Nixon Michael, Brundage Monica, Cordovani Ligia, Carr Adrienne, Ewusie Joycelyne, Cordovani Daniel
Department of Anesthesia, McMaster University, Hamilton, ON, Canada.
Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Can J Anaesth. 2024 Dec;71(12):1716-1724. doi: 10.1007/s12630-024-02751-z. Epub 2024 Mar 26.
In Canada, three out of 17 medical schools do not mandate an anesthesia rotation in their clerkship curriculum. Understanding the effects of a mandatory anesthesiology rotation is important in determining its value to the specialty and guiding decision-making for medical educators. We sought to determine whether a mandatory anesthesia rotation affected students' understanding of anesthesiology, as well as their perspectives on anesthesia.
We conducted an anonymous cross-sectional survey of Canadian medical students graduating in 2021. Our survey consisted of 46 questions related to student's perspectives of anesthesiology, understanding of anesthesia, their interest in the specialty, and participant's demographics. This included 16 Likert-scale questions, 19 quiz-style questions, four free-text response questions, and seven demographics questions. The survey was hosted by SurveyMonkey (SurveyMonkey Inc., San Mateo, CA, USA) and distributed to the participants by each individual institution.
We collected a total of 331 responses across 13 different Canadian medical schools, representing a 17.3% response rate of students surveyed and 11.7% of all graduating medical Canadian students in 2021. A mandatory rotation in anesthesiology was associated with a more positive perspective (P = 0.01) but not understanding (P = 0.07) of the specialty. A mandatory rotation was not related to students' application to anesthesiology at a statistically significant level (P = 0.06).
The results of this national survey study show the benefits of including a mandatory clerkship rotation in anesthesiology, namely on increasing positive perceptions of the specialty, while also revealing avenues for future research and insights on how to further optimize a mandatory anesthesiology rotation in clerkship.
在加拿大，17所医学院中有3所未在其临床实习课程中强制要求进行麻醉科轮转。了解强制麻醉科轮转的效果对于确定其对该专业的价值以及指导医学教育工作者的决策非常重要。我们试图确定强制麻醉科轮转是否会影响学生对麻醉学的理解以及他们对麻醉的看法。
我们对2021年毕业的加拿大医学生进行了一项匿名横断面调查。我们的调查包括46个问题，涉及学生对麻醉学的看法、对麻醉的理解、他们对该专业的兴趣以及参与者的人口统计学信息。这包括16个李克特量表问题、19个测验式问题、4个自由文本回答问题和7个人口统计学问题。该调查由SurveyMonkey（美国加利福尼亚州圣马特奥市的SurveyMonkey公司）主持，并由各个机构分发给参与者。
我们共收集了来自加拿大13所不同医学院的331份回复，占所调查学生回复率的17.3%，占2021年所有毕业加拿大医学生的11.7%。麻醉科的强制轮转与对该专业更积极的看法相关（P = 0.01），但与理解程度无关（P = 0.07）。强制轮转在统计学上与学生申请麻醉学专业没有显著关联（P = 0.06）。
这项全国性调查研究的结果显示了在麻醉科进行强制临床实习轮转的益处，即提高对该专业的积极认知，同时也揭示了未来研究的方向以及关于如何进一步优化临床实习中强制麻醉科轮转的见解。
