文章基本信息

标题：Is it time for integration of surgical skills simulation into the United Kingdom undergraduate medical curriculum? A perspective from King’s College London School of Medicine
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作者：Karim Hamaoui ; Hazim Sadideen ; Munir Saadeddin 等
期刊名称：Journal of Educational Evaluation for Health Professions
电子版ISSN：1975-5937
出版年度：2013
卷号：10
期号：1
页码：1-6
DOI：10.3352/jeehp.2013.10.10
语种：English
出版社：Korea Health Insurance Licensing Examination Institute
摘要：Purpose:Changes in undergraduate medical curricula,combined with reforms in postgraduate education,have training implications for surgical skills acquisition in a climate of reduced clinical exposure.Confidence and prior experience influ_x0002_ences the educational impact of learning.Currently there is no basic surgical skills (BSS) programme integrated into un?dergraduate curricula in the United Kingdom.We explored the role of a dedicated BSS programme for undergraduates in improving confidence and influencing careers in King’s College London School of Medicine,and the programme was evaluated.Methods:A programme was designed in-line with the established Royal College of Surgeons course.Undergraduates were taught four key skills over four weeks:knot-tying,basic-suturing,tying-at-depth and chest-drain inser?tion,using low-fidelity bench-top models.A Likert-style questionnaire was designed to determine educational value and influence on career choice.Qualitative data was collected.Results:Only 29% and 42% of students had undertaken previ?ous practice in knot-tying and basic suturing,respectively.96% agreed that skills exposure prior to starting surgical rota?tions was essential and felt a dedicated course would augment undergraduate training.There was a significant increase in confidence in the practice and knowledge of all skills taught (p< 0.01),with a greater motivation to be actively involved in the surgical firm and theatres.Conclusion:A simple,structured BSS programme can increase the confidence and moti?vation of students.Early surgical skills targeting is valuable for students entering surgical,related allied,and even tradi?tionally non-surgical specialties such as general practice.Such experience can increase the confidence of future junior doctors and trainees.We advocate the introduction of a BSS programme into United Kingdom undergraduate curricula.
关键词：Purpose:Changes in undergraduate medical curricula,combined with reforms in postgraduate education,have training implications for surgical skills acquisition in a climate of reduced clinical exposure.Confidence and prior experience influ_x0002_ences the educational impact of learning.Currently there is no basic surgical skills (BSS) programme integrated into un?dergraduate curricula in the United Kingdom.We explored the role of a dedicated BSS programme for undergraduates in improving confidence and influencing careers in King’s College London School of Medicine,and the programme was evaluated.Methods:A programme was designed in-line with the established Royal College of Surgeons course.Undergraduates were taught four key skills over four weeks:knot-tying,basic-suturing,tying-at-depth and chest-drain inser?tion,using low-fidelity bench-top models.A Likert-style questionnaire was designed to determine educational value and influence on career choice.Qualitative data was collected.Results:Only 29% and 42% of students had undertaken previ?ous practice in knot-tying and basic suturing,respectively.96% agreed that skills exposure prior to starting surgical rota?tions was essential and felt a dedicated course would augment undergraduate training.There was a significant increase in confidence in the practice and knowledge of all skills taught (p< 0.01),with a greater motivation to be actively involved in the surgical firm and theatres.Conclusion:A simple,structured BSS programme can increase the confidence and moti?vation of students.Early surgical skills targeting is valuable for students entering surgical,related allied,and even tradi?tionally non-surgical specialties such as general practice.Such experience can increase the confidence of future junior doctors and trainees.We advocate the introduction of a BSS programme into United Kingdom undergraduate curricula.