Declining interest in general surgical training – Challenging misconceptions and improving access at undergraduate level

Thomas, Amal; Murtaza, Aasim Nisar; Spiers, Harry; Zargaran, Alexander; Turki, Mohammed; Mathur, Jai; Fukui, Akiko; Zargaran, David; Khan, Omar

doi:10.1016/j.amsu.2018.11.002

Cited by 17 publications

(9 citation statements)

References 27 publications

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“…Over recent years, there has been a decreased interest in pursuing general surgery residencies in many countries worldwide [10][11][12][13]. Exposing students to surgical skills by means of a simulator such as Eyesi may be helpful in providing a window into a future surgical career Fig.…”

Section: Discussionmentioning

confidence: 99%

Implementation of microsurgery simulation in an ophthalmology clerkship in Germany: a prospective, exploratory study

Deuchler

Scholtz²,

Ackermann³

et al. 2022

BMC Med Educ

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Background Microsurgery is a growing field which requires significant precision and skill. Eyesi Surgical, which is usually introduced during residency or fellowship, is an ophthalmologic microsurgery simulator which allows users to practice abstract microsurgical skills and more specialized skills. The purpose of this study was to assess the inclusion of microsurgical simulation training during medical school. Methods Seventy-nine German medical students in their 10th semester of education completed up to two days of training on the simulator during their ophthalmology clerkship. They received an objective numeric score based on simulator performance and completed pre and post training subjective questionnaires. Results There was no relationship found between students’ Eyesi Surgical performance scores and their specialty interests (p = .8). The majority of students (73.4%) rated their microsurgical skills to be higher after simulator training than before training (p < 0.001). 92.4% of students found the Eyesi Surgical to be a useful component of the ophthalmology clerkship. Objective scores from Navigation Training Level 1 showed that students achieved better results in the criteria categories of Completing Objects and Tissue Treatment than in the categories of Instrument and Microscope Handling. The mean Total Score was 25.7 (± 17.5) out of a possible 100 points. Conclusion The inclusion of surgical simulation in the ophthalmology clerkship led to increased confidence in the microsurgical skills of medical students. Offering surgical simulation training prior to residency can help to expose students to surgical fields, identify those that have particular talent and aptitude for surgery, and assist them in deciding which specialty to pursue.

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Section: Discussionmentioning

confidence: 99%

Implementation of microsurgery simulation in an ophthalmology clerkship in Germany: a prospective, exploratory study

Deuchler

Scholtz²,

Ackermann³

et al. 2022

BMC Med Educ

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“…Of the 85 medical students that participated, 82% reported being more interested in surgery after the workshop, demonstrating that even short-lasting, practical experiences are also beneficial. Similarly, interactive sessions from one-day skills day are also effective at improving understanding of surgery and changing student perceptions of surgery [ 19 ] . Furthermore, both surgical simulation and three-dimensional modelling are increasingly recognised methods that may also have a place in improving student surgical interests [ 20 - 23 ] .…”

Section: Discussionmentioning

confidence: 99%

Early Exposure and Its Impact on Cardiothoracic Surgery: an Experience of Medical Education in The United Kingdom

Chan

Fan

Kwok

et al. 2022

Braz J Cardiovasc Surg

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Introduction Cardiothoracic surgery (CTS) has seen a decline in interest and application rates in recent years. As a relatively small speciality, teaching and placements in CTS are often not included during undergraduate study and postgraduate training. We aim to evaluate the exposure to CTS during both undergraduate study and postgraduate training. Methods A ten-question online survey was designed and delivered to Foundation Year Two (FY2) doctors who graduated in 2017 and completed their two-year postgraduate foundation training in 2019. Medical schools with no graduates in 2017 and 2018 were excluded from our study. IBM® SPSS Statistics, version 25, and Microsoft Excel 365® were used for Student’s t -test statistical analysis. Results Three hundred and six FY2 doctors across 16 medical schools completed the survey, none of which included compulsory CTS attachments as their undergraduate curriculum. Thirty-two respondents (10.5%) underwent CTS attachments lasting between one to three weeks. Only 14 (43.8%) had worked in a cardiothoracic unit during their two-year Foundation Programme; 10 of which (71.2%) subsequently made an application for cardiothoracic speciality training. Most of the participants with previous exposure to CTS, during either undergraduate study or postgraduate Foundation Programme training or both, were significantly more likely to make an application to CTS training ( P <0.05). Conclusion Our study suggests that doctors with increased exposure to CTS during undergraduate study and postgraduate training are more likely to pursue a career in CTS. Targeted interventions at both stages may improve interests in CTS and the number of prospective applicants.

