Miller Sarah, Shipper Edward, Hasty Brittany, Bereknyei Merrell Sylvia, Lee Edmund W, Lin Dana, Lau James N
Medical Student, Stanford University School of Medicine.
Surgical Education Fellow, Goodman Surgical Education Center, Stanford University School of Medicine.
MedEdPORTAL. 2018 Nov 28;14:10775. doi: 10.15766/mep_2374-8265.10775.
Early exposure to surgery in a positive learning environment can contribute to increased student interest. The primary objectives of this study included developing increased comfort in the operating room (OR) environment, confidence in surgical skills, and mentorship for students interested in surgery.
The course comprised seven 2-hour sessions covering both nontechnical and technical skills facilitated by attending and resident surgeons. Sessions included nontechnical skills training, basic knot tying and suturing, laparoscopic surgical skills, and high-fidelity operative simulations on animal and cadaver models. The curriculum also matched students with faculty mentors in order to scrub into operative cases. Surveys assessing self-reported comfort in the OR, confidence levels in surgical skills, and whether students had mentors in surgery were distributed before and after the course.
Thirty preclinical medical students were enrolled in the course in 2016 and an additional 41 students in 2017. Results showed increased confidence in all skills and in comfort in the OR, as well as increased surgeon mentorship. Thirty-two students who completed the course entered clinical rotations in 2018 and, when surveyed, reported increased confidence in the aforementioned domains and in their preparedness for their surgery clerkship, compared to 49 peers who had not completed the course.
The course successfully increased comfort in the OR, increased confidence in performing surgical skills, and provided students with mentors in surgery, all of which will hopefully foster positive experiences during their surgery clerkship and ultimately increase their consideration of surgery as a career.
在积极的学习环境中早期接触外科手术可提高学生的兴趣。本研究的主要目标包括提高学生在手术室环境中的舒适度、增强其手术技能信心以及为对手术感兴趣的学生提供指导。
该课程包括由主治医生和住院医生主持的七次两小时课程，涵盖非技术和技术技能。课程内容包括非技术技能培训、基本打结和缝合、腹腔镜手术技能以及在动物和尸体模型上进行的高保真手术模拟。课程还为学生安排了教师导师，以便他们能参与手术病例。在课程前后发放调查问卷，评估学生自我报告的在手术室的舒适度、手术技能信心水平以及是否有手术方面的导师。
2016年有30名临床前医学生参加了该课程，2017年又有41名学生参加。结果显示，学生在所有技能方面的信心、在手术室的舒适度以及手术导师指导方面均有所增加。2018年，32名完成课程的学生进入临床轮转，接受调查时，与49名未完成课程的同龄人相比，他们在上述领域的信心以及对手术实习的准备程度均有所提高。
该课程成功提高了学生在手术室的舒适度，增强了他们进行手术技能的信心，并为学生提供了手术方面的导师，所有这些有望在他们的手术实习期间培养积极的体验，并最终增加他们将外科手术作为职业的考虑。
