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实习前学院:单日住院医师主导的聚焦实习前准备课程的实施与评估

Sub-Internship Academy: Implementation and Evaluation of Single-Day Resident-Driven Focused Sub-Internship Preparation Course.

作者信息

Gal Zsombor T, Nanda Pranav, Hsueh Brian, Robertson Faith C, West Timothy R, Razak Shahaan S, Mazurek Mercy H, Perez Nicole A, Choi Bryan D, Coumans Jean-Valery C E, Jones Pamela S, Shankar Ganesh M, Stapleton Christopher J, Nahed Brian V

机构信息

Department of Neurosurgery, Massachusetts General Brigham, Harvard Medical School, Boston, Massachusetts, USA.

Department of Neurosurgery, Massachusetts General Brigham, Harvard Medical School, Boston, Massachusetts, USA.

出版信息

World Neurosurg. 2025 Jan;193:533-542. doi: 10.1016/j.wneu.2024.09.127. Epub 2024 Oct 21.

Abstract

OBJECTIVE

Strong performance in neurosurgical sub-internships is a vital component of a successful residency application and requires adequate familiarity with clinical knowledge and technical skills that may not be covered in standard medical school curricula. Accordingly, a need exists for immersive and comprehensive sub-internship preparation programs that respect time and resource limitations, are optimized based on longitudinal student feedback, provide opportunities for mentorship, and foster enthusiasm for neurosurgery. Therefore, residents at a single institution designed and implemented a comprehensive curriculum for a 1-day sub-internship academy.

METHODS

Academy curriculum involved hands-on and discussion-based elements split into 3 workshops. Anonymous surveys were conducted immediately following the academy and upon completion of sub-internships to evaluate participant perceptions on the utility of the academy.

RESULTS

Twelve medical students participated in the inaugural neurosurgery sub-internship academy. Nine responded to the immediate postsurvey, which revealed the following ratings: the overall program was rated as having maximal impact on sub-internship readiness and enthusiasm for neurosurgery by 8 (88.9%) and 7 (77.8%) respondents, respectively. A largely positive impact on access to mentorship was observed. Six participants responded to a postsub-internship survey, and all 6 indicated they agreed or strongly agreed that the academy prepared them to perform well.

CONCLUSIONS

Student perceptions of the relevance and utility of the sub-internship academy were positive, and the program fostered enthusiasm for neurosurgery and provided opportunities for mentorship. The participants indicated the academy positively impacted their sub-internship performance, and areas for improvement to guide future iterations of the academy were identified.

摘要

目的

在神经外科实习轮转中表现出色是成功申请住院医师培训的关键要素,这需要充分熟悉标准医学院课程中可能未涵盖的临床知识和技术技能。因此,需要有沉浸式且全面的实习轮转准备项目,这些项目要考虑到时间和资源限制,根据学生的长期反馈进行优化,提供导师指导机会,并激发对神经外科的热情。为此,一所机构的住院医师设计并实施了一个为期1天的实习轮转学院综合课程。

方法

学院课程包括实践操作和基于讨论的内容,分为3个工作坊。在学院活动结束后以及实习轮转结束时立即进行匿名调查,以评估参与者对学院实用性的看法。

结果

12名医学生参加了首届神经外科实习轮转学院。9人对即时调查做出了回应,结果显示:8名(88.9%)受访者认为整个项目对实习轮转准备的影响最大,7名(77.8%)受访者认为对神经外科热情的影响最大。在获得导师指导方面观察到很大的积极影响。6名参与者对实习轮转后的调查做出了回应,所有6人都表示同意或强烈同意学院使他们做好了出色表现的准备。

结论

学生对实习轮转学院的相关性和实用性看法积极,该项目激发了对神经外科的热情并提供了导师指导机会。参与者表示学院对他们的实习轮转表现产生了积极影响,并确定了有待改进的方面以指导学院未来的改进。

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