medical students as general surgery resident teachers k. wirth, b. malone, k. barrera, m. klein, c....
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K. Wirth,K. Wirth, B. Malone, K. Barrera, M. Klein, B. Malone, K. Barrera, M. Klein, C. Turner, A. SanniC. Turner, A. Sanni
Department of SurgeryDepartment of SurgerySUNY Downstate Medical CenterSUNY Downstate Medical Center
April 24tApril 24th, 2013h, 2013
Association for Surgical Education 2013Association for Surgical Education 2013
New teaching relationshipNew teaching relationship
2-4 2-4 ResidentsResidents Pretest Pretest
Daily Daily presentations presentations
on roundson rounds
30 Presentations30 Presentations
10 by chief 10 by chief residentresident
20 by 20 by studentsstudents
Post-testPost-test
Study DesignStudy Design
* IRB Approved* IRB Approved
Study DesignStudy Design
• N=25N=25• Over 8 clinical rotation cycles of 1 month eachOver 8 clinical rotation cycles of 1 month each• Interns from:Interns from:– General Surgery Prelim: 8General Surgery Prelim: 8– General Surgery Categorical: 11General Surgery Categorical: 11– Other surgical subspecialties: 4Other surgical subspecialties: 4– Family Medicine: 2Family Medicine: 2
DemographicsDemographics
Results: Total Exam ScoresResults: Total Exam Scores
PretestPretest PosttesPosttestt* p < .05* p < .05
50.6950.69 70.3270.32
Results: Topics Taught by ChiefResults: Topics Taught by Chief
PretestPretest PosttestPosttest66.1266.1249.7649.76
* p < .05* p < .05
Results: Taught by StudentsResults: Taught by Students
PretestPretest PosttestPosttest72.972.952.9252.92
* p < .05* p < .05
Results: Mean Score DifferentialResults: Mean Score Differential
StudentsStudents ChiefChief16.3616.3619.9819.98
* p = 0.236* p = 0.236
• Medical students can teach core surgical Medical students can teach core surgical topics to residents, at least as topics to residents, at least as effectively as the chiefs.effectively as the chiefs.
• ““Near peer” teaching is not limited to a Near peer” teaching is not limited to a senior-junior level dynamic. Junior team senior-junior level dynamic. Junior team members can provide a unique skill set members can provide a unique skill set that should be utilized.that should be utilized.
ConclusionsConclusions
The role of medical students as The role of medical students as resident educators is a novel concept resident educators is a novel concept and should be encouraged on the and should be encouraged on the general surgery service.general surgery service.
RecommendationsRecommendations
THANK THANK YOU!YOU!