Rostolis Renee, Temperley Hugo C, Larkins Kirsten, Burgess Adele, Proud David, Mohan Helen
Department of Colorectal Surgery, Austin Health, Heidelberg, VIC Australia.
The University of Melbourne, Melbourne, VIC Australia.
Global Surg Educ. 2023;2(1):28. doi: 10.1007/s44186-023-00106-8. Epub 2023 Jan 31.
Optimising opportunities for exposure and learning in the clinical environment is a priority for surgical education. The surgical outpatient clinic provides a setting for engaging with the patient journey while gaining essential surgical knowledge and skills. This systematic review seeks to determine the role of the outpatient clinic in current surgical education for multiple levels of learners and identify strategies to improve educational utility.
A systematic search strategy was conducted across Medline (OVID), Embase, PubMed, and Web of Science databases according to PRISMA guidelines. A comprehensive grey literature search for evaluation of international postgraduate surgical curricula was also performed. Publications were included if they discussed or utilised the general surgical outpatient clinic in an educational context.
Nine publications were included in this review. Educational interventions in a surgical outpatient clinic setting were discussed in three publications and two publications presented observational data relating to educational opportunities in the surgical outpatient clinic. Four postgraduate surgical curricula outlined the current approaches to surgical education in the outpatient clinic setting. Assessment of included studies by Kirkpatrick level of evidence highlighted that included studies did not investigate high-order educational outcomes. Thematic analysis of curricula was utilised to build a common set of learning outcomes.
Educational interventions were found to improve learning outcomes, particularly those that facilitated active student participation. Postgraduate surgical curricula utilise the surgical outpatient clinic and recognise its importance in surgical training through the implementation of outpatient-based learning objectives which serve as fundamental components of training. Common learning objectives can be used to direct further research into the efficacy of this educational context.
The online version contains supplementary material available at 10.1007/s44186-023-00106-8.
优化临床环境中的接触和学习机会是外科教育的首要任务。外科门诊为参与患者诊疗过程提供了一个场所，同时可获取重要的外科技能和知识。本系统评价旨在确定门诊在当前针对多层次学习者的外科教育中的作用，并确定提高教育效用的策略。
根据PRISMA指南，在Medline（OVID）、Embase、PubMed和Web of Science数据库中进行了系统检索策略。还对外科研究生国际课程评估进行了全面的灰色文献检索。如果出版物在教育背景下讨论或使用了普通外科门诊，则将其纳入。
本评价纳入了9篇出版物。3篇出版物讨论了外科门诊环境中的教育干预措施，2篇出版物提供了与外科门诊教育机会相关的观察数据。4篇研究生外科课程概述了门诊环境中当前的外科教育方法。根据柯克帕特里克证据水平对纳入研究进行评估，结果表明纳入研究未调查高阶教育成果。利用课程的主题分析来构建一组共同的学习成果。
发现教育干预可改善学习成果，尤其是那些促进学生积极参与的干预措施。研究生外科课程利用外科门诊，并通过实施作为培训基本组成部分的门诊学习目标，认识到其在外科培训中的重要性。共同的学习目标可用于指导对这种教育背景下的效果进行进一步研究。
在线版本包含可在10.1007/s44186-023-00106-8获取的补充材料。
