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创伤联盟能否提高医学生的认知表现和技术技能?来自坎皮纳斯大学创伤联盟的经验。

Can trauma leagues contribute to better cognitive performance and technical skills of medical students? The experience of the Unicamp trauma league.

机构信息

Medical School of the Vale do Rio Doce University (Univale), Governador Valadares, MG, Brazil.

Federal University of Juiz de Fora, Governador Valadares Campus (UFJF-GV), Governador Valadares, MG, Brazil.

出版信息

Eur J Trauma Emerg Surg. 2023 Aug;49(4):1909-1916. doi: 10.1007/s00068-023-02283-z. Epub 2023 Jun 2.

DOI:10.1007/s00068-023-02283-z
PMID:37264152
Abstract

PURPOSE

Trauma leagues (TLs) are extracurricular programs that offer medical students supervised exposure to trauma and acute care surgery, mentorship, and participation in other academic activities. TLs are fully approved medical schools, and currently, over 100 TLs exist in Brazil. We hypothesized that the performance/competence of medical students who participated in TLs was superior compared to non-participants. This study evaluated and compared the cognitive performance and technical skills of the two groups.

METHODS

This retrospective cohort study evaluated the performance of TL medical students to non-TL alumni from 2005 to 2017, using the students' academic performance coefficient, Clinical Competence Assessment, and Progress Test results. SigmaPlot 12.0 software was used to perform statistical analyses, including Mann-Whitney comparison tests and the Kruskal-Wallis test to confirm the data.

RESULTS

Of the 1366 medical students who graduated from a Brazilian university, 966 were included, with 17.9% having participated in TL. Compared to non-TL participants, TL students demonstrated better cognitive performance according to the performance coefficient (p = 0.017) and Progress Test result (p < 0.001), and higher achievement in the Clinical Competence Assessment (p < 0.001).

CONCLUSION

The academic performance of TL students was superior to that of non-TL students at the University of Campinas (Unicamp), suggesting a positive impact of TL in the preparation of future doctors. The study findings suggest that participation in TL at Unicamp was beneficial in preparing better doctors and should be considered by medical schools worldwide.

EVIDENCE LEVEL

II (Retrospective cohort).

摘要

目的

创伤联盟(TLs)是课外项目,为医学生提供创伤和急症外科的监督暴露、指导以及参与其他学术活动。TLs 是完全认可的医学院,目前在巴西有超过 100 个 TLs。我们假设参加 TLs 的医学生的表现/能力优于未参加者。本研究评估并比较了两组的认知表现和技术技能。

方法

本回顾性队列研究评估了 2005 年至 2017 年 TL 医学生与非 TL 校友的表现,使用学生的学业成绩系数、临床能力评估和进展测试结果。使用 SigmaPlot 12.0 软件进行统计分析,包括 Mann-Whitney 比较检验和 Kruskal-Wallis 检验来确认数据。

结果

在从巴西一所大学毕业的 1366 名医学生中,有 966 名学生被纳入研究,其中 17.9%参加了 TL。与非 TL 参与者相比,TL 学生的认知表现更好,表现在成绩系数(p=0.017)和进展测试结果(p<0.001),以及临床能力评估的成绩更高(p<0.001)。

结论

TL 学生在坎皮纳斯大学(Unicamp)的学业表现优于非 TL 学生,这表明 TL 对未来医生的培养有积极影响。该研究结果表明,参加 Unicamp 的 TL 对培养更好的医生有益,应该被世界范围内的医学院考虑。

证据等级

II(回顾性队列)。

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