在骨科医学院对手术核心旋转质量的评估
Taylor Casey1, Zachary Brennan1, Kenneth Pereira1
1Michigan State University College of Osteopathic Medicine, East Lansing, MI, USA.
Journal of osteopathic medicine
|November 3, 2023
概括
在手术轮换期间的指导显著提高了骨科医生医学学生对手术的兴趣. 建立指导计划和研究机会可以增强外科文职经验和职业考虑.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 骨科治疗医学 骨科治疗医学
背景情况:
- 骨科医学院传统上强调初级保健.
- 毕业的骨科医生学生追求初级保健专业的比例高于全科医生同行.
- 人们对外科实习的感知质量及其对骨科医生职业选择的影响仍未得到充分研究.
研究的目的:
- 评估骨科医生医学学生对外科文职质量的看法.
- 为了确定是否积极或负面的职务经验影响了关于外科手术职业的决定.
主要方法:
- 一项自愿的,匿名的Qualtrics调查分发给美国骨科外科医生学院医学学生部 (ACOS-MSS) 的骨科医学学生.
- 用R统计软件分析了345名受访者 (15.8%的响应率) 的数据.
- 该调查评估了学生在外科轮换后的经验和职业考虑.
主要成果:
- 在手术轮换期间找到导师的学生更有可能将手术视为职业 (OR=1.43,p=0.003).
- 与社区医院相比,学术场所提供了更多的研究机会 (p=0.019).
- 虽然大多数学生仍然对手术感兴趣,但在轮换后,很大一部分学生决定不接受手术 (OR=0.36,p<0.001).
结论:
- 积极的外科轮换经验与指导有着密切的联系.
- 骨科医学院应该考虑实施外科职员的正式指导计划.
- 加强研究机会和指导可以提高外科工作人员的质量,并鼓励更多的学生从事外科职业.
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