Tarrant Seth A, Behzadpour Vafa, McCormack Thomas J, Cline Justin A, Willis Jordan T, Mendez Gregory M, Zackula Rosalee E, Dart Bradley R, Hearon Bernard F
University of Kansas School of Medicine-Wichita, Wichita, KS.
Department of Orthopaedic Surgery.
Kans J Med. 2023 Feb 21;16(1):48-52. doi: 10.17161/kjm.vol16.18770. eCollection 2023.
Owing to limited clinical clerkships and travel restrictions related to COVID-19, recent medical student mentorship in orthopaedic surgery has been impacted negatively. The purpose of this quality improvement (QI) project was to determine if medical student awareness of orthopaedics as a possible career field may be improved through a mentoring program designed and delivered by orthopaedic residents.
A five-resident QI team developed four educational sessions aimed at a medical student audience. Forum topics included: (1) orthopaedics as a career, (2) fracture conference, (3) splinting workshop, and (4) residency application process. Pre- and post-forum surveys were administered to student participants to assess changes in their perceptions regarding orthopaedic surgery. Data derived from the questionnaires were analyzed with nonparametric statistical tests.
Of 18 forum participants, 14 were men and 4 were women. A total of 40 survey pairs were collected, averaging 10 per session. In the all-participant encounter analysis, there were statistically significant improvements in all outcome measures including interest in, exposure to, and knowledge of orthopaedics; exposure to our training program; and ability to interact with our residents. Those undecided regarding their specialty demonstrated larger increases in post-forum responses, suggesting that the learning experience was more impactful for that subgroup.
This QI initiative was a successful demonstration of orthopaedic resident mentorship of medical students, wherein perceptions of orthopaedics were influenced favorably by the educational experience. For some students with limited access to orthopaedic clerkships or formal one-on-one mentoring, forums like these may be an acceptable alternative.
由于临床实习机会有限以及与新冠疫情相关的出行限制，近期骨科手术领域的医学生导师指导受到了负面影响。本质量改进（QI）项目的目的是确定通过由骨科住院医师设计并开展的指导项目，是否可以提高医学生将骨科视为潜在职业领域的认知度。
一个由五名住院医师组成的QI团队为医学生群体设计了四次教育课程。论坛主题包括：（1）骨科职业；（2）骨折研讨会；（3）夹板固定工作坊；（4）住院医师申请流程。在论坛前后对学生参与者进行了调查，以评估他们对骨科手术看法的变化。对问卷数据进行非参数统计检验分析。
18名论坛参与者中，14名男性，4名女性。共收集到40对调查问卷，每场平均10份。在所有参与者的综合分析中，所有结果指标均有统计学显著改善，包括对骨科的兴趣、接触程度和知识；对我们培训项目的接触；以及与我们住院医师互动的能力。那些尚未确定专业方向的学生在论坛后的反馈中提升幅度更大，表明该学习经历对该亚组的影响更大。
这项QI举措成功展示了骨科住院医师对医学生的指导，其中教育经历对骨科的认知产生了积极影响。对于一些获得骨科临床实习机会有限或缺乏正式一对一指导的学生来说，这样的论坛可能是一种可接受的替代方式。
