临床前选修课对医学生麻醉学模拟情境表现的影响。

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Advances in Medical Education and Practice Pub Date : 2025-07-19 eCollection Date: 2025-01-01 DOI:10.2147/AMEP.S516942
Danielle M Sawka, Mark C Kendall, Matthew S Diorio, Nardin O Derias, Arezoo Rajaee, Chao Ji, Shyamal R Asher
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引用次数: 0

摘要

前言:临床前医学院的学生通常很少接触麻醉学领域的主题。随着临床前课程中扩大临床暴露的努力不断增加,仍然没有意识到哪些教育主题仍然被低估。本研究首次在医学生群体中应用麻醉学模拟,并结合客观表现评估,旨在确定临床学习增长的关键领域和麻醉学在长达一个学期的选修课后的差距。方法:我们的研究人群包括14名一年级和2名二年级医学生,他们对麻醉学的职业感兴趣,并在单一机构注册了麻醉临床前选修课。在完成麻醉临床前选修课之前和之后,学生们在基于标准化标准的相同临床场景中进行了测试。个体模拟得分的差异分析使用t检验,或成对样本的Wilcoxon sign -rank检验。结果:完成选修课后,学生的个人总分均有统计学意义的提高(p < 0.001),其中基本诱导技能(p < 0.001)和血流动力学变化反应(p < 0.001)的提高最为明显。完成选修课后,PACU管理技能没有显著改善(p = 0.184),尽管小样本量限制了统计能力。结论:这是第一次在医学生中应用基于麻醉的模拟训练和表现评分,突出了有兴趣从事麻醉学职业的医学生可能需要在术后管理中进行有针对性的早期干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Impact of a Preclinical Elective on Medical Student Performance on an Anesthesiology Simulation Scenario.

Impact of a Preclinical Elective on Medical Student Performance on an Anesthesiology Simulation Scenario.

Impact of a Preclinical Elective on Medical Student Performance on an Anesthesiology Simulation Scenario.

Impact of a Preclinical Elective on Medical Student Performance on an Anesthesiology Simulation Scenario.

Introduction: Preclinical medical students often have minimal exposure to topics within the field of anesthesiology. As efforts to expand clinical exposure in the preclinical curriculum are increasing, there remains an unawareness of which education topics are still undervalued. This study is the first application of an anesthesiology simulation in the medical student population that incorporates objective performance evaluation that aims to identify key areas of clinical learning growth and gaps within anesthesiology following a semester-long elective.

Methods: Our study population consisted of 14 first- and 2 second-year medical students interested in a career in anesthesiology and enrolled in an anesthesia preclinical elective at a single-institution. The students were tested on the same clinical scenario graded based on a standardized rubric prior to and after the completion of the anesthesia preclinical elective. Differences in individual simulation scores were analyzed using t-test, or Wilcoxon signed-rank test for paired samples.

Results: The students had a statistically significant increase in individual total scores (p < 0.001), with the strongest improvements in basic induction skills (p < 0.001) and response to hemodynamic changes (p < 0.001) after completion of the elective. There was no significant improvement in PACU management skills (p = 0.184) after completion of the elective, although the small sample size limits statistical power.

Conclusion: This first application of anesthesia-based simulation training with performance scoring in medical students highlights the possible need for targeted early intervention in post-operative management for medical students interested in a career in anesthesiology.

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来源期刊
Advances in Medical Education and Practice
Advances in Medical Education and Practice EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.10
自引率
10.00%
发文量
189
审稿时长
16 weeks
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