clinical knowledge and surgical skills session #1 october 1, 2009 amita shah, md
TRANSCRIPT
Clinical Knowledge and Surgical Skills
Session #1
October 1, 2009
Amita Shah, MD
Things you need to know before we begin Course Objectives and background Course Structure Instructors Requirements Surveys Technical skills course preparation Shadowing & Research opportunities
Course Objectives
1. Introducing key clinical and technical concepts prior to the start of clerkships
2. Mitigate concerns of medical students prior to their clerkships
3. Develop a course geared towards all medical students, not just ones interested in a surgical career
Other institutions
Columbia – Meet the Surgeons, technical skills labs, surgical interest group (Kirkham 2006)
Stanford – Preclinical course with lectures from different specialties, 3 technical skills sessions (Riboh 2007)
UCSF – OR assist (Cloyd 2008)
Johns Hopkins – CT research (Allen 2007)
All courses cater to medical students considering a surgical career
MS3 Survey What concerns do you have about your surgical clerkship?
Concerns All
Considering Surgery n=40/33
other specialty n=43/43
undecided n=24/23
Surgery? No way! n=8/8
Female 50.4 23.1 61.9 65.2 14.3Male 49.6 76.9 38.1 34.8 4.8
Fatigue/hours 41.3 39.4 48.8 39.1 12.5 %clerkship performance 19.3 27.3 11.6 26.1 12.5 %
technical skills 13.8 9.1 16.3 13.0 12.5 %lack of knowledge/amnt info 18.3 24.2 14.0 21.7 12.5 %
hurting a patient 3.7 3.0 0.0 4.3 12.5 %mental abuse 7.3 9.1 4.7 4.3 25.0 %
Physical hardship 18.3 12.1 20.9 17.4 37.5 %Family/lifestyle 2.8 3.0 2.3 4.3 0.0 %
no variety of experience 2.8 6.1 2.3 0.0 0.0 %no hands on experience 3.7 6.1 4.7 0.0 0.0 %
no response 7.3 21.2 0.0 4.3 0.0 %other 12.8 12.1 11.6 17.4 12.5 %
All students are most concerned about Fatigue, Hours, Clerkship performance, Lack of knowledge, and physical hardship
MS3 SurveyWhat would you like to learn about during your surgical clerkship?
Learning interests All
Considering Surgery n=40/38
other specialty n=43/41
undecided n=23/16
Surgery? No way n=8/6
Pt management 16.3 18.4 12.2 17.4 0.0 %lifestyle 13.5 28.9 7.3 0.0 0.0 %
technical skills 46.2 42.1 56.1 30.4 33.3 %Surgical Practice 13.5 23.7 9.8 0.0 0.0 %
Do I want to do surgery? 3.8 0.0 4.9 8.7 0.0 %specific surgical specialty 8.7 5.3 12.2 4.3 16.7 %
everything 14.4 15.8 12.2 13.0 16.7 %surgical procedures 17.3 15.8 12.2 21.7 33.3 %
clerkship performance 8.7 15.8 4.9 4.3 0.0 %no response 12.5 5.3 4.9 30.4 33.3 %
not sure how to categorize 7.7 0.0 14.6 8.7 0.0 %
•All students would like to learn technical skills, procedures, and patient management.•Students interested in surgery want to learn about the lifestyle of surgeons and surgical practice.
Course structure
18 Sessions total 7 Technical skills sessions 5 Didactic sessions 4 Case presentations 2 Panels
Schedule and syllabus are included in your packet
Instructors
Course Directors: Amita Shah, MD - resident Kent Van Sickle, MD – associate professor
Instructors Dept. of Surgery Attendings and staff Surgery Chief residents, Surgery residents OR staff
We are all volunteering our time!
Requirements
No more than three excused absencesContact Amita if you are going to be absentThe course is cumulative
Class time is limited – outside preparation and practice will be necessary
Participate in surveys and testing Comments and suggestions are welcome
Surveys
Survey #1 – Pre-course attitudes and perceptions
Class surveys – after every session On SurveyMonkey – PLEASE do this.
Survey #2 – Post-course attitudes and perceptions
We may have follow-up during 3rd and 4th years.
Technical skills preparation
Videos Handouts Online resources
We will either give you or direct you to the different resources before the sessions
Shadowing & Research
Opportunities are available, you just have to find them - We’ll help
General surgeryTraumaOR casesRounding
Other specialties
Session #2: Knot tying
Thursday, October 8th, 2009 12pm to 1pm Animal labs on 1st floor medical school Please prepare for the session
VideosHandoutsPractice Rope
Survey #1