Implementation of a Surgical Oncology Disparities Curriculum for Preclinical Medical Students
| Autor: | Vinay K. Giri, Julie Ann Sosa, Kurren Mehta, Cierra S. Hong, Taofik Oyekunle, Kristen E. Rhodin, Elizabeth P. Howell, Lindsey A. Olivere, Oluwadamilola M. Fayanju, Randall P. Scheri, Betty C. Tong |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Students Medical education Clinical Sciences Pilot Projects Undergraduate medical education Vulnerable Populations Article Likert scale Education Insurance status 03 medical and health sciences 0302 clinical medicine Clinical Research Neoplasms Medical Surveys and Questionnaires Medicine Humans Program Development Healthcare Disparities Students Curriculum Cancer Undergraduate Academic year business.industry Prevention Perioperative Underinsured Health equity Surgical Oncology Good Health and Well Being Socioeconomic Factors 030220 oncology & carcinogenesis Family medicine Preparedness 030211 gastroenterology & hepatology Female Surgery Patient Safety Health disparities business Medicaid Education Medical Undergraduate Program Evaluation |
| Zdroj: | J Surg Res |
| Popis: | Background Underinsured and uninsured surgical-oncology patients are at higher risk of perioperative morbidity and mortality. Curricular innovation is needed to train medical students to work with this vulnerable population. We describe the implementation of and early educational outcomes from a student-initiated pilot program aimed at improving medical student insight into health disparities in surgery. Materials/Methods First-year medical students participated in a dual didactic and perioperative-liaison experience over a 10-month period. Didactic sessions included surgical-skills training and faculty-led lectures on financial toxicity and management of surgical-oncology patients. Students were partnered with uninsured and Medicaid patients receiving surgical-oncology care and worked with these patients by providing appointment reminders, clarifying perioperative instructions, and accompanying patients to surgery and clinic appointments. Students’ interest in surgery and self-reported comfort in 15 Association of American Medical Colleges core competencies were assessed with preparticipation and postparticipation surveys using a 5-point Likert scale. Results Twenty-four first-year students were paired with 14 surgical-oncology patients during the 2017-2018 academic year. Sixteen students (66.7%) completed both preprogram and postprogram surveys. Five students (31.3%) became “More Interested” in surgery, whereas 11 (68.8%) reported “Similar Interest or No Change.” Half of the students (n = 8) felt more prepared for their surgery clerkship after participating. Median self-reported comfort improved in 7/15 competencies including Oral Communication and Ethical Responsibility. All students reported being “Somewhat” or “Extremely Satisfied” with the program. Conclusions We demonstrate that an innovative program to expose preclinical medical students to challenges faced by financially and socially vulnerable surgical-oncology patients is feasible and may increase students’ clinical preparedness and interest in surgery. |
| Databáze: | OpenAIRE |
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