Radwanski Ryan E, Winston Graham, Younus Iyan, ElJalby Mahmoud, Yuan Melissa, Oh Yuna, Gucer Sadiye Buse, Hoffman Caitlin E, Stieg Philip E, Greenfield Jeffrey P, Pannullo Susan C
Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA.
Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA.
World Neurosurg. 2019 Jul;127:e707-e716. doi: 10.1016/j.wneu.2019.03.246. Epub 2019 Apr 1.
Historically, medical student education in neurological surgery has generally limited student involvement to assisting in research projects with minimal formal clinical exposure before starting sub-internships and application for the neurosurgery match. Consequently, students have generally had little opportunity to acquire exposure to clinical neurosurgery and attain minimal proficiency. A medical student training camp was created to improve the preparation of medical students for the involvement in neurological surgery activities and sub-internships.
A 1-day course was held at Weill Cornell Medicine, which consisted of a series of morning lectures, an interactive resident lunch panel, and afternoon hands-on laboratory sessions. Students completed self-assessment questionnaires regarding their confidence in several areas of clinical neurosurgery before the start of the course and again at its end.
A significant increase in self-assessed confidence was observed in all skill areas surveyed. Overall, rising fourth year students who were starting sub-internships in the subsequent weeks reported a substantial increase in their preparedness for the elective rotations in neurosurgery.
The preparation of medical students for clinical neurosurgery can be improved. Single-day courses such as the described training camp are an effective method for improving knowledge and skill gaps in medical students entering neurosurgical careers. Initiatives should be developed, in addition to this annual program, to increase the clinical and research skills throughout medical student education.
从历史上看，神经外科领域的医学生教育通常将学生的参与限制在协助研究项目上，在开始实习前和申请神经外科住院医师匹配之前，学生几乎没有正式的临床接触机会。因此，学生通常很少有机会接触临床神经外科，也很难达到最低限度的熟练程度。为了提高医学生参与神经外科活动和实习的准备程度，创建了一个医学生训练营。
在威尔康奈尔医学院举办了为期一天的课程，包括一系列上午的讲座、一场互动式的住院医师午餐小组讨论以及下午的实践实验室课程。学生们在课程开始前和结束时分别完成了关于他们在临床神经外科几个领域的信心的自我评估问卷。
在所有调查的技能领域中，自我评估的信心都有显著提高。总体而言，在接下来几周开始实习的四年级学生报告说，他们对神经外科选修轮转的准备程度有了大幅提高。
医学生在临床神经外科方面的准备可以得到改善。像上述训练营这样的单日课程是弥补进入神经外科职业的医学生知识和技能差距的有效方法。除了这个年度项目之外，还应制定举措，在医学生的整个教育过程中提高他们的临床和研究技能。
