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Utility of a Standardized Fourth-Year Medical Student Surgical Preparatory Curriculum: Program Director Perceptions.

Melissa K Stewart1, Rebecca C Henry2, Jesse M Ehrenfeld3

  • 1Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.

Journal of Surgical Education
|January 8, 2018
PubMed
Summary

Program director perceptions indicate the Resident Prep Curriculum (RPC) offers advantages for surgical interns. Participants showed improved technical skills and a trend toward better performance in other key areas.

Keywords:
Medical KnowledgePatient Careeducationinternmedical studentresidencyresident prep curriculumresident preparatory coursesurgery

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Area of Science:

  • Medical Education
  • Surgical Training
  • Graduate Medical Education

Background:

  • Surgical interns enter residency with varied preparedness.
  • Standardizing intern preparation is crucial for improving outcomes.
  • The Resident Prep Curriculum (RPC) was developed to address this need.

Purpose of the Study:

  • To evaluate program director (PD) perceptions of surgical interns who participated in the RPC.
  • To compare the preparedness and performance of RPC participants versus nonparticipants.

Main Methods:

  • A 17-question survey was distributed to 245 general surgery residency PDs.
  • PDs compared RPC participants to nonparticipants globally and across 7 competency domains.
  • Descriptive statistics and significance tests were used for analysis.

Main Results:

  • 103 PDs responded (42.0% response rate); 27 reported having RPC participants.
  • PDs perceived an advantage for RPC participants in efficiency and comfort.
  • Significant improvement was noted in technical skills (p=0.007), with trends in other domains.

Conclusions:

  • PDs perceive a global advantage for RPC participants.
  • RPC participation is associated with improved technical skills in surgical interns.
  • Further research comparing learner and senior resident perceptions is warranted.