Abstract
Background: We sought to determine the competence of medical students and surgery residents in evaluating clinical problems (using both real and simulated patients) in surgical oncology.
Methods: Forty-five third-year medical students, 23 first postgraduate year (PGY-1) residents, and seven second postgraduate year (PGY-2) residents were presented with the same four clinical problems (breast evaluation, prostate nodule, colon cancer, and mole evaluation). The two resident groups were presented with two additional patients (breast cancer options and thyroid mass).
Results: Mean performance scores for the problems were generally poor (32–72%); most students and residents failed almost all of the problems. Level of training was of some importance; the overall mean scores of the PGY-2 residents were superior to those of the medical students and the PGY-1 residents (p=0.049). However, in many areas of information gathering, diagnosis, and management, training level appeared to have no impact. Numerous important performance deficits were identified in all groups.
Conclusion: Medical students and surgery residents are not receiving adequate training in diagnosing and treating important problems in surgical oncology.
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References
Jewell WR, Deslauriers MP. Teaching surgical oncology to medical students.J Surg Oncol 1983;24:218–20.
Bleyer WA, Hunt DD, Carline JD, Trevisan M, Johnson S, Phillips TJ. Improvement of oncology education at the University of Washington School of Medicine, 1984–1988.Acad Med 1990;65:114–9.
Balch CM. Surgical oncology in the 21st century.Arch Surg 1992;127:1272–7.
Robert KH, Einhorn J, Kornhuber B, Peckham M, Zittoun R. European undergraduate education in oncology. A report of the EORTC Education Branch.Acta Oncol 1988;27:423–5.
Sloan DA, Donnelly MB, Schwartz RW. Student performance on examination of two simulated patients with abdominal pain.Ann R Col Phys Surg Can 1993;26:171–4.
Sloan DA, Donnelly MB, Johnson SB, Schwartz RW, Strodel WE. The use of an objective structured clinical examination (OSCE) to measure improvement in clinical competence during the surgical internship.Surgery 1993;114:343–51.
Salvadori B. Teaching and learning in surgical oncology [Editorial].Eur J Surg Oncol 1988;14:275–6.
Gardner B. Training in surgical oncology [Editorial].J Surg Oncol 1990;43:1–2.
Hill GJ. Graduate education and training in surgical oncology.J Cancer Educ 1986;1:45–50.
Harden RM, Stevenson M, Downie WW, Wilson GM. Assessment of clinical competence using objective structured examination.Br Med J 1975;1:447–51.
Cohen R, Reznick RK, Taylor BR, Provan J, Rothman A. Reliability and validity of the objective structured clinical examination in assessing surgical residents.Am J Surg 1990;160:302–5.
Petrusa ER, Blackwell TA, Ainsworth MA. Reliability and validity of an objective structured clinical examination for assessing the clinical performance of residents.Arch Intern Med 1990;150:573–7.
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Sloan, D.A., Donnelly, M.B., Schwartz, R.W. et al. Assessing medical students' and surgery residents' clinical competence in problem solving in surgical oncology. Annals of Surgical Oncology 1, 204–212 (1994). https://doi.org/10.1007/BF02303525
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DOI: https://doi.org/10.1007/BF02303525