Malik-Tabassum, K, Lamb, JN, Chambers, A et al. (3 more authors) (Cover date: July–August 2020) Current State of Undergraduate Trauma and Orthopaedics Training in United Kingdom: A Survey-based Study of Undergraduate Teaching Experience and Subjective Clinical Competence in Final-year Medical Students. Journal of Surgical Education, 77 (4). pp. 817-829. ISSN 1931-7204
Abstract
Objective
To assess the quality and duration of trauma and orthopedics (T&O) training in medical schools in United Kingdom (UK), and to evaluate final-year students' self-perceived level of competence in essential T&O skills.
Design
This was a survey-based study of final-year medical students that attended 1-day undergraduate T&O courses held between Feb’17 and Feb’19. Outcome measures were duration and perceived quality of undergraduate T&O placements, students’ self-rated competence in essential T&O skills, and impact of teaching methods on their subjective future competence.
Setting
Four courses held at education centers in 3 different locations in UK (London, Nottingham, and Leeds)
Participants
All 414 course attendees from 13 UK medical schools completed the questionnaire.
Results
19.3% of students had not experienced a placement in T&O. Mean duration of T&O placements was 2.5 weeks. 37.4% described their training as “poor”. Majority of students attended 1-5 sessions of: lectures (50.5%), small group teaching (58.7%), trauma meetings (58.7%), clinics (65.7%), and theatres (72.5%). Lowest competency scores were reported in management of T&O emergencies, fracture management, and interpretation of T&O radiographs. Self-rated competence in essential T&O skills was significantly higher in students with previous experience of a T&O placement (p < 0.05). There was a strongly positive correlation between small group teaching attendance and perceived competence in management of T&O patients in different clinical settings (p < 0.001).
Conclusions
Medical schools in UK are currently failing to adequately train medical graduates to manage T&O patients, with students reporting low competency scores in all basic T&O skills. To mitigate the current situation, a minimum duration of a T&O placement for all students must be implemented nationally. Educational boards and medical schools must work in collaboration to improve the delivery of undergraduate T&O curriculum, the structure of the clinical T&O placement, and efficacy of the commonly encountered learning environments.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved. This is an author produced version of an article published in Journal of Surgical Education. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | orthopedics; trauma; student education; learning environment; undergraduate training; medical school |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) > Orthopaedics (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Centre for Health Services Research (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 12 Mar 2020 15:14 |
Last Modified: | 23 Oct 2024 13:40 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.jsurg.2020.02.015 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:158332 |