Barone J E
Department of Surgery, Stamford Hospital, Connecticut 06904-9317.
Am J Surg. 1995 Mar;169(3):334-7. doi: 10.1016/S0002-9610(99)80170-6.
Because of concerns about the relevance of the fourth-year curriculum of students entering surgical residencies, this study was undertaken to analyze the curriculum, electives, and grades and to compare the students' elective choices with previously documented preferences of surgical educators.
Computer profiles of all fourth-year students at New York Medical College who entered surgical residencies during a 3-year period were reviewed. The records of 115 students (92 male, 23 female), who were placed in 68 categorical and 47 preliminary positions, comprised the study. Four-week rotations in internal medicine, neurology, and ambulatory medicine were mandatory. An average of 5.1 electives per student, along with time for vacation and interviews, filled the remainder of the year.
Students were statistically significantly more likely to receive honors grades in electives. Students, especially those in preliminary positions, frequently selected electives in their eventual specialty choice.
Program directors interviewing prospective candidates for residency should view elective grades with care. Students often take electives that duplicate or do not enhance their career choices. Elective grades are inflated and may be based on subjective evaluations. This issue should be investigated further, and the major surgical education organizations should propose meaningful changes.
由于对外科住院医师培训项目入学学生四年级课程的相关性存在担忧，开展了本研究以分析课程、选修课程和成绩，并比较学生的选修课程选择与外科教育工作者先前记录的偏好。
回顾了纽约医学院在3年期间进入外科住院医师培训项目的所有四年级学生的计算机档案。研究包括115名学生（92名男性，23名女性）的记录，他们被安排在68个分类职位和47个初步职位。内科、神经科和门诊医学的四周轮转是强制性的。每名学生平均有5.1门选修课程，再加上休假和面试时间，占满了剩余的学年时间。
学生在选修课程中获得优等成绩的可能性在统计学上显著更高。学生，尤其是处于初步职位的学生，经常在他们最终选择的专业中选择选修课程。
面试住院医师职位潜在候选人的项目主任应谨慎看待选修课程成绩。学生经常选择重复或无助于其职业选择的选修课程。选修课程成绩被夸大，可能基于主观评价。这个问题应进一步调查，主要的外科教育组织应提出有意义的变革。
