Harvard Medical School, Boston, Massachusetts.
Harvard Medical School, Boston, Massachusetts; Surgery Department, Massachusetts General Hospital, Boston, Massachusetts.
J Surg Res. 2024 Apr;296:149-154. doi: 10.1016/j.jss.2023.12.029. Epub 2024 Jan 25.
Medical students value the opportunity to learn from patients as a supplement to traditional faculty-led education; however, long-term follow-up to understand the educational impact of these experiences is lacking. We surveyed medical students who conducted non-medical virtual encounters with transplant recipients or living donors to understand the impact on students' patient care approach after 1-2 y.
Students who completed their surgery clerkship from July 2020 to September 2021 were surveyed about this nonmedical patient encounter in January 2023. Quantitative and qualitative survey data were analyzed using descriptive statistics and inductive thematic analysis, respectively.
Of the 27 respondents (46% response rate), 44.4% completed the experience 1 y ago and 55.6% completed the experience 2 y ago. Nearly all respondents (96.3%) agreed that this experience was an effective way to learn about organ donation and transplantation and that learning from patients was beneficial to their development as a doctor. Over 50% felt this experience changed how they provide care to patients. Qualitatively, students reported that this activity cultivated their empathy for patients, provided unique insight into patients' illness experiences, and enhanced their understanding of the longitudinal patient-surgeon relationship.
Utilizing patients as teachers in transplant surgery not only taught medical students more about organ donation and transplantation but also built empathy and highlighted unique, non-clinical aspects of the patient experience that persisted over time. This is one of the first studies to evaluate patient-led teaching of this type over a year later and assess its unique influence on medical student development.
医学生重视从患者身上学习的机会,将其作为传统的以教师为主导的教育的补充;然而,缺乏长期随访以了解这些经历的教育影响。我们调查了进行非医学虚拟接触的医学生,以了解他们在完成手术实习后的 1-2 年内与移植受者或活体供者进行非医学接触对其患者护理方法的影响。
我们于 2023 年 1 月调查了在 2020 年 7 月至 2021 年 9 月期间完成手术实习的学生,了解他们在这次非医学患者接触中的经历。我们使用描述性统计和归纳主题分析分别对定量和定性的调查数据进行分析。
在 27 名受访者(46%的回复率)中,44.4%的受访者在 1 年前完成了该体验,55.6%的受访者在 2 年前完成了该体验。几乎所有的受访者(96.3%)都认为这种体验是了解器官捐赠和移植的有效途径,从患者身上学习对他们作为医生的发展有益。超过 50%的受访者表示,这种体验改变了他们为患者提供护理的方式。定性分析显示,学生们表示这种活动培养了他们对患者的同理心,提供了对患者疾病经历的独特见解,并增强了他们对纵向医患关系的理解。
在移植手术中利用患者作为教师,不仅让医学生对器官捐赠和移植有了更多的了解,还培养了他们的同理心,并突出了患者体验的独特、非临床方面,这些方面随着时间的推移而持续存在。这是首批评估此类患者主导教学类型的研究之一,评估了其对医学生发展的独特影响。