Bhandari Sanjay, Jha Pinky, Thakur Abhishek, Gooley Brian T, Lange Joel J, Paudel Hari, Frank Michael
Internal Medicine, Medical College of Wisconsin, Milwaukee, USA.
Internal Medicine, Brookfield Heart and Vascular Clinic and Medical College of Wisconsin, Brookfield, USA.
Cureus. 2019 Mar 9;11(3):e4214. doi: 10.7759/cureus.4214.
Introduction Although medical students in the United States frequently rotate on a non-resident hospitalist team, there is a paucity of literature on their perceptions regarding such rotation. We sought to assess the perceptions of third-year medical students (M3s) regarding a non-resident hospitalist rotation. Methods We conducted a web-based survey of M3s who had previously rotated on a non-resident hospitalist service. We assessed their perceptions regarding patient assignments and complexities, rounding preferences, barriers to learning, and the benefits of the rotation. A descriptive analysis was performed on the responses. Results Out of 49 respondents, 47% preferred carrying a maximum of three patients during rounds and 57% preferred patients with fewer comorbidities. Fifty-one percent preferred rounding on all patients covered by the team as opposed to rounding on their assigned patients only. Despite several perceived benefits of the rotation, students also identified various barriers to learning while rotating in a non-resident hospitalist rotation. Conclusions Our study evaluated the perceptions of M3s regarding the ideal patient load, patient complexities, barriers to learning and various benefits of a non-resident hospitalist rotation. The students' perceptions can potentially be addressed and incorporated to make the non-resident hospitalist rotation more educational for the students.
引言 尽管美国的医学生经常在非住院医师的医院医师团队中轮转，但关于他们对这种轮转的看法的文献却很少。我们试图评估三年级医学生（M3）对非住院医师医院医师轮转的看法。方法 我们对之前在非住院医师医院医师服务部门轮转的M3进行了一项基于网络的调查。我们评估了他们对患者分配和复杂性、查房偏好、学习障碍以及轮转益处的看法。对回复进行了描述性分析。结果 在49名受访者中，47%的人更喜欢在查房时最多负责三名患者，57%的人更喜欢合并症较少的患者。51%的人更喜欢对团队负责的所有患者进行查房，而不是只对他们分配的患者进行查房。尽管学生们认识到轮转有一些益处，但他们也指出了在非住院医师医院医师轮转期间学习的各种障碍。结论 我们的研究评估了M3对理想患者数量、患者复杂性、学习障碍以及非住院医师医院医师轮转的各种益处的看法。学生们的看法有可能得到解决并纳入考虑，以使非住院医师医院医师轮转对学生更具教育意义。
