Michiwaki Yuhei, Yamane Fumitaka, Itokawa Hiroshi, Tanaka Tatsuya, Shimoji Kazuaki, Matsuno Akira
Department of Neurosurgery, International University of Health and Welfare, School of Medicine, Narita City, Chiba, Japan.
Surg Neurol Int. 2023 Dec 1;14:414. doi: 10.25259/SNI_778_2023. eCollection 2023.
The number of medical students aspiring to become neurosurgeons has decreased worldwide, mainly due to poor work-life balance among neurosurgeons; therefore, recruiting students for neurosurgery is essential to ensure the availability and appropriate quality of neurosurgical treatment. This study aimed to evaluate the efficacy of hands-on neuroendovascular practice for nonselective undergraduate medical students to determine whether this increases their interest in neurosurgery and contributes to their aspirations of becoming neurosurgeons.
Hands-on neuroendovascular practice for mechanical thrombectomy was performed by undergraduate 5-year medical students during their 2-week clinical rotation in the Department of neurosurgery at our university hospital between April 2021 and March 2023. After the neurosurgery practice, a questionnaire about their understanding of neurosurgery and aspirations for this specialization before and after the practice was anonymously completed by all students.
Overall, 153 students completed the questionnaire. Of these, 140 (91.5 %) showed increased interest in neurosurgery after participating in the hands-on practice. Through this practice, the number of students who considered neurosurgery as their first choice or one of their specialty choices increased from 8 (5.2%) to 12 (7.8%) ( = 0.3534) and from 19 (12.4%) to 52 (34.0%) ( < 0.0001), respectively. Furthermore, the number of students with no aspiration to become neurosurgeons decreased from 95 (62.1%) to 43 (28.1%) ( < 0.0001).
Hands-on neuroendovascular practice for nonselective undergraduate medical students effectively increased their interest in neurosurgery specialization and their desire to become neurosurgeons. Therefore, this practice can help recruit medical students for neurosurgery specialization.
全球范围内，有志于成为神经外科医生的医学生数量有所减少，主要原因是神经外科医生的工作与生活平衡不佳；因此，招募神经外科专业的学生对于确保神经外科治疗的可及性和适当质量至关重要。本研究旨在评估非选择性本科医学生进行神经血管介入实践操作的效果，以确定这是否会增加他们对神经外科的兴趣，并促使他们有志于成为神经外科医生。
2021年4月至2023年3月期间，本校附属医院神经外科为5年制本科医学生在为期2周的临床轮转期间安排了机械取栓的神经血管介入实践操作。神经外科实践结束后，所有学生匿名填写了一份关于他们在实践前后对神经外科的理解以及对该专业志向的问卷。
总体而言，153名学生完成了问卷。其中，140名（91.5%）学生在参与实践操作后对神经外科的兴趣有所增加。通过这次实践，将神经外科作为首选或专业选择之一的学生人数分别从8名（5.2%）增加到12名（7.8%）（ = 0.3534），从19名（12.4%）增加到52名（34.0%）（ < 0.0001）。此外，原本无意成为神经外科医生的学生人数从95名（62.1%）减少到43名（28.1%）（ < 0.0001）。
对非选择性本科医学生进行神经血管介入实践操作有效地增加了他们对神经外科专业的兴趣以及成为神经外科医生的意愿。因此，这种实践有助于招募神经外科专业的医学生。
