Choi Sarah, Ooi Setthasorn, Carpenter Eleanor
University Hospital of Wales, UK.
School of Medicine, Cardiff University, UK.
J Med Educ Curric Dev. 2022 Jan 11;9:23821205211072764. doi: 10.1177/23821205211072764. eCollection 2022 Jan-Dec.
Adequate exposure and teaching of Trauma and Orthopaedics (T&O) to medical students is fundamental in order to obtain sufficient knowledge and sustain their interest in T&O as a career. The primary aim is to assess the exposure and delivery of T&O at all medical schools in the UK. The secondary aim is to determine whether there are any associations between attending a particular medical school and having a strong interest in pursuing a career in T&O.
To explore the primary aim, all 33 UK medical schools were investigated in the study, by means of a questionnaire distributed to medical students. This did not include 'new' medical schools, defined as those established from 2014 onwards. To investigate the secondary aim of exploring associations between students' and alumni's medical schools and their interest in T&O as a career, British Orthopaedic Training Association (BOTA) members were reviewed, using the General Medical Council register to identify the universities from which members had graduated. The authors have made the assumption that membership of BOTA signified an interest in T&O as a career.
Results were obtained for all 33 medical schools. The mean total teaching time specifically for T&O throughout medical school was 18 days, ranging from 3 to 60 days in total. 118 BOTA members were reviewed. No member of BOTA in the study had attended medical school in Keele, Liverpool, Plymouth or Lancashire. These universities taught below the national average number of days in T&O.
There is a large national variance in the number of compulsory teaching days provided for T&O. The authors advocate medical schools to aim for at least the national average in duration of T&O of 18 days.
让医学生充分接触并学习创伤与矫形外科学(T&O)对于他们获得足够的知识并维持对T&O作为职业的兴趣至关重要。主要目的是评估英国所有医学院校中T&O的教学情况。次要目的是确定就读某一特定医学院校与对从事T&O职业有浓厚兴趣之间是否存在关联。
为探究主要目的,本研究通过向医学生发放问卷,对英国所有33所医学院校进行了调查。这并不包括2014年起成立的“新”医学院校。为探究学生及校友所在医学院校与他们对T&O作为职业的兴趣之间的关联这一次要目的,对英国骨科培训协会(BOTA)成员进行了审查,利用英国医学总会登记册来确定成员毕业的大学。作者假定BOTA成员身份表明对T&O作为职业感兴趣。
获取了所有33所医学院校的结果。整个医学院校专门针对T&O的平均总教学时间为18天,总计从3天到60天不等。审查了118名BOTA成员。本研究中没有BOTA成员就读于基尔、利物浦、普利茅斯或兰开夏郡的医学院校。这些大学的T&O教学天数低于全国平均水平。
T&O的必修教学天数在全国范围内存在很大差异。作者主张医学院校的T&O教学时长至少应达到全国平均的18天。