The value of resident teaching to improve student perceptions of surgery clerkships and surgical career choices

Whittaker, Lorin D.; Estes, Norman C.; Ash, Jennifer; Meyer, Lynne

doi:10.1016/j.amjsurg.2005.10.029

Cited by 87 publications

(52 citation statements)

References 3 publications

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“…In contrast to consultants, surgical residents and interns can spend significant amounts of time teaching and directly supervising medical students in a wide variety of different clinical settings (Lowry 1976;Pelletier & Belliveau 1999;Minor & Poenaru 2002;Whittaker et al 2006). Residents and interns are also closer to medical students in terms of age and professional development, and generally feel a strong responsibility towards teaching and supervising students and junior colleagues (Wilkerson et al 1986;Busari et al 2002).…”

Section: Practice Pointsmentioning

confidence: 99%

Clinical supervisor evaluations during general surgery clerkships

Wheeler

Hill

2011

Medical Teacher

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Background: Clerkship performance is commonly evaluated by consultant surgeons who seldom supervise medical students directly. In contrast, surgical residents and interns frequently supervise students and provide essential teaching but are not tasked with evaluating them. Aim: To prospectively investigate and compare the accuracy of general surgery clerkship performance evaluations by clinical supervisors of differing seniorities. Method: Between September 2008 and May 2010, clinical supervisors of varying seniorities independently evaluated 57 fourthyear medical students using a multi-dimensional performance evaluation tool. Total evaluation grades and subtotal grades for clinical ability were correlated to the results of a validated surgical objective structured clinical examination (OSCE). Results: In this study, 85 clinical supervisors provided 427 student performance evaluations. Total evaluation grades awarded by consultant surgeons had weak correlation to student OSCE results (r ¼ 0.27, p 5 0.05) and associated subtotal grades for clinical ability had no correlation. In comparison, the equivalent sets of grades awarded by residents and interns had moderate correlations to OSCE results (r ¼ 0.49 and r ¼ 0.54, p 5 0.01). Conclusions: Validity of clinical supervisor evaluations during general surgery clerkships vary according to assessor seniority. Including performance evaluation grades by surgical residents and interns may enhance the overall validity of this common clerkship evaluation tool and improve its summative and formative assessment value.

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Section: Practice Pointsmentioning

confidence: 99%

Clinical supervisor evaluations during general surgery clerkships

Wheeler

Hill

2011

Medical Teacher

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“…106,107,115 These studies reported a positive association between exposure to surgical residents and interest in a surgical career. The authors of these studies suggested that residents are particularly effective mentors for medical students because of the extent to which students and residents interact.…”

Section: Mentorshipmentioning

confidence: 99%

A systematic review of the factors affecting choice of surgery as a career

Peel

Schlachta

Alkhamesi

2018

cjs

190

129

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A systematic review of the factors affecting choice of surgery as a careerBackground: Interest in surgical careers among medical students has declined over the past decade. Multiple explanations have been offered for why top students are deterred or rejected from surgical programs, though no consensus has emerged. Methods:We conducted a review of the literature to better characterize what factors affect the pursuit of a surgical career. We searched PubMed and EMBASE and performed additional reference checks. Agency for Healthcare Research and Quality (AHRQ) and Newcastle-Ottawa Education scores were used to evaluate the included data.Results: Our search identified 122 full-text, primary articles. Analysis of this evidence identified 3 core concepts that impact surgical career decision-making: gender, features of surgical education, and student "fit" in the culture of surgery. Conclusion:Real and perceived gender discrimination has deterred female medical students from entering surgical careers. In addition, limited exposure to surgery during medical school and differences between student and surgeon personality traits and values may deter students from entering surgical careers. We suggest that deliberate and visible effort to include women and early-career medical students in surgical settings may enhance their interest in carreers in surgery.Contexte : On constate que l'intérêt pour une carrière en chirurgie a décliné chez les étudiants en médecine depuis une dizaine d'années. Plusieurs raisons ont été invoquées pour expliquer le désintérêt des étudiants talentueux à l'égard des programmes de chirurgie ou leur rejet de ces programmes, sans qu'on en arrive à un consensus.

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“…Donnelly and Woolliscroft [17], by contrast, found no difference in internal medicine clerkship teaching evaluations of junior residents, senior residents, fellows, and faculty members. Two studies focused on teaching during surgical clerkships found that residents scored higher in evaluations of teaching and mentorship than attending faculty members [19,20]. The degree to which educators volunteered in these settings is unknown, although it seems that many of the resident educators were those assigned to clinical service.…”

Section: Discussionmentioning

confidence: 99%

“…Little has been published about students' perceptions of radiology resident educators compared with attending radiologists [16], although there has been some work in nonradiology fields [17][18][19][20]. A wealth of research has shown that formal resident-as-teacher programs can be beneficial to both residents and students [11,12,[21][22][23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Residents Teaching Medical Students: How Do They Compare With Attending Educators?

Naeger

Wilcox

Phelps

et al. 2014

Journal of the American College of Radiology

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Purpose: Educating medical students is a core mission of academic radiology departments. In some programs, residents participate in student teaching. The aim of this study was to retrospectively compare medical student evaluations of radiology resident lectures with lecture evaluations of radiology faculty members. Methods:Numeric evaluations for lectures given by faculty members, fellows, and residents were collected over a 1-year period as part of routine course evaluations for a fourth-year medical student radiology elective. Faculty member, fellow, and resident lecture scores were compared, overall using analysis of variance and pairwise using Student's t test. A predefined low P-value threshold was used for the t tests to account for the multiple comparisons. To account for the inherent clustering of the data due to repeat lecturers, the data were reanalyzed on a "per lecturer" basis.Results: Three hundred seven individual lecture scores were collected. There was no statistical difference between the lecture scores received by attending faculty members (mean, 9.10 on a scale of 10) and residents (mean, 8.99) (P ϭ .08). Fellows, however, scored statistically significantly lower (mean, 8.45) than attending faculty members and residents (P Ͻ.001 for both comparisons). The per lecturer analysis yielded similar results. Conclusions:Lectures delivered by residents received similar evaluations as lectures delivered by faculty members. Given that teaching can be an educational experience for residents, involving radiology residents in medical student teaching may benefit students and residents alike.

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The value of resident teaching to improve student perceptions of surgery clerkships and surgical career choices

Cited by 87 publications

References 3 publications

Clinical supervisor evaluations during general surgery clerkships

Clinical supervisor evaluations during general surgery clerkships

A systematic review of the factors affecting choice of surgery as a career

Residents Teaching Medical Students: How Do They Compare With Attending Educators?

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