Bauman Brent, Kernahan Peter, Weinhaus Anthony, Walker Michael J, Irwin Eric, Sundin Andrew, Yerxa Derek, Vakayil Victor, Harmon James V
Department of Surgery, University of Minnesota, Minneapolis, MN, USA.
Program in Human Anatomy, University of Minnesota, Minneapolis, MN, USA.
Adv Med Educ Pract. 2021 May 7;12:441-451. doi: 10.2147/AMEP.S287430. eCollection 2021.
Senior medical students are variably prepared to begin surgical training; and a national curriculum was established through the American College of Surgeons to better prepare senior medical students for surgical training. The purpose of our course is to prepare senior medical students to more effectively enter surgical training programs. We recently enhanced our independently developed surgical training preparation course by increasing exposure to surgical anatomy, medical physiology, surgical skills, and point-of-care ultrasound. We evaluated the impact of our interprofessional training course to increase confidence and readiness among senior medical students entering surgical training.
The course focused on pre- and post-operative patient care, surgical anatomy, human physiology, and bedside ultrasound. Didactic lectures in anatomy, human physiology, and bedside ultrasound were provided prior to all hands-on simulated patient care sessions and mock surgical procedures. To evaluate our interprofessional curriculum, we administered pre- and post-course surveys, pre- and post-course knowledge tests, and a final surgical anatomy laboratory practical examination to 22 senior medical students who were enrolled in the course. All students created a final surgical anatomy presentation.
The students demonstrated a 100% pass rate in surgical anatomy. The knowledge test, which included assessment of knowledge on perioperative surgical decision making, human physiology, and bedside ultrasound, demonstrated an average improvement of 10%. Statistically significant improvements in median confidence values were identified in 10 of 32 surveyed categories, including surgical skills (p < 0.05); 84% of student goals for the course were achieved. The medical students' surveys confirmed increased confidence related to the use of point-of-care ultrasound, teamwork experience, and basic surgical skills through small group interactive seminars and surgical simulation exercises.
Our preparation for surgical training course resulted in high student satisfaction and demonstrated an increased sense of confidence to begin surgical training. The 10% improvement in medical student knowledge, as evaluated by a written examination, and the significant improvement in confidence level self-assessment scores confirms this surgery preparation course for senior medical students successfully achieved the desired goals of the course.
高年级医学生开始外科培训的准备程度各不相同；美国外科医师学会制定了一项全国性课程，以便让高年级医学生更好地为外科培训做好准备。我们课程的目的是让高年级医学生更有效地进入外科培训项目。我们最近通过增加对外科解剖学、医学生理学、外科技能和床旁超声的接触，强化了我们自主开发的外科培训准备课程。我们评估了我们的跨专业培训课程对增强进入外科培训的高年级医学生的信心和准备程度的影响。
该课程重点关注术前和术后患者护理、外科解剖学、人体生理学和床旁超声。在所有实际操作的模拟患者护理环节和模拟外科手术之前，都提供了解剖学、人体生理学和床旁超声的理论讲座。为了评估我们的跨专业课程，我们对22名参加该课程的高年级医学生进行了课前和课后调查、课前和课后知识测试以及最终的外科解剖学实验室实践考试。所有学生都制作了一份最终的外科解剖学演示文稿。
学生在外科解剖学方面的通过率为100%。知识测试包括对围手术期外科决策、人体生理学和床旁超声知识的评估，平均提高了10%。在32个调查类别中的10个类别中，中位数信心值有统计学意义的提高，包括外科技能（p < 0.05）；84%的学生课程目标得以实现。医学生的调查证实，通过小组互动研讨会和外科模拟练习，他们在使用床旁超声、团队合作经验和基本外科技能方面的信心有所增强。
我们的外科培训准备课程获得了学生的高度满意度，并显示出开始外科培训的信心增强。通过笔试评估，医学生的知识提高了10%，信心水平自我评估分数有显著提高，这证实了该高年级医学生外科准备课程成功实现了课程的预期目标。
