Coyan Garrett N, D'Angelo Michael P, Kilic Arman, Gleason Thomas G, Luketich James D, Aranda-Michel Edgar, Okusanya Olugbenga, Schuchert Matthew J, Kinnunen Angela, Sultan Ibrahim
Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
J Card Surg. 2019 Oct;34(10):901-907. doi: 10.1111/jocs.14143. Epub 2019 Jul 3.
Integrated cardiothoracic (CT) surgery training programs are an increasingly popular pathway to train CT surgeons. Identifying and engaging medical students early is important to generate interest and ensure highly qualified applicants are aware of opportunities provided by a career in CT surgery.
An optional CT surgery "mini-elective" was developed for preclinical medical students consisting of five 2-hour sessions covering major procedures in cardiac surgery. Each session had an inital 1 hour lecture immediatly followed by a hands on simulation component. Sessions were taught by CT surgery faculty and residents. A precourse and postcourse survey was administered to identify interest in and awareness of the field of CT surgery.
There were 22 students enrolled in the course who provided precourse surveys, while 21 provided postcourse surveys. CT surgery was a career consideration for 95.4% of students who took the mini-elective. nine percent of the students who had either scrubbed or observed a CT case precourse, increased to 33.3% postcourse (P = .11). With regards to mentorship, 23.8% felt they could easily find a mentor in CT surgery precourse, increasing to 66.7% postcourse (P = .01). Eighty-one percent of students reported that the mini-elective significantly increased their CT knowledge over the standard cardiovascular curriculum, and 100% of those completing the course were "extremely satisfied" with the experience.
A CT surgery mini-elective increased awareness and interest in the field among preclinical medical students. Longitudinal exposure and mentorship provided in programs such as this will be key to the continued recruitment of high-quality medical students to the field.
心胸联合外科（CT）手术培训项目是培训CT外科医生越来越受欢迎的途径。尽早识别并吸引医学生对于激发他们的兴趣以及确保高素质的申请者了解CT外科职业所提供的机会非常重要。
为临床前医学生开发了一个可选的CT外科“迷你选修课”，包括五个2小时的课程，涵盖心脏外科的主要手术。每个课程开始有1小时的讲座，随后立即进行实践模拟部分。课程由CT外科教员和住院医生授课。在课程前后进行了调查，以确定对CT外科领域的兴趣和认知。
有22名学生参加了该课程并提供了课前调查，21名学生提供了课后调查。参加迷你选修课的学生中有95.4%将CT外科作为职业考虑。课前有过刷手或观摩CT手术病例经历的学生占9%，课后增至33.3%（P = 0.11）。关于导师指导，23.8%的学生觉得在课前能轻松找到CT外科的导师，课后增至66.7%（P = 0.01）。81%的学生报告说，与标准心血管课程相比，迷你选修课显著增加了他们对CT外科的知识，完成课程的学生中有100%对这段经历“极其满意”。
CT外科迷你选修课提高了临床前医学生对该领域的认知和兴趣。像这样的项目中提供的长期接触和导师指导对于持续吸引高质量医学生进入该领域至关重要。
