Abdulaziz Mohammad K H B, Al-Jamali Mohammad, Al-Mazidi Sundus, Albuloushi Sarah, Al-Ali Ahmad B
Department of Plastic Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, Warwickshire, United Kingdom.
Department of Plastic Surgery, University Hospital Coventry, Coventry, United Kingdom.
Arch Plast Surg. 2024 Jan 24;51(2):251-257. doi: 10.1055/a-2219-2411. eCollection 2024 Mar.
Plastic surgery has developed to benefit in a variety of challenging areas formerly handled by other disciplines. Medical students do not have a clear picture of plastic surgery as a career due to lacking scope, clinical practice, and understanding of plastic surgery as a clinical area of expertise, including general practitioners, nursing staff, medical trainees, and the general public, and misconceptions about the extent of reconstructive and plastic surgery. A cross-sectional observational study was conducted on Kuwait University Medical students (2nd-7th Years) over a period of 1 month. A questionnaire and a consent form were provided to eligible students. The inclusion criteria were Kuwait University Medical students from 2nd to 7th Years with signed consent form. The response was collected via email sent in coordination with the Vice Dean of Student Affairs in the Faculty of Medicine. Using statistical package for the social sciences, responses were statistically analyzed. Pearson's chi-square test was used to calculate -values, where < 0.05 was considered statistically significant. A total of 244 eligible medical students, 121 males and 123 females, were included in the study, with a mean age of 21 (±2) years. Similarly, 126 (51.6%) were preclinical students (2nd-4th-year students), while 118 (48.4%) were clinical students (5th-7th-year students). About 79.8% of medical students believed that plastic surgery plays an essential role in trauma management, whereas 9.2% did not consider plastic surgery significant for trauma management. This study found that only 15.5% of medical students were interested in enrolling in plastic surgery residency after graduation, while 47.1% of students did not consider plastic surgery residency after graduation. However, 37.4% were uncertain. The two most driving factors in deciding on plastic surgery residency were expected income (61.8%) and lifestyle (14.3%). Improving medical students' education quality can enhance their perception and awareness of plastic surgery. Students should be taught the broader scope of plastic surgery. The inclusion of formal training during undergraduation is the essence of time and should be added to or improved during plastic surgery rotations with more emphasis on reconstructive and hand/peripheral nerve surgery. Student-led interest groups can be a useful tool for educating students about their specialty.
整形手术已发展到能在以前由其他学科处理的各种具有挑战性的领域发挥作用。由于整形手术缺乏范围界定、临床实践，且包括全科医生、护理人员、医学实习生和普通公众在内的人们对其作为一个临床专业领域缺乏了解，以及对整形和重建手术范围存在误解，医学生对整形手术作为一种职业并没有清晰的认识。
在科威特大学对二至七年级的医学生进行了为期1个月的横断面观察研究。向符合条件的学生提供了一份问卷和一份同意书。纳入标准为来自科威特大学二至七年级且签署了同意书的医学生。通过与医学院学生事务副院长协调发送电子邮件来收集回复。使用社会科学统计软件包对回复进行统计分析。采用Pearson卡方检验计算p值，p＜0.05被认为具有统计学意义。
共有244名符合条件的医学生（121名男性和123名女性）被纳入研究，平均年龄为21（±2）岁。同样，126名（51.6%）是临床前学生（二至四年级学生），而118名（48.4%）是临床学生（五至七年级学生）。约79.8%的医学生认为整形手术在创伤管理中起着重要作用，而9.2%的医学生不认为整形手术对创伤管理很重要。本研究发现，只有15.5%的医学生有兴趣毕业后参加整形手术住院医师培训，而47.1%的学生毕业后不考虑参加整形手术住院医师培训。然而，37.4%的学生不确定。决定参加整形手术住院医师培训的两个最主要因素是预期收入（61.8%）和生活方式（14.3%）。
提高医学生的教育质量可以增强他们对整形手术的认知和认识。应该向学生传授整形手术更广泛的范围。在本科阶段纳入正规培训是当务之急，应该在整形手术轮转期间增加或改进，更多地强调重建手术和手部/周围神经手术。由学生主导的兴趣小组可以成为教育学生了解其专业的有用工具。
