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Getting Prepared: Strengthening Clerkship Student Readiness for the Operating Room Through a Case Preparation
Rachael C Acker1, Sarah I Landau2, Emily E Witt3
1Department of Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Medical students can improve operating room preparedness with a new case preparation curriculum. An in-person session significantly increased pre-operative patient history review compared to video-only instruction.
Area of Science:
- Medical Education
- Surgical Training
- Curriculum Development
Background:
- Medical students often lack preparation strategies for their initial surgical clerkship experiences.
- Maximizing educational benefit during operative cases requires effective pre-operative preparation.
- A gap exists in structured guidance for students entering the operating room environment.
Purpose of the Study:
- To design and implement a case preparation curriculum for medical students.
- To enhance students' ability to prepare for surgical cases and maximize learning.
- To evaluate the effectiveness of a novel curriculum compared to standard methods.
Main Methods:
- A needs assessment guided curriculum development using Kern's approach.
- Instructional videos on electronic health record use and pre-case research were created.
- Students were randomized to an in-person preparation session or video-only instruction.
Main Results:
- 71% of students found the instructional videos helpful.
- The in-person session was rated 8/10 for helpfulness.
- Students in the in-person group were more likely to review patient history pre-operatively (100% vs. 67%, p=0.047).
Conclusions:
- The case preparation curriculum was well-received and is now standard practice.
- The curriculum improved students' pre-operative preparation and engagement.
- This model can be adopted by other institutions to enhance surgical clerkship education.
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