Hammond Drayton A, Rowe Jordan M, Wiley Tessa L, Painter Jacob T
Clinical Pharmacy Specialist, Rush University Medical Center, Chicago, IL 60612, United States.
PGY2 Ambulatory Care Resident, CoxHealth, Springfield, MO 65802, United States.
Curr Pharm Teach Learn. 2018 Sep;10(9):1264-1271. doi: 10.1016/j.cptl.2018.06.007. Epub 2018 Jun 28.
To describe the effectiveness of an elective for preparing students to pursue postgraduate residency training (PGRT).
A prospective, observational study of students enrolled in the "Preparation for PGRT" elective conducted between January 2015 and December 2016 was conducted. Survey tools and assessments were developed to evaluate various aspects of the course. Curriculum vitae and letters of intent were evaluated using rubrics. A thematic analysis on students' reflections of mock interviews was performed using the copy-and-paste method in MAXQDA 12. Student demographics and survey and assessment results were characterized descriptively. Pre- and post-course responses on course content and PGRT intentions were compared using Wilcoxon signed rank and student t-tests.
Students' self-assessed understanding of all course objectives increased from pre- to post-course (p < 0.05). Students' self-assessments for the mock interviews and continuing education presentation revealed growth in abilities and recognition of challenges to address in the future. A significant number of students who were undecided about completing a fellowship (p = 0.0009) or graduate school (p = 0.014) after graduation prior to the course indicated they would not pursue these options. Pre- and post-course knowledge assessments were administered, which demonstrated an increase in knowledge in six of ten course focus areas and decrease in one (p < 0.05).
The elective improved students' confidence in achieving course objectives, clarified their intentions to pursue PGRT, and allowed for initial attempts at important skills (i.e., interviewing and providing a formal presentation) in a low stakes environment.
描述一门选修课在帮助学生为攻读研究生住院医师培训（PGRT）做准备方面的有效性。
对2015年1月至2016年12月期间参加“PGRT准备”选修课的学生进行了一项前瞻性观察研究。开发了调查工具和评估方法来评估课程的各个方面。使用评分标准对简历和意向书进行评估。在MAXQDA 12中使用复制粘贴法对学生模拟面试的反思进行了主题分析。对学生人口统计学以及调查和评估结果进行了描述性分析。使用Wilcoxon符号秩检验和学生t检验比较了课程前后对课程内容和PGRT意向的回答。
学生对所有课程目标的自我评估理解从课程前到课程后有所提高（p < 0.05）。学生对模拟面试和继续教育展示的自我评估显示能力有所提升，并认识到未来需要应对的挑战。在课程开始前对毕业后是否完成奖学金项目（p = 0.0009）或攻读研究生（p = 0.014）犹豫不决的大量学生表示他们不会选择这些选项。进行了课程前后的知识评估，结果表明在十个课程重点领域中的六个领域知识有所增加，一个领域知识减少（p < 0.05）。
该选修课提高了学生实现课程目标的信心，明确了他们攻读PGRT的意向，并让他们在低风险环境中初步尝试重要技能（即面试和进行正式展示）。
