximum of 6. We identified five key domains that influence student learning in the OR: emotional factors, socio-environmental factors, organizational factors, factors related to educational relevance and factors related to the educator. Educational strategies to enhance theater-based learning include: an induction and physical orientation, clear learning objectives, educator feedback, and simulation.
手术室(OR)是一个充满活力、高压的临床环境,为学生提供了独特的基于工作场所的学习环境。我们对文献进行了叙述性综合分析,以确定影响医学生在 OR 中学习的因素,并推荐了最大限度地提高“基于剧院的学习”的教育策略。关键词在三个数据库中进行了搜索,合格的研究包括 1997 年后发表的关于影响医学生在 OR 中学习的因素的原始文章。使用纽卡斯尔-渥太华评分法对教育的方法学质量进行了衡量。我们在 OR 学生学习主题上确定了 764 项研究,其中 16 项研究符合纳入标准。质量评估显示,最高得分为 6 分,平均得分为 2.1 分。我们确定了影响 OR 中学生学习的五个关键领域:情感因素、社会环境因素、组织因素、与教育相关性相关的因素和与教育者相关的因素。增强基于剧院的学习的教育策略包括:入职和物理定位、明确的学习目标、教育者反馈和模拟。