Winning Hearts and Minds: Inspiring Medical Students into Cardiothoracic Surgery Through Highly Interactive Workshops

George, Joseph; Combellack, Tom; López-Marco, Ana; Aslam, Umair; Ahmed, Yasir; Nanjaiah, Prakash; Youhana, Aprim; Kumar, Pankaj

doi:10.1016/j.jsurg.2016.10.002

Cited by 31 publications

(31 citation statements)

References 11 publications

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“…[45][46][47][48][49][50][51][52][53][54]80,82,83,85,88 The importance of exposure to surgery early in training is further supported by a study by Sallee and colleagues, 128 which showed that medical student impressions of a specialty form before adequate clinical exposure in that specialty is obtained. These findings, together with ours, suggest that decisions about specialties of interest are formed during the preclerkship years.…”

Section: Discussionmentioning

confidence: 99%

“…[45][46][47][48][49][50][51][52][53][54] An AHRQ grade of moderate strength was awarded to this body of evidence, with a mean Newcastle-Ottawa score of 6.6. The results from these studies were uniformly positive; following exposure to surgery during the preclinical years, students expressed greater confidence that surgery allows for work-life balance and meaningful change in patients' lives.…”

Section: Preclerkship Exposurementioning

confidence: 99%

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

Peel

Schlachta

Alkhamesi

2018

cjs

189

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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Section: Discussionmentioning

confidence: 99%

Section: Preclerkship Exposurementioning

confidence: 99%

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

Peel

Schlachta

Alkhamesi

2018

cjs

189

129

View full text Add to dashboard Cite

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“…Hands‐on exposure to suturing and knot‐tying will not only prepare undergraduate students for practice, but can also provide an opportunity to explore whether they wish to pursue a surgical career. This has been explored in the fields of plastic surgery and cardiothoracic surgery . Subspecialty‐based practical surgical workshops yielded significantly positive results and enhanced students’ perspectives toward the respective surgical career.…”

Section: Discussionmentioning

confidence: 99%

Introduction of an interprofessional gynaecology surgical skills workshop for undergraduate medical and nursing students

Yang

Fernando

Tighe

et al. 2019

Aust NZ J Obst Gynaeco

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Background: Medical and nursing students may feel under-prepared to perform basic surgical and gynaecology procedural skills. There also remains scope within undergraduate programs to integrate interprofessional education, and better prepare students for interprofessional collaboration to improve patient care. Aims:A simulation-based gynaecology surgical skills workshop program was introduced for undergraduate medical and nursing students. The aim of this study was to explore students' perceptions of a simulation-based interprofessional gynaecological skills program, using students' pre-and post-workshop confidence in taught skills reported in a post-workshop questionnaire as an outcome measure. Materials and methods:One hundred and sixty undergraduate medical (n = 133) and nursing (n = 27) students attended the workshop program at a tertiary university in Melbourne, Australia. A survey was completed by all students immediately after the workshop, addressing students' perceptions of surgical education, the four skill-stations (gowning/gloving, suturing, intrauterine device insertion, and urethral catheterisation), and interprofessional education. A Wilcoxon signed-rank test was performed to compare students' pre-and post-workshop confidence scores.Results: Most medical and nursing students (86%) agreed their course should provide more structured surgical education. There was a statistically significant increase in post-workshop self-reported confidence scores for medical and nursing students in all four taught skills. Confidence in interprofessional behaviours also improved in both cohorts, but the improvement in nursing students did not reach statistical significance. Conclusions: Simulation-based, interprofessional, gynaecological surgery skills workshops are practical and valuable additions to undergraduate medical and nursing curricula. Further research should explore long-term retention of procedural skills and changes in interprofessional attitudes in clinical practice. K E Y W O R D S gynaecology, education, interprofessional, undergraduate, simulation

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“…Interactive workshops with high tutor to student ratios resulted in a 42% increase in perceived attraction to the CT specialty following these workshops. 11 These success programs were all particularly motivated by the decreasing applicant pool and projected shortage of CT surgeons. Thus, the result of greater rates of CT trainees as a product of increased interest is particularly promising for the future of CT surgery.…”

Section: Mentorship Researchmentioning

confidence: 99%

Educational research and training innovation in cardiothoracic surgery: A year in review

Hunt

Zhou

Lui

et al. 2019

The Journal of Thoracic and Cardiovascular Surgery

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, it has been an exciting year for the field. However, this volume of research renders it difficult to keep abreast with the latest innovations in education. This year alone in CT surgery, there were 35 education-focused abstracts, 24 sessions oriented toward emerging technology, and more than 180 sessions devoted to surgical skills and simulations. Many studies explored the role of technology-based tools in augmenting CT surgery training. These were applied to the field broadly, within subspecialties, and at all levels of medical training from medical student to senior attending. Research also grappled with how to best enhance recruitment of students into CT surgery. It is these advances in education that will prove vital to the future of CT surgery education. Reflecting on the extensive scholarly work published and presented at the major CT surgical conferences, the aim of this paper is to explore the education highlights of the 2017 to 2018 academic year and provide commentary on where the field may be headed. EDUCATIONAL RESEARCH ACROSS THE FIELD OF CT SURGERY Structure of the Field Many researchers over the course of the year investigate how the field of CT surgery is changing and how trainees in particular are responding. The presence of physician extenders within CT surgery has increased in recent years. A national survey assessing opinions of physician extender involvement showed that overall impression is favorable but that their role can occasionally impede resident education, especially in regard to patient management on the ward. 1 In regard to training structure, residents appear to prefer traditional programs to the integrated 6-year (I-6) program. The most common reasons given for not applying to the I-6 program were lack of commitment to CT surgery as a medical student and uncertainty of adequacy of I-6 training-from the belief that general surgery training is more well-rounded. 2 For general thoracic surgery, the 4/3 and traditional programs were the preferred and more common route compared with the I-6 residents, who nearly all were set on a cardiac career (adult or congenital). 2,3 I-6 programs also increase concern about decreased general surgery operative volume, which emphasizes the need for cooperation and communication between integrated and categorical program directors to ensure adequate training for all residents. 4 Understanding the advantages and challenges of the various educational paradigms, programs continue to modify and improve their curriculum to better address the perceived needs of the specialty and those of the trainees. Support for Residents' Transition to Training and to Practice Research this year focused on understanding how to better support CT surgery residents. Throughout the conferences this year, many sessions were oriented toward

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Winning Hearts and Minds: Inspiring Medical Students into Cardiothoracic Surgery Through Highly Interactive Workshops

Cited by 31 publications

References 11 publications

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

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

Introduction of an interprofessional gynaecology surgical skills workshop for undergraduate medical and nursing students

Educational research and training innovation in cardiothoracic surgery: A year in review

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