A surgical skills elective can improve student confidence prior to internship
A surgical skills elective can improve student confidence prior to internship
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DOI：
10.1016/j.jss.2006.02.022
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发表时间：
2006-06-01
影响因子：
2.2
通讯作者：
Towfigh, Shirin
中科院分区：
文献类型：
--
作者：
Peyre, Sarah E.;Peyre, Christian G.;Towfigh, Shirin
背景与目前的外科实习生相比，针对高年级医学生的外科住院医师准备课程可以提高外科技能的信心。一个为期3周的外科技能实验室选修招收高年级医学生申请外科住院医师计划，目的是提高外科技能和缓解外科实习前的焦虑。学生们在选修课之前和之后进行了调查，了解他们对课程所涵盖的21项技能的信心。对即将到来的外科实习生进行了类似的信心调查。实习生也接受了关于医学院之前技能实验室指导的调查。统计学分析采用配对t检验和双因素方差分析。调查了6名医学生和23名实习生。所有的医学生显着提高了他们的信心，居民准备课程结束（P = 0.0004）。虽然学生最初有较低的信心比外科实习生在执行手术技能，并在他们的解剖学知识的课程之前，他们的信心课程后，显着高于即将到来的外科实习生（P = 0.035）。在医学院有先前技能实验室经验的外科实习生比那些没有技能实验室经验的人有更高的信心（P = 0.019）。在所有亚组中，有技能实验室经验的医学生的信心得分最高，其次是有技能实验室经验的实习生，然后是没有技能实验室经验的实习生，最后是没有技能实验室经验的医学生。外科实习生经常感到没有准备好执行必要的技能居住。在医学院期间，一个专注的技能实验室选修课可以弥合差距，提高实习前的信心。(c)2006年爱思唯尔公司All rights reserved.
Background. A focused surgical resident readiness curriculum for senior medical students can improve confidence in surgical skills compared to current surgical interns.Materials and methods. A 3-week surgical skills lab elective enrolled senior medical students applying to surgical residency programs, with the purpose of improving surgical skills and easing anxiety prior to surgical internship. Students were surveyed before and after the elective regarding their confidence in performing 21 skills covered by the curriculum. A similar confidence survey was administered to the incoming surgical intern class. Interns were also surveyed regarding prior skills lab instruction during medical school. Statistical analyses included Student's paired t-test and two-way analysis of variance.Results. Six medical students and 23 interns were surveyed. All medical students significantly improved their confidence by the end of the resident readiness curriculum (P = 0.0004). Although students initially had lower confidence than surgical interns in performing surgical skills and in their knowledge of anatomy prior to the course, their confidence after the course was significantly higher than that of the incoming surgical interns (P = 0.035). Surgical interns with prior skills lab experience in their medical school reported higher confidence than those who did not have a skills lab experience (P = 0.019). Among all subgroups, medical students with skills lab experience had the highest confidence score, followed by interns with previous skills lab experience, then by interns with no previous skills lab experience, and last, by medical student with no skills lab experience.Conclusion. Surgical interns often feel unprepared to perform skills necessary for residency. A focused skills lab elective during medical school can bridge the gap and improve confidence prior to internship. (c) 2006 Elsevier Inc. All rights reserved.