探索医学的广度：医学预科生短期临床暑期浸入式学习的 8 年结果。

Exploring the breadth of medicine: 8-year outcomes of a brief clinical summer immersion for premedical students.

机构信息

Department of Medicine, Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford Clinical Summer Internship, Stanford, CA, USA.

Department of Medicine. COMET Fellowship, Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, USA.

出版信息

BMC Med Educ. 2024 Nov 28;24(1):1387. doi: 10.1186/s12909-024-06301-5.

DOI:10.1186/s12909-024-06301-5

PMID:39609765

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11606093/

Abstract

BACKGROUND

Exposure to the breadth of healthcare opportunities is crucial to high-school and college students considering a career in medicine. Most programs revolve around research or subspecialties, limiting exposure to the richness within medicine.

OBJECTIVE

We conducted a program evaluation of the Stanford Clinical Summer Internship (CSI) 2-week program, to understand learner viewpoints around CSI program utility, and to assess long term impact. We assess viewpoints by learner level (high school versus college) and participation mode (in-person versus virtual).

METHODS

In 2016 we launched a two-week premedical internship, incorporating AAMC core competencies. In 2022 and 2023, we surveyed past participants, collecting demographic data and evaluating/comparing CSI's impact on educational and career paths, future preferences in healthcare careers, and influential factors of matriculation for high-school and college participants.

RESULTS

Of 411 past participants, 42% responded (n = 173). We found minimal significant differences between high school and college students. The primary reason for joining was exploring a career in health professions. Notably, 82% acknowledged Stanford-CSI broadened their medical perspectives, 79% gained clarity on healthcare professionals' daily life, 79% heightened their interest in healthcare careers, 71% enhanced their resumes, and 72% learned valuable clinical skills. In-person participants reported developing more friendships (agree/strongly agree: 60% vs 35%, unpaired t-test: p = 0.01), while virtual participants reported having more interest in research careers (40% vs 68%, p = 0.01). Amongst high school matriculants (n = 133), 46% are now in college and 4% in medical or nursing school. Amongst collegiate matriculants (n = 40), 89% have graduated and 11% are now in graduate or medical school. All respondents believed Stanford-CSI was a worthwhile investment of time and resources, with nearly all reporting subsequent increased interest in medicine.

CONCLUSIONS

Stanford-CSI's summer internship gives premedical students real-world medical profession exposure and fosters meaningful connections. Our findings and teaching framework can guide similar program developments, supporting future medical education initiatives.

摘要

背景

对于考虑从事医学职业的高中生和大学生来说，接触广泛的医疗保健机会至关重要。大多数项目都围绕研究或亚专业展开，限制了对医学内部丰富性的接触。

目的

我们对斯坦福临床暑期实习（CSI）为期两周的项目进行了方案评估，以了解学习者对 CSI 项目实用性的观点，并评估其长期影响。我们通过学习者的水平（高中与大学）和参与模式（面对面与虚拟）来评估观点。

方法

我们在 2016 年推出了一项为期两周的医学预科实习项目，纳入了 AAMC 的核心能力。在 2022 年和 2023 年，我们对过去的参与者进行了调查，收集人口统计学数据，并评估/比较 CSI 对教育和职业道路的影响、对未来医疗保健职业的偏好，以及对高中和大学生入学的影响因素。

结果

在 411 名过去的参与者中，有 42%（n=173）做出了回应。我们发现高中生和大学生之间几乎没有显著差异。加入的主要原因是探索医疗保健职业。值得注意的是，82%的人承认斯坦福-CSI 拓宽了他们的医学视角，79%的人更清楚医疗保健专业人员的日常生活，79%的人对医疗保健职业更感兴趣，71%的人增强了他们的简历，72%的人学习了有价值的临床技能。面对面的参与者报告说他们结交了更多的朋友（同意/强烈同意：60%对 35%，未配对 t 检验：p=0.01），而虚拟参与者报告说他们对研究职业更感兴趣（40%对 68%，p=0.01）。在高中入学的学生中（n=133），46%的人现在在大学，4%的人在医学院或护理学院。在大学入学的学生中（n=40），89%的人已经毕业，11%的人现在在研究生院或医学院。所有受访者都认为斯坦福-CSI 是一项值得投入时间和资源的活动，几乎所有人都表示随后对医学的兴趣增加。