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“…Some subjects have traditionally, been more difficult to teach to undergraduates, than others and anesthesia has suffered due to pre-formed prejudices. [ 3 4 ] There are, highly effective methods of overcoming these hurdles, including increasing the student's involvement in the practical aspects of patient care in the OT and ICU and increasing time spent in simulator-based training. [ 5 ]…”

Section: Discussionmentioning

confidence: 99%

Competency-based undergraduate curriculum implementation in anesthesiology—A survey-based comparison of two models of training

Setlur

Jahan

Gupta

et al. 2021

Journal of Anaesthesiology Clinical Pharmacology

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Background and Aim: Imparting the knowledge and skills of Anesthesiology to undergraduates can be challenging. Competency Based Undergraduate (CBUG) Curriculum for the Undergraduate medical students introduced by the Medical Council of India (MCI) aims to improve the quality of the Indian Medical Graduate (IMG). The Department of Anesthesiology and Critical Care of our college redrafted the training program and brought it in-line with the CBUG Curriculum beginning February 2019. A questionnaire based survey was conducted to assess the efficacy, satisfaction levels and the perception of the students towards the new competency based curriculum. The aim was to assess the students perception of the competency based curriculum and to evaluate two slightly different approaches to the implementation of the curriculum. Material and Methods: Two groups of undergraduate medical students belonging to the 6 th and 8 th term, underwent two different models of teaching. The 8 th term students had already completed their theory classes based on the older curriculum a year ago when they were in 6 th term. However, their clinics and tutorials were modelled as per the new CBUG Curriculum. The current 6 th term students had their first exposure to Anesthesiology and their theory, tutorials and clinics were scheduled in the same term, simulation based training was added, the operation theatre rotation was held in the mornings at 0730hrs and the intensive care unit rounds were held in the evenings. There was no difference in the theory classes taken for the two batches, however the clinics were different. After both the batches finished their rotation, they were given the survey questionnaire to assess their perception of the model of CBUG Curriculum that they were exposed to. Results: The results of the survey revealed that about 80% of the students in both groups preferred that theory classes and practical training should be conducted in parallel in 6 th term. About 60% students in both groups felt that early morning clinics 0800hrs were better than mid-morning clinics at 1100hrs as they get to see and do more procedures. 66%-82% students in both groups felt that the practical training in the OT, ICU and skills lab were very helpful or extremely helpful. The most important aspect of Anesthesiology rotation was “learning basic life saving skills and simulation based learning“ according to 85% students in both groups. Nearly 80% students in both groups felt that the training in Anesthesiology should be allotted more time and more weightage in undergraduate training. 72% students in 6 th term and 63% students in 8 th term felt more confident of handling emergencies after their Anesthesiology rotation. Conclusion: The ne...

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Declining interest in general surgical training – Challenging misconceptions and improving access at undergraduate level

Cited by 17 publications

References 27 publications

Implementation of microsurgery simulation in an ophthalmology clerkship in Germany: a prospective, exploratory study

Implementation of microsurgery simulation in an ophthalmology clerkship in Germany: a prospective, exploratory study

Early Exposure and Its Impact on Cardiothoracic Surgery: an Experience of Medical Education in The United Kingdom

Competency-based undergraduate curriculum implementation in anesthesiology—A survey-based comparison of two models of training

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