GKT School of Medical Education, King's College London, London, UK.
Guy's & St Thomas' NHS Foundation Trust, London, UK.
BMC Med Educ. 2024 Oct 10;24(1):1116. doi: 10.1186/s12909-024-06047-0.
Exposure to surgery during medical school is limited. We ran a mentorship scheme pairing students at a medical school with local surgeons to improve undergraduate insight. We evaluated the effectiveness of mentorship in increasing surgical exposure and drivers for students seeking surgical mentorship.
35 surgeons across 7 specialties were recruited and matched with 37 students in years 2-4 for 7 months. Quantitative and qualitative evaluation was done with pre-, mid- and post-scheme questionnaires. Students rated confidence across pursuing a career in surgery, surgical exposure, career insight, understanding the application process, contacts, portfolio development, research knowledge and pursuing extra-curricular activities related to surgery using a 5-point Likert scale. Paired t-tests were performed to measure students' confidence before and after the scheme.
Of students that completed all 3 questionnaires (n = 21), conducting research/audit was most frequently selected as a main goal (81.0%), followed by theatre experience (66.7%) and career progression support (28.6%). The number of students that had assisted in theatre increased by 50.0%. Confidence ratings across all domains increased with 7/8 (87.5%) exhibiting a statistically significant improvement (p < 0.05). The greatest improvement was seen in having adequate contacts in surgery from 2.05 to 3.33 (p = 0.00). 95.2% would recommend the scheme.
Students gained significantly more surgical experience and were better equipped with the knowledge required to pursue a surgical career. Mentorship schemes are invaluable in supplementing the undergraduate curriculum and empowering students.
Ethical clearance granted by King's College London Research Ethics Committee, Reference Number MRSU-22/23-34530. .
医学生接触手术的机会有限。我们实施了一项导师制计划,将医学院的学生与当地外科医生配对,以提高本科生的见识。我们评估了导师制在增加手术经验方面的有效性,并探讨了学生寻求外科导师的动机。
招募了 7 个专业的 35 名外科医生,并将他们与 2-4 年级的 37 名学生配对,进行为期 7 个月的指导。通过方案前、中和后的问卷调查进行定量和定性评估。学生使用 5 分制(1-5 分)对从事外科职业的信心、手术经验、职业洞察力、对申请过程的理解、联系、作品集开发、研究知识和从事与外科相关的课外活动等方面进行评分。采用配对 t 检验来衡量学生在方案前后的信心变化。
完成所有 3 份问卷的学生(n=21)中,进行研究/审计是最常被选为主要目标的(81.0%),其次是手术室经验(66.7%)和职业发展支持(28.6%)。有 50.0%的学生增加了在手术室的协助次数。所有领域的信心评分均有所提高,其中 7/8(87.5%)的评分具有统计学显著改善(p<0.05)。在外科领域有足够的联系方面,学生的信心从 2.05 提高到 3.33(p=0.00),改善最为明显。95.2%的学生愿意推荐该计划。
学生获得了更多的手术经验,并且更有能力获得从事外科职业所需的知识。导师制计划在补充本科课程和赋予学生权力方面具有重要价值。
获得了伦敦国王学院研究伦理委员会的伦理批准,注册号为 MRSU-22/23-34530。