Bartlett Richard D, Momin Sheikh Mb, Azam Saima, Rotimi Oloruntobi, Quick Tom J
UCL Medical School, University College London, London WC1E 6BT, UK.
Peripheral Nerve Injury Unit, Royal National Orthopedic Hospital NHS Trust, Stanmore, HA7 4LP, UK.
Adv Med Educ Pract. 2019 Aug 13;10:619-626. doi: 10.2147/AMEP.S205054. eCollection 2019.
To establish a sustainable model for a "Surgical Shadowing Scheme" (SSS) and assess how this affects undergraduate attitudes to surgical careers.
Surgeons at university teaching hospitals associated with UCL Medical School and UCL Partners, United Kingdom, were approached for their willingness to participate in the scheme. Medical students were then invited to apply for the scheme, where students were individually matched to operating theater sessions with surgeons in their specialty of choice. Feedback was subsequently obtained, evaluating experiences of the placement and the effect this had on future career aspirations.
After running for four consecutive years, approximately 220 students have participated in the scheme across a range of surgical units and specialties. A total of 91.5% of the students were pre-clinical (years 1-3), whilst the remainder were clinical (years 4-6). Fifty-four percent were female and 46% male. Eighty-three percent of the students did not have any previous experience of the specialty that they shadowed, and 67% agreed that participating in the scheme had either "increased" or "strongly increased" their desire to pursue a surgical career. Ninety-four percent said they would "recommend" or "strongly recommend" the SSS to a peer. Over a third of students reported scrubbing-up during their placements and 35% of these directly assisted the lead surgeon. Traditionally male-dominated surgical sub-specialties recruited a high proportion of female students.
This is the first published example of an established "Surgical Shadowing Scheme" for medical undergraduates. Our SSS has been highly valued by students and indicates that even a single high-quality surgical exposure is sufficient to increase the desire of undergraduates to pursue a surgical career. We hope that this SSS will act as a blueprint for other centers to develop their own shadowing schemes, in turn helping to ensure that surgery continues to inspire and attract the very best candidates for the future.
建立一个可持续的“外科见习计划”（SSS）模式，并评估其对本科医学生对外科职业态度的影响。
与英国伦敦大学学院医学院及伦敦大学学院合作伙伴相关的大学教学医院的外科医生受邀参与该计划。随后邀请医学生申请该计划，学生们会被分别安排到他们所选专业的外科医生的手术室见习。随后收集反馈，评估见习经历及其对未来职业抱负的影响。
该计划连续开展四年后，约220名学生参与了一系列外科科室和专业的见习。91.5%的学生处于临床前阶段（1 - 3年级），其余为临床阶段（4 - 6年级）。54%为女生，46%为男生。83%的学生此前没有他们所见习专业的任何经验，67%的学生认为参与该计划“增加”或“大幅增加”了他们从事外科职业的意愿。94%的学生表示会“推荐”或“强烈推荐”SSS给同龄人。超过三分之一的学生报告在见习期间参与了刷手上台，其中35%直接协助主刀医生。传统上由男性主导的外科亚专业招收了很高比例的女生。
这是已发表的首个针对医学本科生的成熟“外科见习计划”的实例。我们的SSS受到学生高度评价，表明即使单次高质量的外科接触也足以增强本科生从事外科职业的意愿。我们希望这个SSS能为其他中心制定自己的见习计划提供蓝本，进而有助于确保外科继续激励并吸引未来最优秀的人才。
