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Training in General Surgery Ward Call: A Resident-Student Buddy System
1Royal Brisbane and Women's Hospital, Australia.
BMJ Quality Improvement Reports
|January 7, 2016
Summary
Medical students gained valuable after-hours ward call experience through a shadowing program. This improved their understanding of intern duties, highlighting the benefit of early exposure to hospital ward call shifts.
Area of Science:
- Medical Education
- Surgical Training
- Healthcare Management
Background:
- Limited literature exists on medical student experiences with after-hours hospital ward call.
- Medical students often lack ward call experience but are required to perform these duties as interns.
Purpose of the Study:
- To assess the impact of a structured ward call shadowing experience on final-year medical students.
- To evaluate student familiarity with intern responsibilities during after-hours shifts.
Main Methods:
- A buddy system was implemented where final-year medical students shadowed general surgery residents during ward call shifts.
- Students completed pre- and post-experience surveys on attitudes and expectations regarding ward call.
- Nine students participated in a 4-hour evening shift at a tertiary teaching hospital.
Main Results:
- Familiarity with intern expectations on ward call significantly improved post-shadowing (3.1/5 to 4.1/5, p = 0.002).
- After-hours work experience was consistently rated as useful before and after the study (4.5/5 to 4.7/5, p = 0.47).
- Both students and residents unanimously found the experience beneficial.
Conclusions:
- After-hours ward call experience is beneficial for final-year medical students.
- Further research is needed to define the role of such experiences in medical training.
- Implementing shadowing programs can enhance preparedness for intern responsibilities.
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