Surgical inclination and anatomy teaching at the University of Auckland
Surgical inclination and anatomy teaching at the University of Auckland
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DOI：
10.1111/j.1445-2197.2006.03942.x
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发表时间：
2006-12-01
影响因子：
1.7
通讯作者：
Blyth, Phil
中科院分区：
文献类型：
--
作者：
Insull, Phillip J.;Kejriwal, Ritwik;Blyth, Phil
背景：医科毕业生对外科的兴趣下降了，医科学生的解剖学能力也不如以前。对手术的兴趣下降是因为一些因素，包括进入医学院的女性人数不断增加。近些年来，各医学院对解剖学教学的重视程度有所降低。本研究的目的是量化奥克兰医学生的手术倾向，以评估是否存在手术倾向的性别差异，并确定奥克兰医学生对解剖学知识和资源利用的信心。方法：调查设计采用横断面设计，包括25分问卷，采用Likert量表、反应排名和勾选框回答。通过电子邮件向新西兰奥克兰大学医学院四年级和五年级学生发送了218份调查问卷。结果：回复率为71.6%。20%的学生被发现有外科倾向(95%的可信区间为0.15-0.26)。有手术倾向的男性比例显著高于女性(P<；0.05)。33%的受访者(95%的可信区间，0.26-0.41)认为他们的解剖学知识足以安全地行医。教科书和地图册是学习解剖学最常用的工具(P<；0.05)。放射学是学习解剖学最不常用的方法(P<；0.05)。87%(95%的可信区间，0.81-0.92)的受访者同意，在手术过程中重新检查解剖会有帮助。结论：在奥克兰大学，男性明显比女性更有手术倾向。明显更大比例的学生认为他们的大体解剖知识不足以进行安全的医疗实践。学生使用传统方法学习解剖学比放射学方法更常见。大多数接受调查的学生愿意在外科临床附着物期间重温身体解剖。
Background: Medical graduate interest in surgery has declined and medical students are less capable in anatomy than they once were. Declining interest in surgery is because of factors, including growing number of women entering medical school. There has been less emphasis in teaching anatomy at various medical schools in recent years. The aim of this study is to quantify surgical inclination in Auckland medical students to assess whether gender differences exist in surgical inclination and determine confidence in anatomy knowledge and resources used by Auckland medical students.Method: Survey design was cross-sectional and included 25-point questionnaire using Likert scale response ranking and tick box replies. Two hundred and eighteen surveys were emailed to functioning addresses of fourth and fifth year students at University of Auckland, School of Medicine, New Zealand.Results: Response rate was 71.6%. Twenty per cent of students were found to be surgically inclined (95% confidence interval, 0.15-0.26). The proportion of surgically inclined men was significantly higher than women (P < 0.05). Thirty-three per cent of all respondents (95% confidence interval, 0.26-0.41) felt their knowledge of anatomy was adequate to practice medicine safely. Textbooks and atlases were most commonly used to learn anatomy (P < 0.05). Radiology was the least commonly used method to learn anatomy (P < 0.05). Eighty-seven per cent (95% confidence interval, 0.81-0.92) of respondents agreed that revisiting dissection during surgical attachments would be helpful.Conclusion: Men are significantly more likely to be surgically inclined than women at the University of Auckland. A significantly greater proportion of students felt that their knowledge of gross anatomy was inadequate for safe medical practice. Students use traditional methods to learn anatomy more commonly than radiological methods. The majority of students surveyed would like to revisit cadaver dissection during clinical attachments in surgery.