临床前阶段的外科手术学习能够提高医学生对手术的态度、临床信心和对健康决定因素的社会筛查能力。
Surgery service learning in preclinical years improves medical student attitudes toward surgery, clinical confidence, and social determinants of health screening.
机构信息
Department of Surgery, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
Department of Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, The Bronx, NY, USA.
出版信息
Am J Surg. 2020 Feb;219(2):346-354. doi: 10.1016/j.amjsurg.2019.11.010. Epub 2019 Nov 14.
INTRODUCTION
Patient health literacy is paramount for optimal outcomes. The Service Learning Project (SLP) aims to merge the need for patient education with the desire of medical students for early clinical experience.
METHODS
This pretest-posttest study examined the effect of the SLP on medical students. First-year students spent 8 h each month educating inpatients and screening for social determinants of health (SDH). Students completed a 30-question survey pre- and post-SLP, and longitudinally throughout medical school. We used t-tests to assess changes in attitudes towards surgery, clinical confidence, and SDH screening.
RESULTS
Student self-perceived value on surgical teams increased significantly (2.49 vs 3.63 post-SLP, p < 0.001), as did their confidence interacting with patients (3.66-4.14, p = 0.002) and confidence assessing for SDH (3.13-4.75, p = 0.002). 100% of students continued to assess for SDH on clerkships.
CONCLUSIONS
The SLP model improves medical students' skills and confidence working with patients and addressing SDH.
简介
患者健康素养对于获得最佳治疗效果至关重要。服务学习项目（SLP）旨在将患者教育需求与医学生对早期临床经验的渴望相结合。
方法
本研究采用前后测试设计，旨在评估 SLP 对医学生的影响。一年级学生每月花费 8 小时为住院患者提供教育并筛查社会决定因素健康（SDH）。学生在 SLP 前后以及整个医学生涯中完成了一份包含 30 个问题的调查问卷。我们使用 t 检验评估学生对手术的态度、临床信心和 SDH 筛查的变化。
结果
学生对手术团队的自我感知价值显著提高（SLP 后为 2.49，比 SLP 前高 3.63，p<0.001），与患者互动的信心（3.66-4.14，p=0.002）和评估 SDH 的信心（3.13-4.75，p=0.002）也有所提高。100%的学生在实习期间继续进行 SDH 评估。
结论
SLP 模式提高了医学生与患者合作和解决 SDH 的技能和信心。
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