Department of Anatomy, Basic Medical College, Jinan University, Guangzhou, China.
Department of Medical and Dental Sciences, College of Dentistry, Ajman University, Ajman, United Arab Emirates.
BMC Med Educ. 2022 Jun 15;22(1):459. doi: 10.1186/s12909-022-03536-y.
Senior medical students feel unprepared for surgical procedures and care for surgery patients when they begin their internship. This study sought to introduce and evaluate a surgical boot camp training for senior medical students.
A 44-h surgical boot camp program of lectures on clinical practice simulation, anatomical dissections, and simulated operation on cadavers was designed, implemented, and evaluated during the 2018 to 2019 academic year. A self-administered questionnaire was used to assess students' perceptions of the content, delivery, and self-confidence. The mini-Clinical Evaluation Exercise (mini-CEX) and the Operative Performance Rating System were used to assess skills essential to good clinical care and to facilitate feedback.
Over 93% of the students were satisfied with the surgical boot camp, training equipment, and learning materials provided. After six sessions of training, 85.3% reported gaining self-confidence and performed better in some surgical procedures such as major gastrectomy. The mini-CEX scores suggested significant improvement in the students' clinical skills, attitudes, and behaviors (P < 0.01). Ninety-eight percent of students felt that the anatomical knowledge taught met their needs. The scores of the Operative Performance Rating System suggested that the students' surgical skills such as instruments handling, incising, treatment of surrounding tissues (blood vessels, nerves), and smoothness of the whole operation had increased significantly following the surgical boot camp (All P < 0.01).
The surgical boot camp curriculum improved students' satisfaction and confidence in core clinical practice competencies. Therefore, medical schools the world over should continue to seek ways to bridge the gaps between pre-clinical, clinical, and internship training.
高年级医学生在开始实习时，感到对手术程序和外科患者护理准备不足。本研究旨在介绍和评估一种针对高年级医学生的外科新兵训练营培训。
在 2018 至 2019 学年期间，设计、实施并评估了一个 44 小时的外科新兵训练营计划，包括临床实践模拟、解剖学解剖和尸体模拟手术的讲座。使用自我管理问卷评估学生对内容、交付和自信的看法。迷你临床评估练习（mini-CEX）和手术绩效评分系统用于评估对良好临床护理至关重要的技能，并提供反馈。
超过 93%的学生对外科新兵训练营、培训设备和学习材料感到满意。经过六轮培训，85.3%的学生报告说获得了自信，并在一些手术程序中表现更好，如胃大部切除术。mini-CEX 评分表明学生的临床技能、态度和行为有显著改善（P<0.01）。98%的学生认为所教授的解剖知识满足他们的需求。手术绩效评分系统的评分表明，学生的手术技能，如器械处理、切开、周围组织（血管、神经）的处理以及整个手术的流畅性，在参加外科新兵训练营后有了显著提高（均 P<0.01）。
外科新兵训练营课程提高了学生对核心临床实践能力的满意度和信心。因此，世界各地的医学院都应该继续寻找弥合基础医学、临床和实习培训之间差距的方法。
