Enhancing the Formal Preclinical Curriculum to Improve Medical Student Perception of Surgery

McKinley, Sophia K.; Sell, Naomi M.; Saillant, Noelle; Coe, Taylor M.; Lau, Trevin C.; Cooper, Cynthia; Haynes, Alex B.; Phitayakorn, Roy

doi:10.1016/j.jsurg.2020.02.009

Cited by 25 publications

(8 citation statements)

References 19 publications

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“…33 Performing these tasks under the supervision of a physician can serve as a gradual introduction into the surgical field, mitigating predisposed fears and fostering a stronger desire to pursue this career path. 34 Additionally, students who gained earlier clinical surgical exposure through these technologies reported increased confidence, 12 which may help prepare students to excel during their surgical clerkships.…”

Section: Discussionmentioning

confidence: 99%

How does telementoring impact medical education within the surgical field? A scoping review

Pfennig

Lee

2022

The American Journal of Surgery

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Section: Discussionmentioning

confidence: 99%

How does telementoring impact medical education within the surgical field? A scoping review

Pfennig

Lee

2022

The American Journal of Surgery

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“…This abrupt change in learning environment during surgical rotations has been associated with medical student burnout and negative attitudes toward surgery. 3,5,6 Our group recently published a study that introduced a novel educational tool—the ART card—to the third-year surgical clerkship curriculum. Our results previously demonstrated that the ART card is mutually beneficial for both medical students and residents, is easy to implement, not burdensome to students, and can foster a more positive learning environment.…”

Section: Discussionmentioning

confidence: 99%

“…4 A feedback loop exists-students who enter surgical rotations fearful of adverse treatment by residents and attendings and have a negative educational experience may then confirm their preconceived assumptions about surgery and perceive mistreatment. 5,6 In addition, residents play a key role in medical student education and can foster effective role-modeling and reinforce knowledge. Residents are primary educators and the students' primary point of contact during the rotation.…”

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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“…5,6 According to previous studies, students are concerned about long hours and lifestyle changes, burnout, mistreatment and incongruence in their expectations regarding responsibilities compared with those of the rest of the surgical team. 5,7,8 Although surgical orientations and workshops have somewhat mitigated these negative feelings, [9][10][11] there is still progress to be made towards improving students' experiences in surgical clerkships. Furthermore, students may experience similar challenges in other perioperative core clerkships making it imperative to include anaesthesia and obstetrics and gynaecology (OBGYN) when examining these issues.…”

Section: Introductionmentioning

confidence: 99%

Student challenges during third‐year perioperative clerkships through the lens of faculty and residents: A qualitative study

Wile,

Barnes,

Charondo

et al. 2024

The Clinical Teacher

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PurposeStudies of medical students suggest they often find the transition from the pre‐clinical curriculum to clinical rotations particularly challenging during perioperative clerkships. Educators could add a new perspective into students' clerkship experiences and potential interventions to improve them. The purpose of this study was to examine the educator perspective on students' experiences in perioperative clerkships. The findings could inform potential curricular interventions to facilitate student transition from a didactic environment into perioperative clerkships.MethodsSemi‐structured qualitative interviews were conducted with 16 faculty and residents in the departments of anaesthesia, obstetrics and gynaecology (OBGYN), and general surgery across multiple clinical teaching sites at one institution. Interview questions explored their perceptions of the challenges students face during their transition into perioperative clerkships and probed thoughts on curriculum interventions they believed would be the most beneficial. Interviews were recorded, transcribed and analysed thematically.FindingsThree themes were identified. Faculty and residents perceive that student experiences on perioperative clerkships are shaped by (1) students' ability to adapt to the specialty and operating room norms on these clerkships, (2) students' understanding of how they can meaningfully contribute to the clinical team, and (3) dedicated teaching time constraints. Interventions were suggested to address educator expectations and student gaps, such as implementing a pre‐clerkship orientation across anaesthesia, general surgery and OBGYN.ConclusionsTo facilitate the medical student transition to perioperative clerkships, interventions should aid students in adapting to clerkship norms for these specialties and clarifying their role and expectations within the care team.

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Enhancing the Formal Preclinical Curriculum to Improve Medical Student Perception of Surgery

Cited by 25 publications

References 19 publications

How does telementoring impact medical education within the surgical field? A scoping review

How does telementoring impact medical education within the surgical field? A scoping review

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

Student challenges during third‐year perioperative clerkships through the lens of faculty and residents: A qualitative study

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