Perspectives of Osteopathic Medical Students on Preclinical Urology Exposure: A Single Institution Cross Sectional Survey

medRxiv - Medical Education Pub Date : 2024-02-04 DOI:10.1101/2024.02.03.24302283

Ryan Wong, Harvey N Mayrovitz

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Abstract

Context: There is an increasing number of medical school graduates opting for surgical specialties and the osteopathic applicant match rate for urology is estimated to be lower than that of allopathic applicants. Factors influencing this may include a lack of interest, perceived challenges in matching into urology, insufficient urology mentorship, limited research opportunities, and inadequate osteopathic representation in urology. Objective: To assess osteopathic medical students' perspectives on pursuing urology and enhancing preclinical exposure to and knowledge of urology. Methods: A 20-question survey addressing experiences and the factors influencing osteopathic medical students' specialty selection and their interest in and perception of urology was designed by the investigators on Research Electronic Data Capture software. This survey was distributed via email listserv to all current osteopathic medical students attending Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine over two months. Responses were collected and analyzed using Fisher's exact test. Results: Of 150 respondents, 91% found mentors crucial in selecting a medical specialty, 95% emphasized the importance of early exposure, and 68% lacked familiarity with urology, with more M1 students unfamiliar compared to M2 (70.37% vs. 59.02%). A larger proportion of combined M1 and M2 (preclinical) students are considering urology as a specialty compared to M3 and M4 (clinical) students who are actively on rotations (56.52% vs. 28.57%; p = 0.0064). Also, a greater percentage of males are considering urology compared to females (64.15% vs. 42.71%; p = 0.0164). Among those considering urology (n = 75), 57.3% lack awareness of urology's scope, and 84% report no preclinical discussions with urologists. Those students who report they are considering urology value early exposure significantly more than others (98.67% vs. 78.67%; p = 0.0001). They also express greater interest in having a core urology course (73.33% vs. 38.67%; p < 0.0001). More urology considering students are interested in extracurricular urology-related workshops, seminars, or conferences (61.33% vs. 17.33%; p < 0.0001). Students who are considering urology as a specialty show greater interest in having a mentorship program (85.33% vs. 28%; p < 0.0001). Conclusion: Results suggested that increased urology exposure during the preclinical years is important. Urology elective offerings and urology mentorship are of high interest among those considering urology. However, additional investigation is needed to determine the impact of preclinical urology curricula implementation on urology match outcomes.

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骨科医学生对泌尿外科临床前接触的看法：单一机构横断面调查

背景：越来越多的医学院毕业生选择外科专业，而骨科申请者与泌尿外科的匹配率估计低于全科申请者。影响因素可能包括缺乏兴趣、认为泌尿外科匹配存在挑战、泌尿外科导师不足、研究机会有限以及泌尿外科的骨科医生代表不足。目的：评估骨科医学生对攻读泌尿外科以及加强泌尿外科临床前接触和知识的看法。方法：进行一项 20 个问题的调查：研究人员利用研究电子数据采集软件设计了一份包含 20 个问题的调查问卷，内容涉及影响骨科医学生专业选择的经验和因素，以及他们对泌尿外科的兴趣和看法。调查表通过电子邮件列表服务发送给诺瓦东南大学基兰-帕特尔骨科医学院的所有骨科医学生，为期两个月。收集到的回复采用费雪精确检验法进行分析。结果：在150名受访者中，91%的人认为导师对选择医学专业至关重要，95%的人强调早期接触的重要性，68%的人不熟悉泌尿科，与M2相比，更多的M1学生不熟悉泌尿科（70.37% vs. 59.02%）。与正在轮转的 M3 和 M4（临床）学生相比，M1 和 M2（临床前）学生中考虑将泌尿外科作为专科的比例更高（56.52% vs. 28.57%；p = 0.0064）。此外，与女生相比，考虑选择泌尿外科的男生比例更高（64.15% vs. 42.71%; p = 0.0164）。在考虑就读泌尿科的学生中（n = 75），57.3% 的学生对泌尿科的范围缺乏了解，84% 的学生表示没有与泌尿科医生进行过临床前讨论。那些表示正在考虑泌尿外科的学生对早期接触的重视程度明显高于其他学生（98.67% 对 78.67%；P = 0.0001）。他们还对开设泌尿外科核心课程表示出更大的兴趣（73.33% 对 38.67%；p = 0.0001）。更多考虑就读泌尿外科的学生对与泌尿外科相关的课外讲习班、研讨会或会议感兴趣（61.33% vs. 17.33%；p <；0.0001）。考虑将泌尿外科作为一个专业的学生对导师计划表现出更大的兴趣（85.33% vs. 28%；p <；0.0001）。结论：结果表明，在临床前几年增加泌尿外科的接触机会非常重要。泌尿外科选修课程和泌尿外科导师制在考虑就读泌尿外科的学生中兴趣很高。然而，要确定泌尿外科临床前课程的实施对泌尿外科匹配结果的影响，还需要进行更多的调查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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medRxiv - Medical Education

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