Abstract
Introduction
Reviews of the medical school curriculum in the UK and Ireland have recommended the introduction of student-selected components (SSCs). The Department of Surgery in The Royal College of Surgeons in Ireland (RCSI) has introduced a 6-week surgical SSC, which aims to develop practical clinical skills, provide mentorship and prepare students for internship.
Methods
Emphasis was placed on exposure to surgical specialities, teaching practical skills and student integration into surgical teams. Students completed an online survey pre- and post-SSC, assessing attitudes towards the course and confidence in performing ward-based and surgical skills.
Results
The mean Likert scale scores increased for all the skills assessed. Students felt that the SSC prepared them for their first day of work and strengthened their desire to pursue surgical careers.
Conclusion
A surgical SSC has been successful in increasing student confidence in performing practical skills required for commencing work as a doctor. Provision of dedicated SSCs is likely to influence the career choice of students.
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Notes
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Abbreviations
- GMC:
-
General Medical Council
- SSC:
-
Student-selected components
- IMC:
-
The Irish Medical Council
- GCS:
-
Glasgow coma scale
References
General Medical Council, GMC (1993) Tomorrow’s doctors. Recommendations on undergraduate medical education. General Medical Council, London
General Medical Council, GMC (2002) Tomorrow’s doctors. General Medical Council, London
IMC (2003) Review of Medical Schools in Ireland 2003: a report to the public by the Irish Medical Council
Calligaro KD, Dougherty MJ, Sidawy AN, Cronenwett JL (2004) Choice of vascular surgery as a specialty: survey of vascular surgery residents, general surgery chief residents, and medical students at hospitals with vascular surgery training programs. J Vasc Surg 40:978–984. doi:10.1016/j.jvs.2004.08.036
Wright SM, Carrese JA (2002) Excellence in role modelling: insight and perspectives from the pros. CMAJ 167:638–643
Wright SM, Kern DE, Kolodner K, Howard DM, Brancati FL (1998) Attributes of excellent attending-physician role models. N Engl J Med 339:1986–1993. doi:10.1056/NEJM199812313392706
Nguyen SQ, Divino CM (2007) Surgical residents as medical student mentors. Am J Surg 193:90–93. doi:10.1016/j.amjsurg.2006.07.011
Musunuru S, Lewis B, Rikkers LF, Chen H (2007) Effective surgical residents strongly influence medical students to pursue surgical careers. J Am Coll Surg 204:164–167. doi:10.1016/j.jamcollsurg.2006.08.029
Ek EW, Ek ET, Mackay SD (2005) Undergraduate experience of surgical teaching and its influence on career choice. ANZ J Surg 75:713–718. doi:10.1111/j.1445-2197.2005.03500.x
O’Herrin JK, Lewis BJ, Rikkers LF, Chen H (2004) Why do students choose careers in surgery? J Surg Res 119:124–129. doi:10.1016/j.jss.2004.03.009
du Boulay C, Medway C (1999) The clinical skills resource: a review of current practice. Med Educ 33:185–191. doi:10.1046/j.1365-2923.1999.00384.x
Peyre SE, Peyre CG, Sullivan ME, Towfigh S (2006) A surgical skills elective can improve student confidence prior to internship. J Surg Res 133:11–15. doi:10.1016/j.jss.2006.02.022
Liddell MJ, Davidson SK, Taub H, Whitecross LE (2002) Evaluation of procedural skills training in an undergraduate curriculum. Med Educ 36:1035–1041. doi:10.1046/j.1365-2923.2002.01306.x
Coberly L, Goldenhar LM (2007) Ready or not, here they come: acting interns’ experience and perceived competency performing basic medical procedures. J Gen Intern Med 22:491–494. doi:10.1007/s11606-007-0107-6
Fincher RM, Lewis LA (1994) Learning, experience, and self-assessment of competence of third-year medical students in performing bedside procedures. Acad Med 69:291–295. doi:10.1097/00001888-199404000-00012
Goodfellow PB, Claydon P (2001) Students sitting medical finals: ready to be house officers? J R Soc Med 94:516–520
Remmen R, Derese A, Scherpbier A et al (1999) Can medical schools rely on clerkships to train students in basic clinical skills? Med Educ 33:600–605. doi:10.1046/j.1365-2923.1999.00467.x
Stewart RA, Hauge LS, Stewart RD, Rosen RL, Charnot-Katsikas A, Prinz RA (2007) A CRASH course in procedural skills improves medical students’ self-assessment of proficiency, confidence, and anxiety. Am J Surg 193:771–773. doi:10.1016/j.amjsurg.2007.01.019
Chen H, Hardacre JM, Martin C, Lillemoe KD (2001) Do medical school surgical rotations influence subspecialty choice? J Surg Res 97:172–178. doi:10.1006/jsre.2001.6135
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Falk, G.A., Robb, W.B., Khan, W.H. et al. Student-selected components in surgery: providing practical experience and increasing student confidence. Ir J Med Sci 178, 267–272 (2009). https://doi.org/10.1007/s11845-009-0306-8
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DOI: https://doi.org/10.1007/s11845-009-0306-8