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评估非洲神经外科轮转经历对医学生从事神经外科职业的兴趣和认知的影响:一项大陆横断面研究方案。

Evaluating the impact of neurosurgical rotation experience in Africa on the interest and perception of medical students towards a career in neurosurgery: a protocol for a continental, cross-sectional study.

作者信息

Ooi Setthasorn Zhi Yang, Dada Olaoluwa Ezekiel, Bukenya George William, Kenfack Yves Jordan, Le Chi, Ohonba Efosa, Adeyemo Emmanuel, Narain Kapil, Awad Ahmed Khaled, Barrie Umaru, Sichimba Dawin, Ogunfolaji Oloruntoba, Kitonga Lilian Mwende, Oriaku Adaeze Juanita, Bamimore Michael Abayomi, Okor Douglas Emeka, Rominiyi Ola

机构信息

School of Medicine, Cardiff University, Cardiff, UK.

College of Medicine, University of Ibadan, Ibadan, Nigeria.

出版信息

J Surg Protoc Res Methodol. 2022 Apr 2;2022(2):snac006. doi: 10.1093/jsprm/snac006. eCollection 2022 Apr.

DOI:10.1093/jsprm/snac006
PMID:35480394
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9027747/
Abstract

INTRODUCTION

Africa has the second highest neurosurgical workforce deficit globally. Despite the many recent advancements in increasing neurosurgical access in Africa, published reports have shown that the vast majority of undergraduate students have little or no exposure to neurosurgery. The lack of exposure may pose a challenge in reducing the neurosurgical workforce deficit, which is one of the long-term strategies of tackling the unmet burden of disease. Students may also miss the opportunity to appreciate the specialty and its demands as well as nurture their interest in the field. This study aims to assess the impact of a neurosurgical rotation during medical school in shaping the perception and interest of students towards a career in neurosurgery.

METHODS

The cross-sectional study will be conducted through the dissemination of a self-administered e-survey hosted on Google Forms from 21st February 2021 to 20th March 2021. The survey will contain five-point Likert scale, multiple-choice and free-text questions. The structured questionnaire will have four sections with 27 items: (i) socio-demographic background, (ii) neurosurgical experience, (iii) perception towards a neurosurgical career and (iv) interest in a neurosurgical career. All consenting medical students in African medical schools who are in their clinical years (defined as fourth to sixth years or higher years of study) will be eligible. Odds ratios and their 95% confidence intervals, Wilcoxon rank-sum test, Welch -test and adjusted logistic regression models will be used to test for associations between independent and dependent variables. Statistical significance will be accepted at  < 0.05.

摘要

引言

非洲的神经外科劳动力短缺情况在全球排名第二。尽管最近在增加非洲神经外科医疗服务可及性方面取得了许多进展,但已发表的报告显示,绝大多数本科生很少或根本没有接触过神经外科。缺乏接触可能会给减少神经外科劳动力短缺带来挑战,而这是应对未满足的疾病负担的长期战略之一。学生们也可能错过欣赏该专业及其要求并培养对该领域兴趣的机会。本研究旨在评估医学院期间神经外科轮转对塑造学生对神经外科职业的认知和兴趣的影响。

方法

这项横断面研究将通过在2021年2月21日至2021年3月20日期间在谷歌表单上发布的一份自填式电子调查问卷来进行。该调查问卷将包含五点李克特量表、多项选择题和自由文本问题。结构化问卷将有四个部分,共27个项目:(i)社会人口背景,(ii)神经外科经验,(iii)对神经外科职业的认知,以及(iv)对神经外科职业的兴趣。所有在非洲医学院临床年级(定义为第四至第六年或更高年级)的同意参与的医学生都将符合条件。将使用优势比及其95%置信区间、威尔科克森秩和检验、韦尔奇检验和调整后的逻辑回归模型来检验自变量和因变量之间的关联。统计学显著性将在<0.05时被接受。

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