Evaluation of the efficacy of shadowing house officer experience in surgical training

Abstract Background The shadowing house officer is an experiential learning activity that usually takes place within the final year clinical rotations of medical undergraduates. An exposure to a surgical intern is especially useful as the work extends to more practical aspects of ward work. Objectiv...

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Main Authors: Kanchana Wijesinghe, Aruni Jayasinghe, Hasangi Gamage, Thushan Gooneratne, Yohan Chamara, Malith Nandasena, Umesh Jayarajah, Aloka Pathirana, Deepaka Weerasekara
Format: Article
Language:English
Published: Springer 2024-02-01
Series:Discover Education
Subjects:
Online Access:https://doi.org/10.1007/s44217-024-00108-8
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author Kanchana Wijesinghe
Aruni Jayasinghe
Hasangi Gamage
Thushan Gooneratne
Yohan Chamara
Malith Nandasena
Umesh Jayarajah
Aloka Pathirana
Deepaka Weerasekara
author_facet Kanchana Wijesinghe
Aruni Jayasinghe
Hasangi Gamage
Thushan Gooneratne
Yohan Chamara
Malith Nandasena
Umesh Jayarajah
Aloka Pathirana
Deepaka Weerasekara
author_sort Kanchana Wijesinghe
collection DOAJ
description Abstract Background The shadowing house officer is an experiential learning activity that usually takes place within the final year clinical rotations of medical undergraduates. An exposure to a surgical intern is especially useful as the work extends to more practical aspects of ward work. Objective We assessed the impact of the shadowing house officer exprience during medical student clinical rotation on the surgical internship and to evaluate the challenges of the shadowing period. Methods A descriptive cross-sectional survey was carried out among 108 surgical intern doctors in Sri Lanka via electronic media in 2023. Results Our study population consisted of 108 interns, with a response rate of 43.2%. This study demonstrates that on average a final year medical student undergoes a 4- day shadowing period in surgery which was considered by a majority to help in smooth transition to internship. 56% had a clear understanding about learning outcomes and less than half has had an induction session prior to commencement of shadowing. Official documentation, routine ward work, team work and communication skills were meaningfully experienced during shadowing. The main criticisms were inadequate breaks leading to exhaustion and missing out on important teaching activities. Another major concern was shadowing close to the final examination. Conclusions Surgical shadowing house officer is an authentic work experience that intern doctors consider as important component in orientating the role of an intern. Introduction of shadowing at an earlier stage would be more beneficial and provide a broader view about the clinical set up to undergraduates.
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spelling doaj.art-c5da7180422d4340b49e0dbeb2ee9c832024-03-05T20:01:22ZengSpringerDiscover Education2731-55252024-02-01311710.1007/s44217-024-00108-8Evaluation of the efficacy of shadowing house officer experience in surgical trainingKanchana Wijesinghe0Aruni Jayasinghe1Hasangi Gamage2Thushan Gooneratne3Yohan Chamara4Malith Nandasena5Umesh Jayarajah6Aloka Pathirana7Deepaka Weerasekara8Department of Surgery, Faculty of Medical Sciences, University of Sri JayewardenepuraDepartment of Surgery, Faculty of Medical Sciences, University of Sri JayewardenepuraDepartment of Surgery, Faculty of Medical Sciences, University of Sri JayewardenepuraDepartment of Surgery, Faculty of Medicine, University of ColomboDepartment of Surgery, Faculty of Medical Sciences, University of Sri JayewardenepuraDepartment of Surgery, Faculty of Medical Sciences, University of Sri JayewardenepuraUniversity Surgical Unit, Colombo South Teaching HospitalDepartment of Surgery, Faculty of Medical Sciences, University of Sri JayewardenepuraDepartment of Surgery, Faculty of Medical Sciences, University of Sri JayewardenepuraAbstract Background The shadowing house officer is an experiential learning activity that usually takes place within the final year clinical rotations of medical undergraduates. An exposure to a surgical intern is especially useful as the work extends to more practical aspects of ward work. Objective We assessed the impact of the shadowing house officer exprience during medical student clinical rotation on the surgical internship and to evaluate the challenges of the shadowing period. Methods A descriptive cross-sectional survey was carried out among 108 surgical intern doctors in Sri Lanka via electronic media in 2023. Results Our study population consisted of 108 interns, with a response rate of 43.2%. This study demonstrates that on average a final year medical student undergoes a 4- day shadowing period in surgery which was considered by a majority to help in smooth transition to internship. 56% had a clear understanding about learning outcomes and less than half has had an induction session prior to commencement of shadowing. Official documentation, routine ward work, team work and communication skills were meaningfully experienced during shadowing. The main criticisms were inadequate breaks leading to exhaustion and missing out on important teaching activities. Another major concern was shadowing close to the final examination. Conclusions Surgical shadowing house officer is an authentic work experience that intern doctors consider as important component in orientating the role of an intern. Introduction of shadowing at an earlier stage would be more beneficial and provide a broader view about the clinical set up to undergraduates.https://doi.org/10.1007/s44217-024-00108-8Medical undergraduate educationShadowingInternshipSurgical training
spellingShingle Kanchana Wijesinghe
Aruni Jayasinghe
Hasangi Gamage
Thushan Gooneratne
Yohan Chamara
Malith Nandasena
Umesh Jayarajah
Aloka Pathirana
Deepaka Weerasekara
Evaluation of the efficacy of shadowing house officer experience in surgical training
Discover Education
Medical undergraduate education
Shadowing
Internship
Surgical training
title Evaluation of the efficacy of shadowing house officer experience in surgical training
title_full Evaluation of the efficacy of shadowing house officer experience in surgical training
title_fullStr Evaluation of the efficacy of shadowing house officer experience in surgical training
title_full_unstemmed Evaluation of the efficacy of shadowing house officer experience in surgical training
title_short Evaluation of the efficacy of shadowing house officer experience in surgical training
title_sort evaluation of the efficacy of shadowing house officer experience in surgical training
topic Medical undergraduate education
Shadowing
Internship
Surgical training
url https://doi.org/10.1007/s44217-024-00108-8
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