A survey of current policy and practice of surgical exposure for preclerkship medical students at American medical institutions

作者：Bernholt David L; Garzon Muvdi Juan; LaPorte Dawn M; Yang Stephen C; McFarland Edward G^*

来源：American Journal of Surgery, 2013, 206(3): 433-438.

DOI：10.1016/j.amjsurg.2013.01.032

• Surgery
• Clerkship
• Education
• Scrub
• Teach
• Student

BACKGROUND: The goals of this study were to (1) determine the extent of preclerkship surgical participation in American medical colleges; (2) examine policies regarding such surgical participation; and (3) elicit medical school administrators' perceptions about such exposure.
METHODS: Surveys were sent to 128 accredited medical schools (1 administrator each). The 54 (42%) replies were analyzed using descriptive statistics and Student's t tests, with significance defined as a P value of <= .05.
RESULTS: Of the respondents, 55.6% did not permit student surgical participation. Only 22.2% of responding institutions offered preclerkship surgical skills electives. Administrators from the former group of schools perceived significantly greater risk (P = .001) to patient safety with student surgical participation than did administrators at schools permitting such participation, even though no respondents reported malpractice or worker's compensation cases arising from student participation.
CONCLUSIONS: Medical students have limited opportunities for preclerkship surgical participation at most American medical institutions, possibly because of unsubstantiated concerns for patient safety.

• 出版日期2013-9