Hon Nicole Wing Lam, Hussein Nabil, Honjo Osami, Yoo Shi-Joon
The Center for Image Guided Innovation and Therapeutic Intervention, Hospital for Sick Children, Toronto, Ontario, Canada.
Division of Cardiology, Department of Paediatrics, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada; Division of Cardiovascular Surgery, Department of Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
J Surg Educ. 2021 Jan-Feb;78(1):207-213. doi: 10.1016/j.jsurg.2020.06.023. Epub 2020 Jul 6.
Over the last decade medical students' interest in pursuing surgery as a career has declined. This is more apparent in high-specialized specialities such as congenital heart surgery (CHS). Early hands-on simulation has shown to have a positive impact on medical students' interest in pursuing surgery, however, its incorporation into medical school curricula is lacking. This study aimed to evaluate the impact of incorporating medical students as surgical assistants during the Hands On Surgical Training course in CHS.
Local preclinical medical students were invited to participate as surgical assistants during the 5th annual Hands On Surgical Training course in CHS. Among those who responded to the invitation, students were randomly selected and allocated to assist a congenital heart surgeon. All selected students attended an assistants' session prior to the course to familiarize themselves with assisting and to practice basic surgical skills. At the end of both courses students completed a questionnaire based on Likert 5-point scale to evaluate the courses' usefulness.
Fifteen medical students completed the questionnaires. All reported a beginner level of understanding of congenital heart disease. All students were highly satisfied with using 3D-printed models to help their understanding of congenital heart disease (4.80 ± 0.41) and agreed that the sessions improved their assisting skills (4.93 ± 0.26). All expressed a desire to attend similar sessions in the future and agreed that surgical simulation inclusion into medical school curricula would enhance learning (5.00 ± 0.00). Interest in pursuing a career in CHS increased from 33% (5) to 87% (13) by the end of the course.
Integration of preclinical medical students into surgical simulation increases interest in pursuing highly specialised surgical specialities such as CHS. Early exposure and the incorporation of such simulation programs into medical school curricula will likely improve surgical skill acquisition and may enable students to be better informed when selecting future career choices.
在过去十年中，医学生将外科作为职业追求的兴趣有所下降。这在诸如先天性心脏病手术（CHS）等高度专业化的专科中更为明显。早期的实践模拟已显示出对医学生追求外科职业的兴趣有积极影响，然而，它在医学院课程中的纳入却有所欠缺。本研究旨在评估在CHS实践手术培训课程中将医学生纳入作为手术助手的影响。
邀请当地临床前医学生在第5届年度CHS实践手术培训课程中担任手术助手。在回应邀请的学生中，随机选择并分配学生协助先天性心脏病外科医生。所有选定的学生在课程开始前参加了助手培训课程，以熟悉协助工作并练习基本手术技能。在两门课程结束时，学生们完成了一份基于李克特5级量表的问卷，以评估课程的实用性。
15名医学生完成了问卷。所有学生均报告对先天性心脏病的理解处于初学者水平。所有学生对使用3D打印模型帮助他们理解先天性心脏病非常满意（4.80±0.41），并同意这些课程提高了他们的协助技能（4.93±0.26）。所有学生都表示希望未来参加类似的课程，并同意将手术模拟纳入医学院课程将增强学习效果（5.00±0.00）。到课程结束时，对从事CHS职业的兴趣从33%（5人）增加到了87%（13人）。
将临床前医学生纳入手术模拟增加了对追求诸如CHS等高度专业化外科专科的兴趣。早期接触并将此类模拟项目纳入医学院课程可能会提高手术技能的获得，并可能使学生在选择未来职业时做出更明智的决定。
