K. Wirth,K. Wirth, B. Malone, K. Barrera, M. Klein, B. Malone, K. Barrera, M. Klein, C. Turner, A. SanniC. Turner, A. Sanni

Department of SurgeryDepartment of SurgerySUNY Downstate Medical CenterSUNY Downstate Medical Center

April 24tApril 24th, 2013h, 2013

Association for Surgical Education 2013Association for Surgical Education 2013

New teaching relationshipNew teaching relationship

2-4 2-4 ResidentsResidents Pretest Pretest

Daily Daily presentations presentations

on roundson rounds

30 Presentations30 Presentations

10 by chief 10 by chief residentresident

20 by 20 by studentsstudents

Post-testPost-test

Study DesignStudy Design

* IRB Approved* IRB Approved

Study DesignStudy Design

• N=25N=25• Over 8 clinical rotation cycles of 1 month eachOver 8 clinical rotation cycles of 1 month each• Interns from:Interns from:– General Surgery Prelim: 8General Surgery Prelim: 8– General Surgery Categorical: 11General Surgery Categorical: 11– Other surgical subspecialties: 4Other surgical subspecialties: 4– Family Medicine: 2Family Medicine: 2

DemographicsDemographics

Results: Total Exam ScoresResults: Total Exam Scores

PretestPretest PosttesPosttestt* p < .05* p < .05

50.6950.69 70.3270.32

Results: Topics Taught by ChiefResults: Topics Taught by Chief

PretestPretest PosttestPosttest66.1266.1249.7649.76

* p < .05* p < .05

Results: Taught by StudentsResults: Taught by Students

PretestPretest PosttestPosttest72.972.952.9252.92

* p < .05* p < .05

Results: Mean Score DifferentialResults: Mean Score Differential

StudentsStudents ChiefChief16.3616.3619.9819.98

* p = 0.236* p = 0.236

• Medical students can teach core surgical Medical students can teach core surgical topics to residents, at least as topics to residents, at least as effectively as the chiefs.effectively as the chiefs.

• ““Near peer” teaching is not limited to a Near peer” teaching is not limited to a senior-junior level dynamic. Junior team senior-junior level dynamic. Junior team members can provide a unique skill set members can provide a unique skill set that should be utilized.that should be utilized.

ConclusionsConclusions

The role of medical students as The role of medical students as resident educators is a novel concept resident educators is a novel concept and should be encouraged on the and should be encouraged on the general surgery service.general surgery service.

RecommendationsRecommendations

THANK THANK YOU!YOU!