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Bridging the Gap from Classroom to Clerkship to Career: Informal Surgical Mentorship for Pre-Clerkship Medical Students. 弥合从课堂到见习再到职业的差距:见习前医学院学生的非正式外科指导。
Pub Date : 2025-08-15 eCollection Date: 2025-07-01 DOI: 10.17161/kjm.vol18.23769
Joshua Lawton, Dylan Wentzel, Cooper Root, Meeli Patel, Jordan Baker, Lyndsey Kilgore

Introduction: Mentorship is important in medical education, yet its specific impact on pre-clerkship medical students interested in surgery remains underexplored. We hypothesized that a formal but unstructured surgical mentorship program would increase students' interest in surgery and improve their self-perceived readiness for the third-year surgical clerkship.

Methods: In this before-after study, pre-clerkship students at The University of Kansas School of Medicine were paired with volunteer surgical faculty mentors. An initial one-on-one meeting was required, while the frequency and structure of subsequent meetings were left to the participants. Surveys assessing student confidence and perceptions of the program were administered via Research Electronic Data Capture® (REDCap®) before the program and again six months later. Changes were analyzed using the Wilcoxon rank sum test for independent groups (p <0.05).

Results: Of the 47 students enrolled, 31 (66.0%) completed the preprogram survey, and 24 (51.1%) of these completed the post-program survey. After six months, students reported significantly greater confidence in their preparation and knowledge for the third-year surgical clerkship, surgical skills, and understanding of surgical career pathways. More students also identified potential residency letter writers. However, 87.5% of respondents reported inconsistent mentor-mentee meetings.

Conclusions: A formal yet unstructured surgical mentorship program significantly improved pre-clerkship students' confidence in pursuing a surgical career and preparing for the surgical clerkship. Despite inconsistent meeting frequency, the program enabled meaningful mentorship without requiring rigid scheduling or extensive time commitments from participants.

导读:导师制在医学教育中很重要,但它对对外科感兴趣的实习前医学学生的具体影响仍未得到充分探讨。我们假设一个正式但非结构化的外科指导计划会增加学生对外科的兴趣,并提高他们对第三年外科见习的自我认知准备。方法:在这项前后对照研究中,堪萨斯大学医学院实习前的学生与志愿外科教师导师配对。最初的一对一会议是必需的,而随后会议的频率和结构则由参与者决定。通过研究电子数据捕获®(REDCap®)在课程开始前和六个月后进行调查,评估学生对课程的信心和看法。使用独立组的Wilcoxon秩和检验分析变化(p)结果:在47名入学学生中,31名(66.0%)完成了课程前调查,其中24名(51.1%)完成了课程后调查。六个月后,学生们报告说,他们对第三年外科见习的准备和知识、外科技能和对外科职业道路的理解有了更大的信心。更多的学生还发现了潜在的住院医师信函撰写人。然而,87.5%的受访者表示师徒会议不一致。结论:正式而非结构化的外科指导计划显著提高了实习前学生追求外科事业和为外科实习做准备的信心。尽管会议频率不一致,但该项目实现了有意义的指导,而不需要严格的日程安排或参与者的大量时间承诺。
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引用次数: 0
Disseminated Melanoma with Extensive Gastrointestinal Tract Involvement: Incidental Detection of Metastases on Upper Endoscopy. 广泛累及胃肠道的播散性黑色素瘤:上内镜偶然发现转移瘤。
Pub Date : 2025-08-15 eCollection Date: 2025-07-01 DOI: 10.17161/kjm.vol18.23693
Hasan Jaber, Fawzi Elias, Nader Al Souky, Obada Tayyem
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引用次数: 0
Reactive Infectious Mucocutaneous Eruption Secondary to Mycoplasma pneumoniae: A Case Report. 继发于肺炎支原体的反应性感染性皮肤粘膜爆发1例报告。
Pub Date : 2025-08-15 eCollection Date: 2025-07-01 DOI: 10.17161/kjm.vol18.23897
Graham B Pankratz, Abigail C K Relich, Clayton P Bilke, Aaron D Olson, Robert R Wittler
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引用次数: 0
Traumatic Facial Artery Dissection from Chinstrap Injury: A Case Report. 颏带损伤致外伤性面动脉夹层1例。
Pub Date : 2025-06-16 eCollection Date: 2025-05-01 DOI: 10.17161/kjm.vol18.23020
Alyssa V Goodman, Andrew P Pirotte, Derek R Marlor, Scott A Turner, Kirk A Hance
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引用次数: 0
Put the Mission in Admission: Increasing In-State Matriculants Through a Mission-Aligned Admissions Framework. 把使命放在录取中:通过与使命一致的录取框架增加州内毕业生。
Pub Date : 2025-06-16 eCollection Date: 2025-05-01 DOI: 10.17161/kjm.vol18.23434
Brian D Steele, Sandra L Leppin

Introduction: The University of Kansas School of Medicine (KUSOM) seeks to improve health care in Kansas by matriculating students likely to meet the state's needs. A decline in in-state applicants and increased national scrutiny of admissions policies prompted a review of the admissions process to ensure alignment with the school's mission. Authors of this study evaluated the implementation and outcomes of a mission-driven, holistic admissions approach.

