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编织故事:第三年职务实习对通用外科住院申请人的影响
Aaron L Albuck1, Alison K Mortemore1, Ariel Kesick1
1Tulane University School of Medicine, New Orleans, Louisiana.
积极的实习经验,包括直接参与病例和初级住院生的指导,大大提高了医学学生对整体外科的兴趣. 主观因素和质量相互作用是关键因素,在职业选择中超过学术成绩.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 职业发展 职业发展
背景情况:
- 职务实习的经验批判性地塑造了医学学生的专业兴趣.
- 导师,自主和患者护理质量影响职位满意度和职业决策.
- 之前的研究表明,居民和出席互动对专业的追求产生了积极的影响.
研究的目的:
- 评估影响医学学生对一般外科手术兴趣的外科实习的关键因素.
- 专注于指导,临床接触和学术表现的角色.
主要方法:
- 从第三年医学学生的无身份调查数据的回顾性分析.
- 调查评估了专业偏好,职务细节和影响因素.
- 相关调查数据与外科手术架考试和职务人员成绩.
主要成果:
- 23.7%的受访者申请了整体外科.
- 对研究生一年级居民的接触显著增加了申请可能性 (OR 1.887,P=0.046).
- 直接参与病例 (60.6%),居民互动 (56.7%) 和教师指导 (52.0%) 是关键的积极因素;长时间的工作时间是负面的.
结论:
- 直接临床接触和指导,特别是来自初级住院医生的指导,是人们对整体外科的兴趣的强有力的预测因素.
- 主观经验和交互质量在专业选择中是至关重要的,比学术成绩更重要.
- 通过有意义的互动和案例参与来提高职员质量,可以促进对整体外科的兴趣.
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