Assistant Professor of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Indiana University School of Medicine; Staff Physician, Roudebush VA Medical Center.
Assistant Librarian, Ruth Lilly Medical Library, Indiana University School of Medicine.
MedEdPORTAL. 2020 Oct 30;16:11019. doi: 10.15766/mep_2374-8265.11019.
Colon cancer is the third most common cancer in the US, and the survival rate improves drastically with early detection. It is important for medical students to understand screening options, and to be able to effectively discuss these options with their patients. While basic information about colon cancer screening is ubiquitous in US medical school curricula, no published curricula describe teaching students the nuances of negotiating this discussion with patients and tailoring screening to individual patients' needs.
We developed a 90-minute session for second-year medical students as part of a gastroenterology and nutrition course. We provided a short lecture on colon cancer screening. We then had a panel of practicing gastroenterologists and a primary care physician discuss their approaches to six hypothetical cases. The students reflected in writing on what they learned from the session and on their opinions of the session format.
Of second-year medical students, 139 attended the session and 110 submitted written reflections on the session (79% response rate). The students perceived significant gains in knowledge, communication skills, and attitudes around the discussions.
This expert panel session taught medical students knowledge and communication skills related to colon cancer screening. The session could be easily implemented at any medical school, either at the preclinical or clinical level.
结肠癌是美国第三大常见癌症，早期发现可显著提高生存率。对于医学生来说，了解筛查选择并能够与患者有效讨论这些选择非常重要。虽然美国医学院课程中普遍涵盖了有关结肠癌筛查的基本信息，但尚无公布的课程描述如何教授学生与患者讨论这些问题的细微差别，并根据患者的个体需求定制筛查。
我们为二年级医学生设计了一个 90 分钟的课程，作为胃肠病学和营养课程的一部分。我们提供了一个关于结肠癌筛查的简短讲座。然后，我们邀请了一组执业胃肠病学家和一名初级保健医生讨论六个假设病例。学生们以书面形式反思他们从课程中获得的知识以及对课程形式的看法。
有 139 名二年级医学生参加了该课程，有 110 名学生提交了对该课程的书面反思（响应率为 79%）。学生们在讨论中对知识、沟通技巧和态度有了显著的提高。
本专家小组课程为医学生提供了与结肠癌筛查相关的知识和沟通技巧。该课程可以很容易地在任何医学院实施，无论是在临床前还是临床阶段。
