Interactive multidisciplinary pilot workshop to improve medical student perception of and interest in breast surgical oncology.

Autor: Raheel A; Department of Surgery, University of Missouri Kansas City, Kansas City, MO, 64108, USA., Dalla S; University of Kansas School of Medicine, Kansas City, KS, 66061, USA., Birney J; University of Kansas School of Medicine, Kansas City, KS, 66061, USA., Aripoli AM; Department of Radiology, University of Kansas Medical Center, Kansas City, KS, 66061, USA., Collins M; Division of Plastic Surgery, University of Kansas Cancer Center, Kansas City, KS, 66061, USA., Larson KE; Department of Surgery, Division of Breast Surgical Oncology, University of Kansas Cancer Center, Kansas City, KS, 66061, USA., Wagner JL; Department of Surgery, Division of Breast Surgical Oncology, University of Kansas Cancer Center, Kansas City, KS, 66061, USA., Balanoff CR; Department of Surgery, Division of Breast Surgical Oncology, University of Kansas Cancer Center, Kansas City, KS, 66061, USA., Baker J; Department of Biostatistics & Data Science, University of Kansas Medical Center, Kansas City, KS, 66061, USA., Chollet-Hinton L; Department of Biostatistics & Data Science, University of Kansas Medical Center, Kansas City, KS, 66061, USA., Kilgore LJ; Department of Surgery, Division of Breast Surgical Oncology, University of Kansas Cancer Center, Kansas City, KS, 66061, USA. Electronic address: LKilgore@kumc.edu.
Jazyk: angličtina
Zdroj: Breast (Edinburgh, Scotland) [Breast] 2024 Apr; Vol. 74, pp. 103690. Date of Electronic Publication: 2024 Feb 09.
DOI: 10.1016/j.breast.2024.103690
Abstrakt: Background: Exposure to breast surgical oncology (BSO) and the multidisciplinary management of patients with breast cancer is limited in medical school. The purpose of this study was to assess changes in student perceptions of BSO as a career following an interactive multidisciplinary workshop.
Methods: Pre-clinical medical students participated in a multidisciplinary, hands-on workshop, composed of breast radiology (BR), breast surgical oncology (BSO) and breast plastic reconstructive surgery (B-PRS). BR presented students screening and diagnostic breast imaging followed by hands-on ultrasound-guided biopsy on phantom simulators. BSO demonstrated lumpectomy, mastectomy, sentinel lymph node biopsy, and axillary lymph node dissections while B-PRS demonstrated oncoplastic techniques and autologous flap reconstruction with cadavers. Pre-and post-workshop surveys assessed student opinions on surgery and BSO. Results were compared using Wilcoxon Signed Rank, Wilcoxon Rank Sum, and Fisher's Exact.
Results: The workshop was attended by twenty-four students. There was a statistically significant increase in interest in BSO from 52% to 86% after the workshop (p = 0.003). The event improved understanding of the work and lifestyle in BSO for 79% (19/24). All students (100%) expressed interest to further explore BSO. The most common attractors to a career in BSO were impacts on patients' lives (N = 23), intellectual stimulation (N = 22), and earnings (N = 20). The most reported deterrents were lack of personal time (N = 18) and stress (N = 15).
Conclusion: An interactive, anatomically based exposure to multidisciplinary breast cancer surgery improves medical student perception and interest in BSO. Medical schools should consider incorporating similar events to foster interest in BSO and other surgical subspecialties.
Competing Interests: Declaration of competing interest On behalf of all authors, the corresponding author states that there is no conflict of interest.
(Copyright © 2024. Published by Elsevier Ltd.)
Databáze: MEDLINE
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