The introduction of plastic and reconstructive surgery to the University of Glasgow undergraduate medical core curriculum.

The introduction of plastic and reconstructive surgery to the University of Glasgow undergraduate medical core curriculum.
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将整形与重建外科引入格拉斯哥大学本科医学核心课程。

DOI:
10.1136/postgradmedj-2019-137046
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发表时间:
2020
影响因子:
5.1
通讯作者:
Higgins G
Higgins G
中科院分区:
医学4区
文献类型:
--
作者:
Higgins G

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医学生和医学界对整形手术的误解仍然很普遍。这在招聘专科医生和病人转介方面造成了障碍。在本研究之前,格拉斯哥大学本科医学核心课程没有正规的整形外科教学。在四年级学生中开展了整形外科教学试点。肿瘤整形外科被用作金标准的多学科重建外科手术的例子。调查收集了提供教学前后的四个参数的数据:整形外科子专业的确定、对整形外科的了解、对试点和课程的看法、职业偏好和性别。有效率为57%(n=160)。最多和最不被认可的专业分别是烧伤(48%(n=75))和会阴及下肢重建(0%(n=0)),更多的学生选择美容手术(16%(n=26)),多于手部(9%(n=15))或皮肤癌手术(6%(n=9))。大多数人(129人(81%))认为整形外科在他们的课程中不太有代表性,希望获得更多信息(98人(61%))。据报道,他们对整形外科的了解有了显著提高(p≤0.00005)。对外科职业感兴趣的人从39%(n=63)增加到41%(n=66),报告感兴趣的男性多于女性(p≤0.05)。本研究将整形外科引入本科课程,进一步增加整形外科的教学内容。它提高了学生的理解,渴望获得更多的专业经验和对外科职业的兴趣。教授学生有关子专业的知识对于消除误解、确保适当的转介并激发人们对那些有外科职业天赋的人的兴趣至关重要。
Misperceptions of plastic surgery remain common among medical students and the medical community. This creates barriers in recruitment to specialty and patient referral. Before this study, there was no formal plastic surgery teaching in University of Glasgow undergraduate medical core curriculum. A plastic surgery teaching pilot was implemented for fourth year students. Oncoplastic breast surgery was used as an example of gold standard multidisciplinary reconstructive surgery. Surveys collected data before and after provision of teaching across four parameters; identification of plastic surgery subspecialties, understanding of plastic surgery, opinion of the pilot and curriculum, career preferences and gender. The response rate was 57% (n=160). The most and least recognised subspecialties were burns (48% (n=75)) and perineal and lower limb reconstruction (0% (n=0)), respectively, with more students identifying aesthetic surgery (16% (n=26)) than hand (9% (n=15)) or skin cancer surgery (6% (n=9)). The majority (129 (81%)) thought plastic surgery was poorly represented in their curriculum and wanted further information (98 (61%)). Reported understanding of plastic surgery significantly improved (p≤0.00005). Those interested in surgical careers increased from 39% (n=63) to 41% (n=66) with more males than females reporting interest (p≤0.05). This study introduced plastic and reconstructive surgery into the undergraduate curriculum and led to further increased plastic surgery teaching. It improved student understanding, desire to gain more experience in the specialty and interest in surgical careers. Teaching students about subspecialties is vital to dispel misconceptions, ensure appropriate referrals and ignite interest in those with aptitude for surgical careers.
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