Medical Student And Faculty Perceptions Of Undergraduate Surgical Training In The South African And Swedish Tertiary Institutions: A Cross-Sectional Survey

Alex J Scott; Gustaf Drevin; Lordan Pavlović; Magnus Nilsson; Jake Ej Krige; Eduard Jonas

doi:10.2147/AMEP.S216027

Medical Student And Faculty Perceptions Of Undergraduate Surgical Training In The South African And Swedish Tertiary Institutions: A Cross-Sectional Survey

Adv Med Educ Pract. 2019 Oct 15:10:855-866. doi: 10.2147/AMEP.S216027. eCollection 2019.

Authors

Alex J Scott¹, Gustaf Drevin², Lordan Pavlović², Magnus Nilsson³, Jake Ej Krige⁴, Eduard Jonas⁴

Affiliations

¹ Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
² Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
³ Division of Surgery, Karolinska Institutet, Stockholm, Sweden.
⁴ Department of Surgery, University of Cape Town, Cape Town, South Africa.

Abstract

Purpose: To evaluate and compare medical student and faculty perceptions of undergraduate surgical training and compare results between South Africa and Sweden.

Patients and methods: An electronic, online questionnaire was anonymously distributed to medical students and surgical faculty at the University of Cape Town (UCT), South Africa, and the Karolinska Institutet (KI), Sweden. The questionnaire explored the perceptions of medical students and surgical faculty regarding the current undergraduate surgical curriculum, as well as existing clinical and theoretical instructional methods.

Results: A total of 120 students (response rate of 24.4%) and 41 faculty (response rate of 74.5%) responded. Students believed they ought to receive significantly more teaching when compared to surgical faculty (p=0.018). Students and faculty generally agreed that students should expect to study approximately six to 20 hrs per week outside of clinical duty. There was general agreement that "small-group tutorials" was the area students learn the most from, whereas students reported "lectures" least helpful. Registrars were reported as the first person students should consult regarding patient care. Fifty-one (42.5%) medical students believed that faculty viewed students as an inconvenience, and 42 (35.0%) students believed that faculty would rather not have students on the clinical team. The majority of faculty (68.3%) reported significantly more negative views on the current undergraduate surgical curriculum when compared to students (p=0.002). UCT faculty reported giving significantly less feedback to students during their surgical rotation when compared to KI faculty (p=0.043).

Conclusion: Significant differences exist between surgical faculty and medical student perceptions regarding undergraduate surgical training in developing and developed countries. In order to increase surgical interest among undergraduate medical students, it is imperative for surgical educators to be aware of these differences and find specific strategies to bridge this gap.

Keywords: curriculum; perception; surgical education; survey.