Clinical Knowledge and Surgical Skills Session #1 October 1, 2009 Amita Shah, MD

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

Contact information

Amita Shah

shahar@uthscsa.edu

Cell: 210-325-4188

Pager: 210-203-8874

Survey #1