Enhancing Medical Student Education and Combating Mistreatment During a Surgery Clerkship With a Novel Educational Tool: A Pilot Study

Tremont, Jaclyn N. Portelli; Kratzke, Ian M.; Williford, Michael L.; Pascarella, Luigi

doi:10.1016/j.jsurg.2020.06.009

Cited by 11 publications

(9 citation statements)

References 17 publications

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“…Taken together, evidence supports that medical students receive a large proportion of their surgical education from residents, and an interactive curriculum may enhance knowledge acquisition. 11,12,14 Students who completed the ART cards did not score significantly higher on the Step 2: CK exam than students who did not have this curriculum. However, mean scores in the intervention group were greater than those in the control group.…”

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

“…Details of the methodology are described in full in our prior publication. 12 Briefly, an ART card was implemented as part of the third-year surgery clerkship curriculum at UNC at the start of 2018-2019 academic year. Ten high-yield core surgical topics were selected including right upper quadrant pain, postoperative fever, hernia, breast mass, and trauma evaluation, among others.…”

Section: Methodsmentioning

confidence: 99%

“…We found that when residents engaged students and taught them basic surgical knowledge, students felt more prepared for exams and completed their rotation with a greater interest in pursuing surgery. 12 We now seek to follow-up these promising results by evaluating the addition of the ART cards on objective student performance on the surgery clerkship. The primary goal of this study, therefore, is to compare exam scores of students who participated in the new curriculum to those who did not.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Novel Educational Tool to Improve Medical Student Knowledge Acquisition During Surgical Rotations

Tremont

Kratzke

Williford

et al. 2021

The American Surgeon

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Background The addition of a novel education tool helps students improve understanding of general surgery topics. However, the effect of the new tool on objective exam performance is unknown. Materials A 10-item card of high-yield general surgery topics was implemented in the third-year surgery clerkship. Students reviewed these topics with general surgery residents. Scores from the National Board of Medical Examiners (NBME) surgery subject exam and Step 2 Clinical Knowledge (CK) board exam were compared among students who completed the Ask-a-Resident Topic card to a control group. Results Students who participated in the curriculum demonstrated significantly better scores on the NBME Surgery exam, t (236) = −2.56, P = .006. There was not a significant effect of the curriculum on Step 2 CK scores, although students who participated in the curriculum (M = 250.7, SD = 13.4) achieved higher scores than the control group (M = 247.8, SD = 14.2). Discussion The novel curriculum may improve objective student performance on standardized surgery exams.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Novel Educational Tool to Improve Medical Student Knowledge Acquisition During Surgical Rotations

Tremont

Kratzke

Williford

et al. 2021

The American Surgeon

Self Cite

View full text Add to dashboard Cite

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Medical student, resident, and faculty perceptions about the third-year clerkship learning environment: a multi-institutional evaluation

Brown,

St John,

et al. 2023

Global Surg Educ

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Just “Culture”? A qualitative study on stressors impacting surgical clerkship student learning and well-being

Bacon,

Wang,

Ackah

et al. 2024

Global Surg Educ

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Purpose Transition into the surgery clerkship is stressful and challenging for third-year medical students. We conducted this study to explore medical students’ learning stressors during the surgery clerkship which may diminish their learning and well-being. Findings will help to identify targets for future educational well-being interventions to enhance students’ preparedness to enter surgery clerkship. Methods We conducted semi-structured interviews with medical students who had completed their surgery clerkship in 2022 at a university-based hospital system using convenience sampling. The interviews were recorded, transcribed, and de-identified. Investigators iteratively coded and analyzed transcripts using a framework method for emerging themes until reaching data saturation. Results We performed 17 interviews with medical students rotating on main campus and community sites from 2 consecutive clerkship cohorts. Each interview was approximately 30 min. Three dominant themes emerged regarding stressors that negatively influenced medical student learning and well-being: 1) expectation mismatch (e.g., student felt incompetent at driving a laparoscope and believed this was a skill she was expected to have), 2) exclusion from the team (e.g., perceiving that their questions are burdensome to the team, and 3) logistical challenges (e.g., where and when to arrive on the first day of clerkship or how to navigate the complexities of the operating room schedule). Conclusion Our study suggests three predominant stressor themes that may jeopardize medical student surgery clerkship learning and well-being. Interventions during clerkship orientation are recommended to establish expectations, clarify logistical confusion, and build a welcoming and supportive surgical culture to facilitate student integration within the medical team.

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Enhancing Medical Student Education and Combating Mistreatment During a Surgery Clerkship With a Novel Educational Tool: A Pilot Study

Cited by 11 publications

References 17 publications

A Novel Educational Tool to Improve Medical Student Knowledge Acquisition During Surgical Rotations

A Novel Educational Tool to Improve Medical Student Knowledge Acquisition During Surgical Rotations

Medical student, resident, and faculty perceptions about the third-year clerkship learning environment: a multi-institutional evaluation

Just “Culture”? A qualitative study on stressors impacting surgical clerkship student learning and well-being

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