从荒野到床边：创造冒险和有意识的医生进入住院医师（CAMPER）由住院医师培养归属感

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-04-14 DOI:10.1016/j.jsurg.2025.103510

Alec Bernard MD, MSCR , Emily L. Vogt BA , Kathryn Flaharty BA , Sophie Gutterman BS , Rachel Gottlieb BS , Jeremy Shapiro BA , Alexander T. Young BS , Christopher Johnson-Harwitz BA , Eleanor Falahee BS , Heather Burrows MD, PhD , Al'ai Alvarez MD , Cara Liebert MD , Geoff Tabin MD

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引用次数: 0

摘要

目的：确定住院医师过夜户外体验是否对住院医师开始住院前的舒适、准备和支持感有积极影响。户外教育旅行已被证明对许多其他环境中的参与者产生积极影响，但尚未在过渡到住院医师时进行检查。“创造冒险和谨慎的医师进入住院医师”（CAMPER）项目由住院医师和医学生为即将到来的住院医师设计的多日背包旅行组成。露营旅行是在2022年至2023年期间为密歇根医学家庭医学和斯坦福医疗保健眼科，整形外科和普通外科住院医师项目进行的。旅行计划包括徒步旅行，团队建设活动，以及包括所有膳食和装备在内的过夜露营经历。每个项目结束后，参与者都被要求提供反馈，并进行调查，以评估他们的经历如何影响他们的住院医师生涯。密歇根医学家庭医学和斯坦福医疗保健眼科，整形外科和普通外科住院医师项目。旅行在加利福尼亚州的雷耶斯岬国家海岸和密歇根州的平克尼州立娱乐区举行。共有44名住院医师，包括：8名斯坦福医疗保健眼科、整形外科和普通外科住院医师，2022年住院医师，12名2023年住院医师。2022年12名密歇根医学家庭医学实习生和2023年11名住院医师。在最近的2023年队列中，参与者接受了关于他们经历的调查。结果65%的参与者对露营后一周的调查做出了回应（11人来自斯坦福医疗中心，4人来自密歇根医学中心），100%的密歇根医学旅行参与者对旅行后6个月的调查做出了回应。当被问及有多大可能向朋友推荐CAMPER时，100%的参与者选择了8、9或10分。在2023年的队列中，80%的参与者选择了“同意”或“非常同意”，他们是否觉得比参加CAMPER之前准备得更充分。73%的营员认为与他们的班级建立联系是营员体验的最大优势。结论：在两家不同的机构进行的多专业的住院医师野外培训之旅显示出帮助住院医师与同行和项目有更多联系的希望，并为开始他们的住院医师生涯做好了更充分的准备。CAMPER可以为促进专业合作和发展提供一个模式，在医生培训的关键时期建立一个真正的支持文化。

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From Wilderness to the Bedside: Creating Adventurous and Mindful Physicians Entering Residency (CAMPER) by Residents for Residents to Foster Belongingness

Objective

Determine whether a preresidency overnight outdoor experience can positively impact incoming resident's comfort, preparedness and sense of support before starting residency. Outdoor education trips have been shown to positively impact participants in many other settings but have not been examined in the transition to residency.

Design

The Creating Adventurous and Mindful Physicians Entering Residency (CAMPER) program consists of a multi-day backpacking trip designed by residents and medical students for incoming residents. CAMPER trips were conducted between 2022 and 2023 for the Michigan Medicine Family Medicine and Stanford Healthcare Ophthalmology, Plastic Surgery, and General Surgery residency programs. Trip programming included hiking, team-building activities, and an overnight camping experience including all meals and gear. After each program, participants were asked to provide feedback and given surveys to assess how their experiences impacted their start to residency.

Setting

Michigan Medicine Family Medicine and Stanford Healthcare Ophthalmology, Plastic Surgery, and General Surgery residency programs. Trips were held in Point Reyes National Seashore in California and Pinckney State Recreation Area in Michigan.

Participants

A total of 44 incoming residents, including: 8 incoming Stanford Healthcare Ophthalmology, Plastic Surgery, and General Surgery residents in 2022, 12 residents in 2023. 12 Incoming Michigan Medicine Family Medicine interns for 2022 and 11 residents 2023. Participants in the most recent, 2023 cohort were surveyed about their experiences.

Results

65% of participants responded to the 1-week post-CAMPER survey (11 from Stanford Healthcare and 4 from Michigan Medicine) and 100% of the Michigan Medicine trip responded to the 6-month post-trip survey. 100% of participants selected an 8, 9, or 10 when asked how likely they were to recommend CAMPER to a friend. 80% of participants in the 2023 cohort selected Agree or Strongly Agree to the question whether they felt more prepared to start residency than they did before participating in CAMPER. 73% of the CAMPERs endorsed bonding with their class as the biggest strength of the CAMPER experience.

Conclusions

Preresidency wilderness orientation trips conducted at 2 different institutions over multiple specialties have shown promise for helping residents feel more connected to their peers and programs and more prepared to begin their residencies. CAMPER can provide a model for fostering professional collaboration and development to build a true culture of support during a critical time in physician's training.

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.