Winter Kelly, Quinn Karson R, Helmer Stephen D, McBoyle Marilee F
Department of Surgery, University of Kansas School of Medicine-Wichita, Wichita, KS.
Department of Medical Education, Ascension Via Christi Hospital Saint Francis, Wichita, KS.
Kans J Med. 2021 Jun 21;14(2):149-152. doi: 10.17161/kjm.vol1414919. eCollection 2021.
Physicians entering surgical residency often feel unprepared for tasks expected of them beginning July 1, including responding to pages, writing orders, doing procedures independently, and a multitude of other requirements. Our aim was to design a surgical boot camp to help graduating senior medical students feel more confident entering residency.
A two-week intensive surgery residency prep course was conducted in the spring of 2019 at an Accreditation Council for Graduate Medical Education-accredited General Surgery residency program. The course was designed combining aspects from existing prep courses and innovative ideas tailored to resources available at our institution. Medical students participated in the Surgery Residency Prep Course as an elective at the end of their fourth year of medical school. An anonymous survey was given pre- and post-prep course completion evaluating confidence in medical knowledge, clinical skills, and surgical skills. Data were compared using Wilcoxon Signed-Rank Test.
Six students completed the course as a medical elective. Students felt more confident at course completion in most aspects, were significantly more confident in all areas of surgical skills taught and evaluated, and nearly all areas of medical knowledge. Subjectively, students felt as though the course was beneficial and helped them feel more prepared for starting internship.
This course designed at our institution was successful in helping prepare and instill confidence in graduating medical students prior to starting their internship.
即将进入外科住院医师培训阶段的医生,往往觉得自己对7月1日开始所需承担的任务准备不足,这些任务包括响应传呼、书写医嘱、独立进行操作以及许多其他要求。我们的目标是设计一个外科新兵训练营,帮助即将毕业的高年级医学生在进入住院医师培训时更有信心。
2019年春季,在一个经研究生医学教育认证委员会认证的普通外科住院医师培训项目中,开展了为期两周的强化外科住院医师培训预备课程。该课程结合了现有预备课程的各个方面以及根据我们机构现有资源量身定制的创新理念进行设计。医学生在医学院四年级末将参加外科住院医师培训预备课程作为选修课。在预备课程开始前和结束后进行了一项匿名调查,评估对医学知识、临床技能和外科技能的信心。使用Wilcoxon符号秩检验对数据进行比较。
六名学生作为医学选修课完成了该课程。学生们在课程结束时在大多数方面感觉更有信心,在所有讲授和评估的外科技能领域以及几乎所有医学知识领域都明显更有信心。主观上,学生们觉得该课程有益,并帮助他们为开始实习做好了更充分的准备。
我们机构设计的这门课程成功地帮助即将毕业的医学生在开始实习前做好准备并树立信心。