Where Do We Go From Here? Assessing Medical Students’ Surgery Clerkship Preparedness During COVID-19

Silva, Ogonna N. Nnamani; Hernandez, Sophia; Kim, Alexander S.; Campbell, Andre R.; Kim, Edward H.; Wick, Elizabeth C.; Sosa, Julie Ann; Gosnell, Jessica E.; Lin, Matthew; Roman, Sanziana A.

doi:10.1016/j.jsurg.2021.01.010

Cited by 10 publications

(6 citation statements)

References 9 publications

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“…Once all responses were coded, code categories were discussed and agreed upon as a team, as followed by other literature. 15,16…”

Section: Discussionmentioning

confidence: 99%

Gender Is a Spectrum: Evaluating Current and Novel Ways to Inquire About Gender Identity in the Health Care Setting

Song,

Phong,

Davis

et al. 2024

Ann Plast Surg

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Purpose The use of visuals to inquire about gender in the clinical setting has been rare. We developed a survey that included a visual spectrum to assess perceptions about the most and least inclusive ways of inquiring about gender in patients with gender dysphoria. Methods The survey included a multiple-choice question (MCQ), free-response question, and a visual spectrum on which respondents were asked to select one box that best depicts their gender. The survey was administered to all patients diagnosed with gender dysphoria at our institution between April and June 2022. Results A total of 223 of 856 patients responded. Those with more masculine gender identities selected boxes near the visual spectrum corner of “man,” whereas responses were more variable for more feminine genders. The free-response question was identified by 59% of respondents as the most inclusive. The MCQ was identified as least inclusive by 70.4%. The visual spectrum was considered the most inclusive method by the majority of patients who self-identified as woman and demiwoman/demifemale. Being asked about pronouns was extremely or very important in the health care setting for 52% of respondents, but 68.6% indicated that they are rarely or sometimes asked about their pronouns in this setting. Conclusions The traditional MCQ format for self-identifying gender may be lacking in inclusivity and fails to represent the nuances of gender identity. Free response was considered the most inclusive way to inquire about gender among our respondents. These findings highlight the importance of formatting gender identity questionnaires to foster inclusivity for transgender patients.

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“…Once all responses were coded, code categories were discussed and agreed upon as a team, as followed by other literature. 15,16…”

Section: Discussionmentioning

confidence: 99%

Gender Is a Spectrum: Evaluating Current and Novel Ways to Inquire About Gender Identity in the Health Care Setting

Song,

Phong,

Davis

et al. 2024

Ann Plast Surg

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“…The COVID-19 pandemic has disrupted core clerkships for third-year medical students, forcing institutions to transition to virtual curriculums and adapt the role of the medical student in clinical settings to optimize safety measures for all. There have been quite a few studies evaluating the implications of pandemic-related abrupt alterations to traditional medical student curricula in surgery, but the literature regarding pediatrics curricula is more sparse [ 11 , 12 ]. Social distancing, mask wearing, hand washing, and class suspension definitely prompted a rapid decrease in the more common pediatric infectious diagnoses such as upper respiratory infections, hand-foot-mouth disease, and viral/bacterial pneumonias [ 3 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

