Elaborado con IA a partir del resumen de los autores
Material educativo para estudiantes de medicina senior que ingresa a especialidades quirúrgicas: ofrece una propuesta de preparación basada en competencias para el manejo de pacientes con trauma y pacientes críticos en unidades de cuidados intensivos. El recurso incluye diapositivas, guiones instruccionales y pruebas de conocimiento de opción múltiple diseñadas para cursos preparatorios de internado quirúrgico. En un estudio de 62 participantes en 2010, se demostró que los asistentes al curso mejoraron significativamente la confianza y desempeño en tareas específicas mediante exámenes escritos y prácticos, y mantuvieron ventaja de rendimiento sobre compañeros no participantes durante el primer mes de residencia. Los materiales son aplicables a otras especialidades médicas y al entrenamiento general en cuidado de pacientes hospitalizados.
Puntos clave
El curso preparatorio mejora la confianza en tareas específicas de manejo de trauma y pacientes críticos en estudiantes de medicina que ingresan a cirugía.
Los participantes del curso demostraron mejor desempeño que controles no participantes en evaluaciones técnicas y escritas al mes de iniciar la residencia.
El material educativo incluye diapositivas de instrucción, guiones para instructores, materiales de apoyo y pruebas de conocimiento para uso en bootcamps o estudio independiente.
Para quién: Estudiantes de medicina de último año y médicos en formación en cirugía, para prepararse en el manejo de trauma y pacientes críticos quirúrgicos antes de iniciar su residencia quirúrgica.
Resumen de los autores
Introduction Skills to aid in the management of trauma patients and critically ill surgical patients in the intensive care setting are important topics that are not uniformly covered in medical schools. Significant recent attention has been directed toward developing preparatory courses to bridge this gap and heighten the readiness of senior medical students as they transition to surgical residency. This resource includes comprehensive materials intended to prepare senior medical students for management of trauma patients and critically ill surgical patients in the intensive care setting. Methods The materials provided were designed for use as part of a preparatory course for fourth-year medical students entering surgical specialties, and include all instructor's blueprints, PowerPoint slides, and handouts for four separate sessions. A multiple-choice knowledge test is also included. This resource may be used by course directors for surgery PGY-1 preparatory classes/bootcamps, for independent study by individuals planning to matriculate into surgical residencies, or as a review source for those already in surgical training. While these materials were designed to meet the needs of new surgical house staff, the contents are easily generalizable to other medical specialties, and would prove useful for any trainee managing hospital inpatients. Results The outcomes from this course have been extensively studied. Through pre- and postcourse surveys, knowledge tests, and technical examinations, we measured confidence and skill acquisition in specific, job-related tasks. In 2010, 62 individuals were studied (22 course graduates, 16 PGY-1 nonparticipant controls at our home institution, and 24 nonparticipant peer controls at outside institutions). We found that course participants demonstrated marked improvement in task-specific confidence in all tasks from course beginning to end as indicated by improved scores on written and technical skill examinations. Further, course participants outperformed peers in all tasks one month into internship, with their performance advantage predictably dissipating into the third month of residency. Discussion Utilizing this resource resulted in objective gains in task-specific confidence and test performance at course conclusion, which, importantly, translated to improved performance upon residency matriculation. These data emphasize the significant impact of these competency-based surgical internship preparation materials in formally preparing senior medical students for the care of surgical inpatients.
Antonoff, M., Green, C., & D'Cunha, J. (2014). Trauma and Critical Care for the Senior Medical Student Entering Surgery.MedEdPORTAL. https://doi.org/10.15766/mep_2374-8265.9976
