Department of Surgery, Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8109, St. Louis, MO 63110, United States.
Department of Surgery, University of Oklahoma-Tulsa, 1802 E. 19th St., Kravis Building, Tulsa, OK 74104, United States.
Surgeon. 2023 Oct;21(5):295-300. doi: 10.1016/j.surge.2023.01.005. Epub 2023 Feb 17.
This study examines student perceptions of preparedness for the operating room (OR), resources used, and time spent in preparation.
Third-year medical and second-year physician assistant students across two campuses at a single academic institution were surveyed to assess perceptions of preparedness, time spent in preparation, resources used, and perceived benefits of preparation.
95 responses (response rate 49%) were received. Students reported being most prepared to discuss operative indications and contraindications (73%), anatomy (86%), and complications (70%), but few felt prepared to discuss operative steps (31%). Students spent a mean of 28 min preparing per case, citing UpToDate and online videos as the most used resources (74%; 73%). On secondary analysis, only the use of an anatomic atlas was weakly correlated with improved preparedness to discuss relevant anatomy (p = 0.005); time spent, number of resources or other specific resources were not associated with increased preparedness.
Students felt prepared for the OR, though there is room for improvement and a need for student-oriented preparatory materials. Understanding the deficits in preparation, preference for technology-based resources, and time constraints of current students can be used to inform optimisation for medical student education and resources to prepare for operating room cases.
本研究考察了学生对手术室（OR）准备情况、使用资源和准备时间的看法。
在一所学术机构的两个校区，对三年级医学生和二年级医师助理学生进行了调查，以评估他们对准备情况、准备时间、使用资源和准备的好处的看法。
收到了 95 份回复（回复率为 49%）。学生报告说，他们在讨论手术指征和禁忌症（73%）、解剖学（86%）和并发症（70%）方面准备最充分，但很少有人认为自己能够讨论手术步骤（31%）。学生平均每个病例准备 28 分钟，使用最多的资源是 UpToDate 和在线视频（74%；73%）。在二次分析中，只有使用解剖图谱与提高讨论相关解剖学的准备程度呈弱相关（p=0.005）；花费的时间、资源数量或其他特定资源与准备程度的提高无关。
学生对手术室感到有准备，但仍有改进的空间，需要为学生提供有针对性的预备材料。了解准备方面的不足、对基于技术的资源的偏好以及当前学生的时间限制，可以为优化医学生教育和准备手术室病例的资源提供信息。
