Kuo Louise, Salloum Nadia Liber, Kennard Benjamin, Robb James, Vickerton Paula
Queen Mary University of London, Mile End Rd, London E1 4NS, United Kingdom.
Surg Open Sci. 2022 Oct;10:148-155. doi: 10.1016/j.sopen.2022.09.004. Epub 2022 Sep 26.
The COVID-19 pandemic led to a dramatic decrease in face-to-face teaching. This can particularly impact medical students' skills development. This prompted development of an in-person surgical skills course as guided by the General Medical Council "Outcomes for Graduates" facilitated by tutors with surgical experience. This study aimed to primarily assess participant confidence in surgical skills following the course.
This was an interventional study assessing both qualitative and quantitative data collected prior to, during, and post course completion. Data were collected from students via online forms, which included a mixture of "Yes/No" responses, self-assessed confidence levels via Likert scales, and free type questions.
The study assessed feedback for a 5-session surgical skills course delivered at the authors' institution. This is a newly designed course using low-cost materials which was free for all attendees.
Participants were all in the first or second year of medical school. There was capacity for 60 students, and all attendees provided informed consent to participate.
A total of 446 students applied for the course with 58 participants in the final study, 31% of whom had prior surgical skills experience. There was a statistically significant increase in student confidence levels following the course for all taught surgical skills (P = .0001). Participants were also more confident that they possessed the skills required for clinical placements (P = .0001) and to work as a junior doctor (P = .01). Thematic qualitative analysis revealed a reliance on third parties for previous surgical experience; this course improved knowledge and skills for future practice. Limitations included session duration and equipment choice.
This study demonstrates high demand and student satisfaction from this course, offering a potential framework to improve undergraduate surgical skills teaching. The results presented here have the potential to inform wider curricula development across medical schools in the future.
Medical knowledge; practice-based learning and Improvement.
新冠疫情导致面对面教学大幅减少。这尤其会影响医学生技能的发展。这促使在有外科经验的导师指导下,根据英国医学总会的“毕业生能力要求”开发了一门面对面的外科技能课程。本研究主要旨在评估课程结束后参与者对外科技能的信心。
这是一项干预性研究,评估课程完成前、课程期间和课程完成后收集的定性和定量数据。通过在线表格从学生那里收集数据,其中包括“是/否”回答、通过李克特量表进行的自我评估信心水平以及自由回答问题。
该研究评估了在作者所在机构举办的为期五节的外科技能课程的反馈。这是一门新设计的课程,使用低成本材料,对所有参与者免费。
参与者均为医学院一年级或二年级学生。课程可容纳60名学生,所有参与者均提供了知情同意书以参与研究。
共有446名学生申请该课程,最终有58名参与者,其中31% 之前有外科技能经验。课程结束后,所有教授的外科技能的学生信心水平都有统计学上的显著提高(P = 0.0001)。参与者也更有信心自己具备临床实习所需的技能(P = 0.0001)以及作为初级医生工作所需的技能(P = 0.01)。主题定性分析显示,之前的外科技能经验依赖第三方;该课程提高了未来实践的知识和技能。局限性包括课程时长和设备选择。
本研究表明该课程需求高且学生满意度高,提供了一个改善本科外科技能教学的潜在框架。这里呈现的结果有可能为未来医学院更广泛的课程开发提供参考。
医学知识;基于实践的学习与改进。