Decline in Pediatric Shelf Examination Performance During COVID-19

Hanson¹,

P'Pool²,

Starr³

et al. 2021

Cureus

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BackgroundMedical student education has been impacted by the ongoing coronavirus 2019 (COVID-19) pandemic. Medical students were removed from clinical settings, and the censuses in pediatric hospitals decreased. While there have been studies starting to evaluate these effects on medical students training in surgical subspecialties, the literature in pediatrics is limited. ObjectiveThis study analyzed third-year medical students' National Board of Medical Examiners (NBME) Clinical Science Pediatrics Shelf Exam scores at the conclusion of their core pediatric clerkship. We compared the exam scores before COVID-19 pandemic to those during the pandemic. We hypothesized that the ongoing COVID-19 pandemic would have a negative impact on NBME shelf exam scores and that shelf exam failure rates would increase. MethodsInstitutional Review Board approval was obtained prior to initiation of this study. We conducted a retrospective review of medical student pediatric shelf exam scores from June 2017 to December 2020 from one large, single institution. We adjusted scores for block schedule timing and standardized them based on national norms published for the year prior. We compared two groups: those who completed their pediatric clerkship experiences before pandemic (predominantly in-person learning) vs. those who completed it during the pandemic (predominantly virtual learning). Groups were compared using chi-square and analysisof-variance testing. ResultsWe included 991 medical students, 772 before COVID-19 and 219 during COVID-19. Of these, 19 of 772 (2.5%) students failed the exam prior to COVID-19 compared to 19 of 219 (8.7%) during COVID-19 (p < 0.001). Students who completed their pediatric clerkship during COVID-19 were 3.77 times more likely to fail their end-of-clerkship NBME shelf exam (p < 0.001). ConclusionsStudents who completed their core pediatric clerkship in a predominantly virtual platform during the COVID-19 pandemic were significantly more likely to fail their end-of-clerkship NBME shelf exam. Increased failure rates may suggest issues with acquisition and retainment of pediatric medical knowledge throughout the clerkship, creating knowledge gaps in the foundation of their pediatric experience. Longterm effects of virtual learning platforms will need to be studied further.

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“…The effect of COVID-19 on medical education has led to the replacement of in-person learning with virtual experiences [ 7 ]. Thus, health restrictions and constraints have led us to reorganize to minimize the impact on students of the decrease in face-to-face teaching [ 8 ]. The aim of this study is to present the results of the seminar program at the Toulouse University Hospital.…”

Section: Introductionmentioning

confidence: 99%

Boot camp approach to surgical residency preparation: feedback from a French university hospital

et al. 2022

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Introduction The transition from medical student to surgical resident is not a simple one. The aim of this study was to report the experience of a university hospital in the organization of the induction course for future surgical residents and the contribution of a video support in the learning of the suture. Material and method We were able to study two consecutive years of students (October 2020 and 2021). Concerning the practical and technical workshops (learning suture) we carried out a comparative study between two groups of students. A group that had video support for learning suture (video group) and a group without video (control group). The evaluation of the suture was performed in a blinded manner by two supervising surgeons. The other practical workshop was drain fixation; the students did not have a video for this workshop. A comparative study was also performed for the drain fixation workshop between the two groups (video group and control group). A program of theoretical courses was also set up. This program is established according to the different future functions of the residents by integrating medico-legal notions and teamwork. Satisfaction questionnaires were given to the students and the answers were given two months after taking up their duties in the hospital (6 questions with Likert scale and 4 free questions). Results The cohort consisted of 58 students (29 each in 2020 and 29 in 2021). Comparative analyses of the evaluation of the suture workshops showed better performance in the video group compared with the group without video. The comparison of these two groups did not show significant differences in the drain fixation workshop. The theoretical teaching was broken down according to the students' future tasks and each speaker was a specialist in his or her field of expertise. The results of the questionnaires showed a desire on the part of the students to increase the time spent on practical workshops and theoretical forensic teaching. Conclusion We were able to show through these two years of a program that we were able to offer a surgical resident preparation course. In addition, we have highlighted the contribution of a video support in the learning curve of the suture.

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Where Do We Go From Here? Assessing Medical Students’ Surgery Clerkship Preparedness During COVID-19

Cited by 10 publications

References 9 publications

Gender Is a Spectrum: Evaluating Current and Novel Ways to Inquire About Gender Identity in the Health Care Setting

Gender Is a Spectrum: Evaluating Current and Novel Ways to Inquire About Gender Identity in the Health Care Setting

Decline in Pediatric Shelf Examination Performance During COVID-19

Boot camp approach to surgical residency preparation: feedback from a French university hospital

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