Technology and modern methods
can't replace student-teacher interaction
Technology has taken medical school teaching tools to a new level. Students can listen to lectures on their iPods and practice on virtual reality patients. But a new study conducted by a researcher at the Medical School found that technology has not been able to create a robotic replacement for the real-life student-teacher experience.
The study, published in the June issue of American Surgeon, points to a powerful but often overlooked tool for influencing student attitudes about surgical training.
Dr. Peter Ehrlich, associate professor of pediatric surgery, and colleagues found that the quality of the student-teacher interaction was the main reason behind a positive experience during the clinical training portion of the curriculum.
"What I really learned from this study is that what students wanted 20 or 30 years ago and still want today is for instructors to interact with them. Even with all the modern day technology in teaching tools, nothing can replace face-to-face contact," Ehrlich says.
Students were more likely to recommend a rotation to other students and enjoyed their experience more if an instructor challenged them to think, provided useful feedback, and had a positive attitude toward students and teaching.
"It didn't matter if subjects were male or female, or if they had any previous career interests in surgery; what really made the difference was whether teachers spent time with them," Ehrlich says.
The study also found that students listed medicine and surgical subspecialties as their most common career interests, and one quarter of the participants had a pre-existing interest in surgery. Ehrlich says this stresses the importance of clinical training in attracting students to a surgical career, since there is a sizable pool of potential surgeons.
Another interesting finding was that males were four times more likely to have a prior interest in surgery than females. According to previous studies conducted by other groups, one influence on a female student's choice of specialty may be that women experience more gender discrimination and sexual harassment during undergraduate education.
"Surgery is still a male-dominated profession, and this should also be addressed," Ehrlich says. "The surgical and clinical experiences in medical school must be monitored carefully to ensure that half the potential pool of future surgeons is not turned off by a surgical career."
During the study, 113 students at the West Virginia University School of Medicine completed a 27-question survey to evaluate their experience after clinical training. They had nine surgical areas to pick from and each student trained in four of these for a total of 452 surveys.
Ehrlich, who also teaches surgery to medical students, believes that instructors who take an interest in students and their educational needs can influence career choices. "When you find a teacher who really turns you on to a particular field, that's what you end up doing. I had a teacher in medical school who really made an impression on me and he's one of the main reasons I'm a pediatric surgeon today."
The study was co-authored by Dr. P.A. Seidman, from the West Virginia University School of Medicine where Ehrlich served as director of surgical and medical education before coming to U-M.