Donato Zachary, Syros Alina, Milner Jacob, Pandya Shivani, Tandron Marissa, Hernandez Giselle
University of Miami Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL, 33136, USA.
University of Miami/Jackson Health Systems Department of Orthopedic Surgery, 1611 NW 12th Ave #303, Miami, FL, 33136, USA.
J Orthop. 2023 Sep 1;44:66-71. doi: 10.1016/j.jor.2023.08.012. eCollection 2023 Oct.
Simulation-based training has become a valuable new tool in medical education across the country. The Orthopedic Surgery Interest Group (OSIG) at the University of Miami Miller School of Medicine organized a benchtop training workshop known as "Sawbones" to give medical students essential exposure to basic techniques and instruments commonly used in orthopedic surgery. This pilot study seeks to investigate the participating students' perceptions of this workshop as part of a potential longitudinal intervention.
A total of 30 medical students (MS1-MS4) with a documented interest in orthopedic surgery were randomly selected via email invitation to participate in this workshop. Students first had a lecture-based training session with faculty on an overview of screw fixation. Participants then formed groups that were headed by an orthopedic resident or attending and took turns fixing fractures on model bones made of synthetic material. Following the session, students were sent an anonymous Qualtrics survey to assess their satisfaction with the workshop.
A total of 22 students (73%), responded to the survey. On a ten-point scale, the average reported interest in orthopedics was 9.2 (SD 0.4). All students (n = 22, 100%) reported that they would like more hands-on orthopedic experiences as a component of their medical education. Nineteen students (86.4%) reported that this training increased their interest in pursuing a career in orthopedic surgery and twenty-one (95.5%) further stated that they would recommend this training to other students.
Based on the results of this pilot study, Sawbones was promising at engaging students in orthopedics, providing a team environment, and introducing students to orthopedic skills and instrumentation. Providing these sessions in a longitudinal manner could provide opportunities for mentorship and better prepare students for a residency in orthopedics. We recommend a program like Sawbones to better address the lack of Orthopedic exposure in medical school.
基于模拟的培训已成为全国医学教育中一种有价值的新工具。迈阿密大学米勒医学院的骨科手术兴趣小组（OSIG）组织了一个名为“外科模拟训练”的桌面培训研讨会，让医学生基本了解骨科手术中常用的基本技术和器械。这项初步研究旨在调查参与学生对该研讨会的看法，作为潜在纵向干预的一部分。
通过电子邮件邀请，随机挑选了30名对骨科手术有记录兴趣的医学生（MS1 - MS4）参加本次研讨会。学生们首先参加了由教员进行的基于讲座的培训课程，内容是螺钉固定的概述。然后，参与者分成小组，由一名骨科住院医生或主治医生带队，轮流在合成材料制成的模型骨上固定骨折。课程结束后，向学生发送了一份匿名的Qualtrics调查问卷，以评估他们对研讨会的满意度。
共有22名学生（73%）回复了调查问卷。在十分制量表上，报告的对骨科的平均兴趣为9.2（标准差0.4）。所有学生（n = 22，100%）表示，他们希望在医学教育中有更多的骨科实践经验。19名学生（86.4%）报告说，这次培训增加了他们从事骨科手术职业的兴趣，21名学生（95.5%）进一步表示，他们会向其他学生推荐这次培训。
基于这项初步研究的结果，“外科模拟训练”在吸引学生参与骨科、提供团队环境以及向学生介绍骨科技能和器械方面很有前景。以纵向方式提供这些课程可以提供指导机会，并使学生更好地为骨科住院医师培训做好准备。我们建议开展类似“外科模拟训练”的项目，以更好地解决医学院校骨科接触不足的问题。
