Folse R, DaRosa D A, Paiva R E, Birtch A
Surgery. 1986 Feb;99(2):178-83.
This article describes the principles, logistics, and curriculum of an integrated, multidisciplinary surgery clerkship. This clerkship, tailored to mastery-based instruction, was designed to meet specified goals unique to this institution and structured to obviate weaknesses of traditional clerkship formats. Evaluation methods have been designed to assess the clerkship program, student performance in and reaction to the clerkship, and performance after graduation from medical school. Results indicated clerkship ratings by students are typically above average for all educational modalities and that six out of seven graduating classes rated the surgery clerkship significantly higher (p less than 0.05) than their other clerkship experiences. Other findings showed highly satisfactory to above average performance of graduates whether based on residency supervisors' evaluations or self-evaluations and higher ratings for the graduates who selected surgery residency programs than for those pursuing other disciplines.
本文介绍了一个综合性、多学科外科实习的原则、流程和课程设置。这个实习课程是根据基于掌握程度的教学方式量身定制的，旨在实现本机构特有的特定目标，并进行了结构化设计以消除传统实习形式的弱点。已设计评估方法来评估实习课程、学生在实习中的表现及对实习的反应，以及医学院毕业后的表现。结果表明，学生对实习的评分在所有教育模式中通常高于平均水平，并且七个毕业班中有六个班级对外科实习的评分显著高于（p小于0.05）他们的其他实习经历。其他研究结果显示，无论是根据住院医师培训导师的评估还是自我评估，毕业生的表现都非常令人满意或高于平均水平，并且选择外科住院医师培训项目的毕业生的评分高于选择其他学科的毕业生。
