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Where Do We Go From Here? Assessing Medical Students’ Surgery Clerkship Preparedness During COVID-19

INTRODUCTION: The impact of COVID-19 on surgical education has been profound, and clinical learning experiences transitioned to virtual formats. This study investigated the impact of virtual experiences created to facilitate learning during the pandemic for medical students. METHODS: We performed a...

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Autores principales: Nnamani Silva, Ogonna N., Hernandez, Sophia, Kim, Alexander S., Campbell, Andre R., Kim, Edward H., Alseidi, Adnan, Wick, Elizabeth C., Sosa, Julie Ann, Gosnell, Jessica, Lin, Matthew Y.C., Roman, Sanziana A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Association of Program Directors in Surgery. Published by Elsevier Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7836963/
https://www.ncbi.nlm.nih.gov/pubmed/33485827
http://dx.doi.org/10.1016/j.jsurg.2021.01.010
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author Nnamani Silva, Ogonna N.
Hernandez, Sophia
Kim, Alexander S.
Campbell, Andre R.
Kim, Edward H.
Alseidi, Adnan
Wick, Elizabeth C.
Sosa, Julie Ann
Gosnell, Jessica
Lin, Matthew Y.C.
Roman, Sanziana A.
author_facet Nnamani Silva, Ogonna N.
Hernandez, Sophia
Kim, Alexander S.
Campbell, Andre R.
Kim, Edward H.
Alseidi, Adnan
Wick, Elizabeth C.
Sosa, Julie Ann
Gosnell, Jessica
Lin, Matthew Y.C.
Roman, Sanziana A.
author_sort Nnamani Silva, Ogonna N.
collection PubMed
description INTRODUCTION: The impact of COVID-19 on surgical education has been profound, and clinical learning experiences transitioned to virtual formats. This study investigated the impact of virtual experiences created to facilitate learning during the pandemic for medical students. METHODS: We performed a cohort study to determine the perceived clinical preparedness for medical students enrolled in the preclinical surgery pilot course, surgical Extended Mastery Learning Rotation (EMLR), and longitudinal surgical clerkship (LC). The preclinical surgery pilot course took place before COVID-19 disruptions, and the EMLR and LC experiences took place virtually. Specialty choice was examined in the EMLR and LC cohorts. Performance on the NBME surgical assessments was analyzed among students enrolled in the traditional clerkship and pandemic-disrupted courses and compared to national data using a two-sample t-test. RESULTS: Compared to preclinical students, EMLR and LC students demonstrated improvements in their perceived surgical clerkship readiness. After the 3-week EMLR course, in the setting of completing only one-third of the clerkship year, students had an average NBME Surgical Self-Assessment Exam score of 72 (SD 12), comparable to the national average of 71 (SD 9) p = 0.33. The average shelf exam score for students (N = 24) enrolled in the traditional clerkship (block 1), prior to COVID-19, disruptions was 66 (SD 9) compared to an average score of 69 (SD 9) for the longitudinal clerkship students (N = 20) that took the shelf exam later in the year (p = 0.36). COVID-19 disruptions did not affect specialty choice. All LC students have decided on a specialty; 50% nonsurgical and 50% surgical. From the EMLR cohort, 36% and 38% plan to pursue surgical and nonsurgical specialties, respectively, with 26% still undecided. CONCLUSIONS: Courses were well-liked and will be implemented in future clerkships. Surgical educators demonstrated flexibility and creativity in the development of the EMLR. Despite COVID-19 disruptions, medical students made progress in their clinical skills and foundational science knowledge. COVID-19 disruptions did not appear to impact specialty choice.
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spelling pubmed-78369632021-01-26 Where Do We Go From Here? Assessing Medical Students’ Surgery Clerkship Preparedness During COVID-19 Nnamani Silva, Ogonna N. Hernandez, Sophia Kim, Alexander S. Campbell, Andre R. Kim, Edward H. Alseidi, Adnan Wick, Elizabeth C. Sosa, Julie Ann Gosnell, Jessica Lin, Matthew Y.C. Roman, Sanziana A. J Surg Educ Original Report INTRODUCTION: The impact of COVID-19 on surgical education has been profound, and clinical learning experiences transitioned to virtual formats. This study investigated the impact of virtual experiences created to facilitate learning during the pandemic for medical students. METHODS: We performed a cohort study to determine the perceived clinical preparedness for medical students enrolled in the preclinical surgery pilot course, surgical Extended Mastery Learning Rotation (EMLR), and longitudinal surgical clerkship (LC). The preclinical surgery pilot course took place before COVID-19 disruptions, and the EMLR and LC experiences took place virtually. Specialty choice was examined in the EMLR and LC cohorts. Performance on the NBME surgical assessments was analyzed among students enrolled in the traditional clerkship and pandemic-disrupted courses and compared to national data using a two-sample t-test. RESULTS: Compared to preclinical students, EMLR and LC students demonstrated improvements in their perceived surgical clerkship readiness. After the 3-week EMLR course, in the setting of completing only one-third of the clerkship year, students had an average NBME Surgical Self-Assessment Exam score of 72 (SD 12), comparable to the national average of 71 (SD 9) p = 0.33. The average shelf exam score for students (N = 24) enrolled in the traditional clerkship (block 1), prior to COVID-19, disruptions was 66 (SD 9) compared to an average score of 69 (SD 9) for the longitudinal clerkship students (N = 20) that took the shelf exam later in the year (p = 0.36). COVID-19 disruptions did not affect specialty choice. All LC students have decided on a specialty; 50% nonsurgical and 50% surgical. From the EMLR cohort, 36% and 38% plan to pursue surgical and nonsurgical specialties, respectively, with 26% still undecided. CONCLUSIONS: Courses were well-liked and will be implemented in future clerkships. Surgical educators demonstrated flexibility and creativity in the development of the EMLR. Despite COVID-19 disruptions, medical students made progress in their clinical skills and foundational science knowledge. COVID-19 disruptions did not appear to impact specialty choice. Association of Program Directors in Surgery. Published by Elsevier Inc. 2021 2021-01-16 /pmc/articles/PMC7836963/ /pubmed/33485827 http://dx.doi.org/10.1016/j.jsurg.2021.01.010 Text en © 2021 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Report
Nnamani Silva, Ogonna N.
Hernandez, Sophia
Kim, Alexander S.
Campbell, Andre R.
Kim, Edward H.
Alseidi, Adnan
Wick, Elizabeth C.
Sosa, Julie Ann
Gosnell, Jessica
Lin, Matthew Y.C.
Roman, Sanziana A.
Where Do We Go From Here? Assessing Medical Students’ Surgery Clerkship Preparedness During COVID-19
title Where Do We Go From Here? Assessing Medical Students’ Surgery Clerkship Preparedness During COVID-19
title_full Where Do We Go From Here? Assessing Medical Students’ Surgery Clerkship Preparedness During COVID-19
title_fullStr Where Do We Go From Here? Assessing Medical Students’ Surgery Clerkship Preparedness During COVID-19
title_full_unstemmed Where Do We Go From Here? Assessing Medical Students’ Surgery Clerkship Preparedness During COVID-19
title_short Where Do We Go From Here? Assessing Medical Students’ Surgery Clerkship Preparedness During COVID-19
title_sort where do we go from here? assessing medical students’ surgery clerkship preparedness during covid-19
topic Original Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7836963/
https://www.ncbi.nlm.nih.gov/pubmed/33485827
http://dx.doi.org/10.1016/j.jsurg.2021.01.010
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