King's College London Guy's, King's, London, UK.
St Thomas' Medical School, London, UK.
BMC Med Educ. 2022 Apr 28;22(1):329. doi: 10.1186/s12909-022-03399-3.
Core Surgical Training (CST) is a competitive two-year postgraduate training program in the UK that is scored based on three equally weighted stations: management, clinical and portfolio. Preparing a surgical portfolio can start in medical school, however, there is limited guidance on what forms a competitive portfolio with the majority of advice coming from university resources and national societies which are variable throughout the country. Our aim was to assess the utility of a webinar to educate students and doctors on the CST portfolio to address this disparity.
Pre- and post-event questionnaires that included demographic data, 10-point Likert scales to self-report confidence on the understanding of the CST portfolio and its domains, and questions on utilising webinars were distributed to attendees. Pre- and post-event responses were paired, and scores were assessed for normality via the Shapiro-Wilk test; the Mann-Whitney U test was used to assess statistical significance. Cohen's d effect sizes were calculated to report standardised differences between pre-and post-event scores.
A total of 177 participants from over 24 countries responded to both questionnaires. A statistically significant improvement in awareness of how to score maximum points was demonstrated across all nine CST domains (p < 0.0001). Regardless of whether they were UK-based or international, approximately half of the participants stated a preference for a webinar over an in-person format. Interestingly, most attendees did not feel that their university had provided them with adequate information on preparing for a surgical career with over half of the attendees stating that they had to attend events by external organisations to obtain such information.
This study has demonstrated that a webinar can be effectively utilised to educate students and doctors on the various domains of the CST portfolio and how to maximise points in each section. Such events could address the variability of university resources and national societies across the country and provide equal opportunities for students. Further studies that directly compare webinars with in-person events and investigate long-term outcomes, such as success in CST applications, are required.
核心外科培训(CST)是英国一项为期两年的研究生培训项目,其评分基于三个同等权重的站点:管理、临床和档案。在医学院期间就可以开始准备外科档案,但对于构成有竞争力的档案的内容形式,几乎没有什么指导,大多数建议来自大学资源和全国性社团,而这些资源在全国范围内各不相同。我们的目的是评估网络研讨会在教育学生和医生 CST 档案方面的效用,以解决这一差异。
向与会者分发会前和会后的问卷,问卷内容包括人口统计学数据、10 分制李克特量表,用于自我报告对 CST 档案及其领域的理解程度的信心,以及关于使用网络研讨会的问题。对会前和会后的回答进行配对,并通过 Shapiro-Wilk 检验评估分数的正态性;使用 Mann-Whitney U 检验评估统计显著性。计算 Cohen's d 效应大小,以报告会前和会后分数之间的标准化差异。
共有来自 24 个以上国家的 177 名参与者回答了两份问卷。在所有九个 CST 领域,参与者对如何获得最高分数的认识都有显著提高(p < 0.0001)。无论他们是在英国还是国际上,大约一半的参与者表示更喜欢网络研讨会而不是面对面的形式。有趣的是,大多数与会者认为他们的大学没有为他们提供足够的关于为外科生涯做准备的信息,超过一半的与会者表示他们必须参加外部组织的活动才能获得此类信息。
本研究表明,网络研讨会可以有效地用于教育学生和医生 CST 档案的各个领域以及如何在每个部分获得最高分。此类活动可以解决全国大学资源和全国性社团的多样性问题,并为学生提供平等的机会。需要进一步的研究,直接比较网络研讨会和面对面活动,并调查长期结果,如在 CST 申请中的成功。