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在住院医师培训项目有限且接触机会较少的学校中,学生兴趣小组的模拟活动对了解代表性不足的专业及相关病理学知识的影响

Impact of Student Interest Groups' Simulation Activities on the Awareness of Underrepresented Specialties and Knowledge of Related Pathologies in a School With Limited Residency Programs and Exposure.

作者信息

Johnson Ariana S, Hsieh Michael T, Toor Sharon, Molligoda Brandon, Kraguljac Simo, Ridout Rees, Harris David M

机构信息

Medical Education, University of Central Florida College of Medicine, Orlando, USA.

出版信息

Cureus. 2025 Apr 29;17(4):e83196. doi: 10.7759/cureus.83196. eCollection 2025 Apr.

Abstract

INTRODUCTION

Medical students who attend home institutions without specialty programs, like otolaryngology (ENT) and anesthesiology, have less awareness of the specialty. The purpose of this study was to determine if simulation activities developed by student interest groups in medical specialties can increase awareness and knowledge of these specialties.

METHODS

First-, second- and third-year medical students participated in two simulations. The first simulation session was a collaboration between the ENT Interest Group at the University of Central Florida College of Medicine (UCF COM) and Stryker (Kalamazoo, Michigan, USA), a medical equipment vendor that supplied the surgical equipment. The hands-on simulation activities included a variety of ENT equipment. The second simulation session was a collaboration between the ENT Interest Group, Neurology Interest Group and Anesthesiology Interest Group with residents and physicians from affiliated institutions. Students participated in hands-on activities that included simulators and working with physicians on intubation, using an otoscope and reading head and neck medical images. In both, participants completed a Likert-scale questionnaire prior to and immediately following the hands-on simulation activity. Additionally, participants responded to one open-ended question. IBM SPSS Statistics, version 28.0 (IBM Corp., Armonk, USA) and paired t-test were used for data analysis.

RESULTS

Thirty-six medical students completed the first simulation and survey. Interest in pursuing ENT rose from 2.75 to 3.25 (p<0.001), awareness of ENT instruments increased from 1.58 to 3.28 (p<0.001), and confidence in using these instruments increased from 1.31 to 2.89 (p<0.001). Knowledge of head and neck anatomy and ENT diseases also improved, with scores rising from 2.17 to 2.86 (p<0.001) and 2.17 to 2.92 (p<0.001), respectively. Students who reported increased interest in ENT attributed it primarily to the knowledge gained and the hands-on nature of the simulation. Twenty medical students completed the second simulation and survey. Interest increased significantly in neurology (1.75 to 2.75, p<0.05); however, medical knowledge and procedural knowledge were significantly increased in all three specialties of ENT, neurology and anesthesiology.

CONCLUSION

This study indicates that simulation-based events can substantially enhance both interest and awareness in ENT and anesthesiology, particularly for medical students with limited exposure to the specialty. By providing immersive, hands-on experiences, these simulations offer medical students valuable insights into specialties that are typically unavailable until clinical years.

摘要

引言

就读于没有耳鼻喉科(ENT)和麻醉学等专科项目的本校医学院的医学生,对这些专科的了解较少。本研究的目的是确定医学专科学生兴趣小组开展的模拟活动是否能提高对这些专科的认识和知识。

方法

一年级、二年级和三年级医学生参加了两次模拟活动。第一次模拟活动是中佛罗里达大学医学院(UCF COM)的耳鼻喉科兴趣小组与Stryker(美国密歇根州卡拉马祖)合作开展的,Stryker是一家提供手术设备的医疗设备供应商。实践模拟活动包括各种耳鼻喉科设备。第二次模拟活动是耳鼻喉科兴趣小组、神经科兴趣小组和麻醉学兴趣小组与附属机构的住院医师和医生合作开展的。学生们参加了实践活动,包括模拟器操作以及与医生一起进行插管、使用耳镜和解读头颈部医学影像。在这两次模拟活动中,参与者在实践模拟活动之前和之后立即完成了一份李克特量表问卷。此外,参与者还回答了一个开放式问题。使用IBM SPSS Statistics 28.0版(IBM公司,美国阿蒙克)和配对t检验进行数据分析。

结果

36名医学生完成了第一次模拟和调查。对耳鼻喉科专业的兴趣从2.75提高到3.25(p<0.001),对耳鼻喉科器械的认识从1.58提高到3.28(p<0.001),使用这些器械的信心从1.31提高到2.89(p<0.001)。头颈部解剖学和耳鼻喉科疾病的知识也有所提高,分数分别从2.17提高到2.86(p<0.001)和从2.17提高到2.92(p<0.001)。报告对耳鼻喉科兴趣增加的学生主要将其归因于获得的知识和模拟活动的实践性质。20名医学生完成了第二次模拟和调查。对神经科的兴趣显著增加(从1.75提高到2.75,p<0.05);然而,在耳鼻喉科、神经科和麻醉学这三个专科中,医学知识和操作知识都有显著增加。

结论

本研究表明,基于模拟的活动可以显著提高对耳鼻喉科和麻醉学的兴趣和认识,特别是对于接触该专科有限的医学生。通过提供沉浸式的实践体验,这些模拟活动为医学生提供了对通常在临床年级才有的专科的宝贵见解。

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