Current State of Undergraduate Trauma and Orthopaedics Training in United Kingdom: A Survey-based Study of Undergraduate Teaching Experience and Subjective Clinical Competence in Final-year Medical Students

被引:20
|
作者
Malik-Tabassum, Khalid [1 ]
Lamb, Jonathan N. [2 ]
Chambers, Alastair [3 ]
West, Robert [4 ]
Pandit, Hemant [5 ]
Aderinto, Joseph [6 ]
机构
[1] East Sussex Healthcare NHS Trust, Conquest Hosp, Hastings TN37 7RD, England
[2] Univ Leeds, Leeds Inst Rheumat & Musculoskeletal Med, Leeds, W Yorkshire, England
[3] Univ Hosp Lewisham, London, England
[4] Univ Leeds, Leeds Inst Hlth Sci, Biostat, Leeds, W Yorkshire, England
[5] Univ Leeds, Leeds Inst Rheumat & Musculoskeletal Med, Orthopaed Surg, Leeds, W Yorkshire, England
[6] Leeds Gen Infirm, Leeds, W Yorkshire, England
关键词
orthopedics; trauma; student education; learning environment; undergraduate training; medical school; OPERATING-ROOM; SURGERY; EDUCATION;
D O I
10.1016/j.jsurg.2020.02.015
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
OBJECTIVE: To assess the quality and duration of trauma and orthopedics (T&O) training in medical schools in United Kingdom (UK), and to evaluate final-year students' self-perceived level of competence in essential T&O skills. DESIGN: This was a survey-based study of final-year medical students that attended 1-day undergraduate T&O courses held between Feb'17 and Feb'19. Outcome measures were duration and perceived quality of undergraduate T&O placements, students' self-rated competence in essential T&O skills, and impact of teaching methods on their subjective future competence. SETTING: Four courses held at education centers in 3 different locations in UK (London, Nottingham, and Leeds) PARTICIPANTS: All 414 course attendees from 13 UK medical schools completed the questionnaire. RESULTS: 19.3% of students had not experienced a placement in T&O. Mean duration of T&O placements was 2.5 weeks. 37.4% described their training as "poor". Majority of students attended 1-5 sessions of: lectures (50.5%), small group teaching (58.7%), trauma meetings (58.7%), clinics (65.7%), and theatres (72.5%). Lowest competency scores were reported in management of T&O emergencies, fracture management, and interpretation of T&O radiographs. Self-rated competence in essential T&O skills was significantly higher in students with previous experience of a T&O placement (p < 0.05). There was a strongly positive correlation between small group teaching attendance and perceived competence in management of T&O patients in different clinical settings (p < 0.001). CONCLUSIONS: Medical schools in UK are currently failing to adequately train medical graduates to manage T&O patients, with students reporting low competency scores in all basic T&O skills. To mitigate the current situation, a minimum duration of a T&O placement for all students must be implemented nationally. Educational boards and medical schools must work in collaboration to improve the delivery of undergraduate T&O curriculum, the structure of the clinical T&O placement, and efficacy of the commonly encountered learning environments. (C) 2020 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:817 / 829
页数:13
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