Is surgery a spectator sport? Third-year surgical clerkship case-log analysis at a community-based medical college

IF 2.7 3区医学 Q1 SURGERY American journal of surgery Pub Date : 2025-03-10 DOI:10.1016/j.amjsurg.2025.116285

Ali Schroeder , Tamir Bresler , Philip Bohlmann , Anjali S. Kumar

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Abstract

Background

This study evaluated a structured case-log assignment to assess experiences in third-year surgical clerkships, focusing on student-preceptor interactions allowing entrustability of the student with surgical instruments.

Methods

Case-logs from 74 students across multiple clinical sites in a community-based medical school were reviewed. Assignments detailed operation type, hands-on-instrument time, and personal growth reflections.

Results

Students logged 1396 operations (65.43 %; 31.07 ± 23.85 surgeries/student), 382 clinic sessions (17.91 %), and 355 rounds/consultations (16.65 %). Common surgeries included intrabdominal (49.78 %) and abdominal wall (15.25 %). Fiberoptic-assisted (45.45 %) and open surgeries (36.82 %) predominated. Most (77.94 %) operations occurred without residents, with limited hands-on time (27.51 % reporting 1 %–24 %). Weekend logs (46 students) captured fewer surgeries (2.22 ± 1.31/student), though intrabdominal surgeries and hands-on time were higher. Reflections highlighted key experiences and learning opportunities.

Conclusion

Structured case-logs effectively capture surgical exposure and student experiences. Integrating digital logbooks could enhance real-time data collection and streamline assessment.

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外科手术是一项观赏性运动吗？在一所社区医学院做三年级外科见习病例记录分析。

背景：本研究评估了一个结构化的病例日志作业，以评估三年级外科见习生的经验，重点是学生与导师的互动，允许学生信任手术器械。方法：对一所社区医学院多个临床地点的74名学生的病例日志进行回顾。作业详细说明操作类型、操作时间、个人成长感想。结果：学生记录操作1396次（65.43%）；（31.07±23.85）次/学生)，382次门诊（17.91%），355次门诊（16.65%）。常见手术包括腹腔内手术（49.78%）和腹壁手术（15.25%）。以光纤辅助手术（45.45%）和开放式手术（36.82%）为主。大多数（77.94%）手术是在没有住院医生的情况下进行的，患者的实际操作时间有限（27.51%报告1% - 24%）。周末日志（46名学生）记录的手术较少（2.22±1.31/学生），尽管腹部手术和动手时间较高。反思强调了关键经验和学习机会。结论：结构化的病例日志有效地记录了手术暴露和学生经验。集成数字日志可以增强实时数据收集和简化评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.

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