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Evaluation of the Efficacy of Shadowing House Officer Experience in Surgical Training

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Title: Evaluation of the Efficacy of Shadowing House Officer Experience in Surgical Training
Language: English
Authors: Kanchana Wijesinghe, Aruni Jayasinghe, Hasangi Gamage, Thushan Gooneratne, Yohan Chamara, Malith Nandasena, Umesh Jayarajah, Aloka Pathirana, Deepaka Weerasekara
Source: Discover Education. 2024 3.
Availability: Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
Peer Reviewed: Y
Page Count: 7
Publication Date: 2024
Document Type: Journal Articles
Reports - Research
Education Level: Higher Education
Postsecondary Education
Descriptors: Job Shadowing, Foreign Countries, Clinical Teaching (Health Professions), Undergraduate Students, Medical Education, Internship Programs
Geographic Terms: Sri Lanka
DOI: 10.1007/s44217-024-00108-8
ISSN: 2731-5525
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 experience 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.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1419699
Database: ERIC
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  Data: <searchLink fieldCode="AR" term="%22Kanchana+Wijesinghe%22">Kanchana Wijesinghe</searchLink><br /><searchLink fieldCode="AR" term="%22Aruni+Jayasinghe%22">Aruni Jayasinghe</searchLink><br /><searchLink fieldCode="AR" term="%22Hasangi+Gamage%22">Hasangi Gamage</searchLink><br /><searchLink fieldCode="AR" term="%22Thushan+Gooneratne%22">Thushan Gooneratne</searchLink><br /><searchLink fieldCode="AR" term="%22Yohan+Chamara%22">Yohan Chamara</searchLink><br /><searchLink fieldCode="AR" term="%22Malith+Nandasena%22">Malith Nandasena</searchLink><br /><searchLink fieldCode="AR" term="%22Umesh+Jayarajah%22">Umesh Jayarajah</searchLink><br /><searchLink fieldCode="AR" term="%22Aloka+Pathirana%22">Aloka Pathirana</searchLink><br /><searchLink fieldCode="AR" term="%22Deepaka+Weerasekara%22">Deepaka Weerasekara</searchLink>
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  Data: Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
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  Data: <searchLink fieldCode="DE" term="%22Job+Shadowing%22">Job Shadowing</searchLink><br /><searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+Teaching+%28Health+Professions%29%22">Clinical Teaching (Health Professions)</searchLink><br /><searchLink fieldCode="DE" term="%22Undergraduate+Students%22">Undergraduate Students</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+Education%22">Medical Education</searchLink><br /><searchLink fieldCode="DE" term="%22Internship+Programs%22">Internship Programs</searchLink>
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  Data: 10.1007/s44217-024-00108-8
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  Data: 2731-5525
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  Data: 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 experience 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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