Purpose: Senior medical students are variably prepared to begin surgical training; and a national curriculum was established through the American College of Surgeons to better prepare senior medical students for surgical training. The purpose of our course is to prepare senior medical students to more effectively enter surgical training programs. We recently enhanced our independently developed surgical training preparation course by increasing exposure to surgical anatomy, medical physiology, surgical skills, and point-of-care ultrasound. We evaluated the impact of our interprofessional training course to increase confidence and readiness among senior medical students entering surgical training.
Methods: The course focused on pre- and post-operative patient care, surgical anatomy, human physiology, and bedside ultrasound. Didactic lectures in anatomy, human physiology, and bedside ultrasound were provided prior to all hands-on simulated patient care sessions and mock surgical procedures. To evaluate our interprofessional curriculum, we administered pre- and post-course surveys, pre- and post-course knowledge tests, and a final surgical anatomy laboratory practical examination to 22 senior medical students who were enrolled in the course. All students created a final surgical anatomy presentation.
Results: The students demonstrated a 100% pass rate in surgical anatomy. The knowledge test, which included assessment of knowledge on perioperative surgical decision making, human physiology, and bedside ultrasound, demonstrated an average improvement of 10%. Statistically significant improvements in median confidence values were identified in 10 of 32 surveyed categories, including surgical skills (p < 0.05); 84% of student goals for the course were achieved. The medical students’ surveys confirmed increased confidence related to the use of point-of-care ultrasound, teamwork experience, and basic surgical skills through small group interactive seminars and surgical simulation exercises.
Conclusion: Our preparation for surgical training course resulted in high student satisfaction and demonstrated an increased sense of confidence to begin surgical training. The 10% improvement in medical student knowledge, as evaluated by a written examination, and the significant improvement in confidence level self-assessment scores confirms this surgery preparation course for senior medical students successfully achieved the desired goals of the course.

Keywords: surgical trainee, simulation-based training, clinical anatomy, medical student education

中文翻译：

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跨专业高级医学生准备课程：在进入外科培训之前提高知识和自信心

目的：高年级医学生准备开始外科培训；并且通过美国外科学院建立了一个国家课程，以更好地为高级医学生进行外科培训做好准备。我们课程的目的是让高级医学生更有效地进入外科培训计划。我们最近通过增加对手术解剖学、医学生理学、手术技能和床旁超声的接触，加强了我们独立开发的手术培训准备课程。我们评估了跨专业培训课程的影响，以增强高年级医学生进入外科培训的信心和准备情况。
方法：该课程的重点是术前和术后患者护理、外科解剖学、人体生理学和床边超声。在所有动手模拟患者护理课程和模拟外科手术之前提供解剖学、人体生理学和床边超声方面的教学讲座。为了评估我们的跨专业课程，我们对参加该课程的 22 名高级医学生进行了课前和课后调查、课前和课后知识测试以及最终的外科解剖实验室实践考试。所有学生都制作了最终的外科解剖演示文稿。
结果：学生们展示了外科解剖学100%的通过率。知识测试，包括对围手术期手术决策、人体生理学和床边超声知识的评估，平均提高了 10%。在 32 个调查类别中的 10 个类别中确定了中值置信度值的统计学显着改善，包括手术技能（p < 0.05）；84% 的学生完成了课程目标。医学生的调查证实，通过小组互动研讨会和手术模拟练习，提高了与使用床旁超声、团队合作经验和基本手术技能相关的信心。
结论：我们为外科培训课程做的准备工作使学生非常满意，并表现出对开始外科培训的信心增强。通过笔试评估，医学生知识提高了 10%，并且自信水平自我评估分数的显着提高证实了这门针对高级医学生的手术准备课程成功地实现了课程的预期目标。

关键词：外科实习生，模拟培训，临床解剖学，医学生教育