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The role of residents in medical students’ neurology education: current status and future perspectives

机译:居民在医学生神经病学教育中的作用:现状和未来观点

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Neurophobia, a well-described fear of neurology, affects medical students worldwide and may be one of the factors contributing to a shortage of neurologists in the United States. Residents spend a considerable amount of time with medical students; therefore, we sought to understand better the impact neurology residents have on medical students during their neurology clerkship and their subsequent interest in neurology. We aimed to identify and implement strategies to decrease neurophobia and increase the number of students pursuing neurology as a career. Third-year medical students (n?=?234) of UTHealth’s McGovern Medical School rotating through their neurology core clerkship completed two surveys regarding their rotation experiences. Surveys were completed anonymously before and after the clerkship to measure their interest and confidence in neurology and the impact of their interactions with the neurology residents during the clerkship. In parallel, residents participated in a teaching workshop focused on small group teaching to improve their teaching effectiveness. Non-parametrical comparison and ordinal regression analyses were utilized for data analyses. Medical students reported a statistically significant increase in their confidence in managing neurological conditions and interest in pursuing a neurology residency after their clerkship. There was a significant association between the medical students’ overall rotation experience and the residents’ teaching effectiveness. The overall clerkship experience correlated with the medical students’ interest and confidence in neurology. There was a trend towards an increase in residents’ teaching effectiveness and students’ rotation experience after a resident teaching workshop. Additionally, of note, students who rotated on both and outpatient and inpatient sites during their clerkship reported an increased interest in neurology. Our study supports that resident-led teaching efforts are important in improving medical students’ neurologic education and their interest in neurology. Our data also supports that the interest in neurology increased for medical students after their neurology clerkship. We examined future strategies to implement “near-peer” teaching activities to enhance the medical students’ neurologic educational experience. These strategies could potentially mitigate neurophobia and ultimately lead to a much-needed increase in future neurologists.
机译:神经恐惧症是一种描述的神经科恐惧,影响全世界的医学生,可能是有助于美国神经科学家短缺的因素之一。居民与医学生共度相当多的时间;因此,我们试图了解其在神经病学职员期间对医学生的影响以及对神经内科的随后兴趣的影响。我们旨在识别和实施减少神经疾病恐惧症的策略,并增加追求神经内科的学生人数作为职业生涯。 Uthealth的McGovern医学院的第三年医学生(N?=?234)通过他们的神经病学核心职员旋转完成了两项调查,考虑到他们的旋转体验。调查在职员之前和之后匿名完成,以衡量他们对神经学的兴趣和信心以及他们在职员期间与神经病学居民的影响。并行,居民参加了一个教学研讨会,专注于小组教学,以提高他们的教学效果。使用非参数比较和序数回归分析进行数据分析。医学生报告说,他们对管理神经系统条件和职员追求神经病学居住的兴趣的统计上显着增加。医学生的总体旋转经验与居民教学效果之间存在重大关联。整体职员经验与医学生的兴趣和神经内科的信心相关。居民教学车间后,居民教学效率和学生旋转经验的增加趋势。此外,注意事项,在职员期间,在职员和门诊和住院地点旋转的学生报告了对神经内科的兴趣增加。我们的研究支持居民领导的教学努力在改善医学生的神经学教育及其对神经内科的兴趣方面很重要。我们的数据还支持在神经病学职员后医学生对神经学的兴趣增加。我们审查了未来的战略,以实现“近同行”教学活动,以提高医学生的神经系统教育经验。这些策略可能会削弱神经疾病恐怖症,最终导致未来神经科学家的急需增加。

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