Selby Luke V, Coleman Julia R, Jones Teresa S, Nehler Mark, Montero Paul
Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado; Division of Surgical Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado.
J Surg Educ. 2021 Mar-Apr;78(2):533-547. doi: 10.1016/j.jsurg.2020.07.026. Epub 2020 Aug 1.
To determine if surgeons and non-surgeons agree on the importance of surgical topics covered in the surgical clerkship to the daily practice of non-surgeons.
An IRB-approved anonymous survey ranking the relative importance of 35 topics drawn from surgical clerkship curricula asking physicians to rank the relative importance of each topic, using a five-point Likert scale, to the daily practice of non-surgeons.
Online anonymous survey.
Convenience sample of practicing physicians and trainees. The survey was offered to physicians in all specialties via social media and professional connections, responders identified their practice specialty.
295 physicians completed the survey. Two hundred thirty-one (85%) were from non-surgical specialties: emergency medicine (EM, n = 100); primary care (PC, n = 71 - included internal medicine, family medicine, and pediatrics); a variety of others (n = 60). Surgeons and non-surgeons agreed on the relative importance of the acute abdomen, breast disease, inguinal hernias, inflammatory bowel disease, morbid obesity, sinusitis, thyroid and parathyroid disease, and wound care; surgeons believed colorectal cancer and diverticulitis to be more important. Surgeons rated all other topics as less important to non-surgeons than non-surgeons. EM rated most acute problems more important that PC; both groups ranked most topics higher importance to the practice of a non-surgeon than surgeons (p < 0.05).
Surgeons consistently underestimate the importance non-surgeons place on surgical topics in their practice. These results reinforce the perceived importance of a wide exposure to surgery in the surgical clerkship to all medical students - but topics could be focused differently depending on acute or non-acute non-surgical care career plans.
确定外科医生和非外科医生对于外科实习中所涵盖的外科主题对非外科医生日常医疗实践的重要性是否达成共识。
一项经机构审查委员会批准的匿名调查，对从外科实习课程中选取的35个主题的相对重要性进行排序，要求医生使用五点李克特量表对每个主题对非外科医生日常医疗实践的相对重要性进行排序。
在线匿名调查。
在职医生和实习生的便利样本。通过社交媒体和专业人脉向所有专科的医生发放该调查，受访者表明其执业专科。
295名医生完成了调查。231名（85%）来自非外科专科：急诊医学（EM，n = 100）；初级保健（PC，n = 71 - 包括内科、家庭医学和儿科）；其他各种专科（n = 60）。外科医生和非外科医生在急腹症、乳腺疾病、腹股沟疝、炎症性肠病、病态肥胖、鼻窦炎、甲状腺和甲状旁腺疾病以及伤口护理的相对重要性上达成共识；外科医生认为结直肠癌和憩室炎更为重要。外科医生认为所有其他主题对非外科医生的重要性低于非外科医生的看法。急诊医学专科医生认为大多数急性问题比初级保健专科医生认为的更重要；两组都认为大多数主题对非外科医生的医疗实践比外科医生认为的更重要（p < 0.05）。
外科医生一直低估非外科医生在其实践中对外科主题的重视程度。这些结果强化了对外科实习中所有医学生广泛接触外科知识的重要性——但根据急性或非急性非外科护理职业规划，主题的侧重点可能有所不同。
