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医学生在进行外科实习前的认知和动机。

Medical students' perceptions and motivations prior to their surgery clerkship.

机构信息

Department of Surgery, Massachusetts General Hospital, 55 Fruit Street GRB 425, Boston, MA, 02114, United States.

Department of Medicine, Massachusetts General Hospital, 55 Fruit Street GRB 425, Boston, MA, 02114, United States.

出版信息

Am J Surg. 2019 Aug;218(2):424-429. doi: 10.1016/j.amjsurg.2019.01.010. Epub 2019 Jan 21.

Abstract

BACKGROUND

This study aims to determine the effect of a pre-clerkship workshop on medical students' perceptions of surgery and surgeons and to describe their concerns and learning goals.

METHODS

Thirty-nine medical students completed surveys before and after a workshop preceding their surgery clerkship. Quantitative data and free responses that were inductively coded were used to assess effectiveness.

RESULTS

Perceptions from 38 students (response rate = 97.4%) significantly improved for 11 of 21 items. At pre-workshop, the most frequently cited learning goals were improving technical skills (58%), surgical knowledge (53%), and understanding surgical culture and work (53%). Students' top concerns were meeting clerkship demands (68%) and being evaluated (55%). After the workshop, student learning objectives and concerns remained largely unchanged.

CONCLUSIONS

A pre-clerkship workshop improved student perceptions of surgery and surgeons. Understanding students' intrinsic motivations may facilitate future clerkship curriculum improvement via better alignment of educator and student goals and objectives.

摘要

背景

本研究旨在确定临床前研讨会对医学生对手术和外科医生的看法的影响,并描述他们的关注点和学习目标。

方法

39 名医学生在手术实习前完成了研讨会前后的调查。使用定量数据和进行归纳编码的自由回答来评估效果。

结果

21 项中的 11 项,38 名学生(应答率=97.4%)的看法显著改善。在研讨会前,提高技术技能(58%)、手术知识(53%)和理解手术文化和工作(53%)是最常被提到的学习目标。学生们最关心的是满足实习要求(68%)和被评估(55%)。研讨会结束后,学生的学习目标和关注点基本保持不变。

结论

临床前研讨会提高了学生对手术和外科医生的看法。了解学生的内在动机可以通过更好地协调教育者和学生的目标和目的,促进未来实习课程的改进。

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