Methods: For the 2024 admissions cycle, KUSOM adopted a structured process emphasizing mission alignment across four stages: (1) Pre-screening - prioritizing applicants with strong Kansas ties; (2) Screening - enhancing secondary application questions to assess mission-relevant attributes; (3) Interviewing - using structured evaluations to assess mission-driven qualities; and (4) Selection - integrating mission alignment into committee deliberations. Admissions data from 2021 to 2024 were analyzed to assess impact.

Results: The updated process resulted in notable improvements. Kansas resident matriculants increased from 74% in 2023 to 85% in 2024. Interview invitations and admission offers to Kansas residents also rose. Matriculants with Kansas ties increased from 11 in 2021 to 19 in 2024.

Conclusions: A mission-driven, holistic admissions process successfully increased the number of students likely to practice in Kansas. These findings support the effectiveness of structured admissions strategies in meeting state health care workforce needs. Further research is needed to evaluate the long-term impact on residency and practice locations.

简介:堪萨斯大学医学院(KUSOM)旨在通过招收可能满足该州需求的学生来改善堪萨斯州的医疗保健。州内申请人数的下降和全国对招生政策的审查力度加大,促使学校对招生过程进行了重新审视,以确保与学校的使命保持一致。本研究的作者评估了使命驱动的整体招生方法的实施和结果。方法:对于2024年的招生周期,KUSOM采用了一个结构化的过程,强调四个阶段的任务一致性:(1)预筛选-优先考虑与堪萨斯有紧密联系的申请人;(2)筛选-加强次级应用问题,以评估任务相关属性;(3)访谈-使用结构化评估来评估使命驱动的品质;(4)选拔——将任务整合到委员会审议中。分析了2021年至2024年的招生数据,以评估影响。结果:改进后的工艺效果显著。堪萨斯州的居民移民从2023年的74%增加到2024年的85%。堪萨斯州居民的面试邀请和录取通知也有所增加。与堪萨斯有联系的移民从2021年的11人增加到2024年的19人。结论:一个以使命为导向的、全面的招生过程成功地增加了可能在堪萨斯州实习的学生人数。这些发现支持了结构化招生策略在满足国家卫生保健人力需求方面的有效性。需要进一步的研究来评估对住院医师和实习地点的长期影响。
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引用次数: 0
Case Report: Hemoglobin of 2.0 g/dL-Secondary to Excessive Cow's Milk Intake in a 2-Year-Old Male. 病例报告:2岁男性血红蛋白2.0 g/ dl继发于过量牛奶摄入。
Pub Date : 2025-06-16 eCollection Date: 2025-05-01 DOI: 10.17161/kjm.vol18.23215
Benjamin J Nelson, Bala Bhimavarapu, Joshua J Davis, Howard Y Chang
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引用次数: 0
Metastatic Cardiac Angiosarcoma Presenting as Superior Vena Cava Syndrome and Cardiac Tamponade. 转移性心脏血管肉瘤表现为上腔静脉综合征和心脏填塞。
Pub Date : 2025-06-16 eCollection Date: 2025-05-01 DOI: 10.17161/kjm.vol18.23143
Som Singh, Naa Korkor Koppoe, Afsana Islam, Monica Sanchez Shields
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引用次数: 0
An Alteration to Standardized Treatments: Defunctioning Colostomy in Ultra-Low Stage IIIC Rectal Adenocarcinoma. 标准化治疗的改变:超低IIIC期直肠腺癌结肠造口功能丧失。
Pub Date : 2025-06-16 eCollection Date: 2025-05-01 DOI: 10.17161/kjm.vol18.23567
Veronica J Ramage, Christopher Rupe
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引用次数: 0
Massive Upper Gastrointestinal Bleeding Secondary to a Large Pedunculated Brunner Gland Hamartoma in the Duodenum. 十二指肠大带蒂布伦纳腺错构瘤继发的大量上消化道出血。
Pub Date : 2025-06-16 eCollection Date: 2025-05-01 DOI: 10.17161/kjm.vol18.23632
Hasan Jaber, Sandra Chehayeb, Mahmoud Mahdi, Nader Al Souky, Daly Al-Hadeethi, Nathan Tofteland, William J Salyers
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引用次数: 0
Steroid-Induced Mania in a 12-Year-Old Adolescent: A Case Report. 12岁青少年类固醇诱发躁狂症1例。
Pub Date : 2025-06-16 eCollection Date: 2025-05-01 DOI: 10.17161/kjm.vol18.23221
Vy Le, Muhammad S Abbasy, Susanna Ciccolari Micaldi
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引用次数: 0
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Kansas journal of medicine
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