Almeida Diogo S, Junior Silvio P, Falcon Gileno, Campos José Humberto O, Felzemburgh Victor A, Dourado Leonardo B, Medina Luis Henrique, Prates Malik P, Matos Henrique A, Silva Mary
General Surgery, Bahiana School of Medicine and Public Health, Salvador, BRA.
Plastic Surgery, Bahiana School of Medicine and Public Health, Salvador, BRA.
Cureus. 2025 Apr 10;17(4):e81996. doi: 10.7759/cureus.81996. eCollection 2025 Apr.
This study aims to evaluate the effectiveness of student practice in a surgical skills curriculum and their evolution during the process and, therefore, evaluate the relevance of training surgical skills in medical graduation.
The study design was prospective observational and analytical, the participants were fourth-year medical students from the Bahiana School of Medical Education and Public Health, and the sample size was 300. The sampling method used was a non-probability sampling method, and data collection was realized through a questionnaire in a QR code with a study overview and a pre-assessment and post-assessment survey link. Data analysis was performed using Microsoft Excel 2021 (Microsoft Corp., Redmond, WA, US). The Shapiro-Wilk test was first conducted to test for normality. Due to the normal distribution of the data, a parametric paired t-test with a 95% confidence interval was used to analyze statistical differences in diagnostic accuracy and knowledge acquisition scores between the pre- and post-assessment and provided the collection of data to assess the impact of a second review moment of surgical skills (SRMSS) for medical students.
Perceived readiness to teach improved across all weeks. Pre- and post-assessment scores showed significant increases (p < 0.05), with mean differences ranging from 0.89 to 1.32, the largest change occurring in Week 1 (1.32). Perceived readiness to apply topics in professional life improved across all weeks, with mean differences ranging from 0.52 to 1.32 (p < 0.05).
The results show that the SRMSS implemented over the six-week period were effective in enhancing participants' perceived learning, readiness for assessments, readiness to teach, and readiness to apply learned topics in practical or professional contexts.
本研究旨在评估外科技能课程中学生实践的有效性及其在过程中的演变,从而评估医学毕业时外科技能培训的相关性。
研究设计为前瞻性观察分析,参与者为巴伊亚医学教育与公共卫生学院的四年级医学生,样本量为300。采用的抽样方法为非概率抽样方法,通过带有研究概述以及预评估和后评估调查链接的二维码问卷进行数据收集。使用Microsoft Excel 2021(美国华盛顿州雷德蒙德市微软公司)进行数据分析。首先进行夏皮罗-威尔克检验以检验正态性。由于数据呈正态分布,使用95%置信区间的参数配对t检验来分析预评估和后评估之间诊断准确性和知识获取分数的统计差异,并提供数据以评估外科技能二次复习时刻(SRMSS)对医学生的影响。
在所有周次中,感知到的教学准备度均有所提高。预评估和后评估分数显示出显著增加(p < 0.05),平均差异在0.89至1.32之间,最大变化发生在第1周(1.32)。在所有周次中,将主题应用于职业生活的感知准备度均有所提高,平均差异在0.52至1.32之间(p < 0.05)。
结果表明,在六周期间实施的SRMSS有效地提高了参与者的感知学习、评估准备度、教学准备度以及在实践或专业背景中应用所学主题的准备度。