Original Publication
Open Access

Professionalism and Interpersonal Skills for the Senior Medical Student Entering Surgery

Published: February 22, 2014 | 10.15766/mep_2374-8265.9718

Included in this publication:

  • Instructor's Guide.doc
  • 1a Self Directed Learning Instructor Blueprint.doc
  • 1b Self Directed Learning slides.pptx
  • 1c Self Directed Surprise Lecture Instructor Blueprint.doc
  • 1d Self Directed Surprise Lecture Slides.ppt
  • 2a Ethics Instructor Blueprint.doc
  • 2b Ethics Slides.ppt
  • 3a Financial Considerations Instructor Blueprint.doc
  • 3b Financial Slides.ppt
  • 4a Managing Stress and Anxiety Instructor Blueprint.doc
  • 4b Managing Stress and Anxiety Slides.ppt
  • 5a Communication Skills Instructor Blueprint.doc
  • 5b Communication Skills Slides.ppt
  • 6a Professionalism Instructor Blueprint.doc
  • 6b Professionalism slides.ppt
  • 6c Professionalism small group slides.ppt
  • 7 Professionalism and Interpersonal Skills Knowledge Test with Key.doc

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.


Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

Introduction: This resource includes comprehensive materials intended to provide senior medical students entering surgery specialties with the tools necessary to develop professionalism and interpersonal skills. Special attention was directed toward structuring the objectives of this resource on a foundation of the core competencies as defined by the ACGME. These objectives were further refined and expanded on review of proposed guidelines outlining educational objectives for trainees in their first year of surgical residency, as well as the published experiences of outside institutions. Methods: Included in this resource are all necessary instructor’s blueprints, PowerPoint presentations, and handouts for six sessions covering topics related to professionalism and interpersonal skills. These topics include: self-directed learning, ethics, finances, stress and anxiety, communication, and professionalism. A seventh and final session features a multiple-choice knowledge test on professionalism and interpersonal skills. Results: The outcomes from this course have been extensively studied. We found that course participants demonstrated marked improvement and task-specific confidence in all tasks from course beginning to end. This was supported by improved scores on written and technical skill examinations. Furthermore, course participants outperformed peers in all tasks one month into internship, with their performance advantage predictably dissipating into the third month of residency. We found that competency-based preparation for surgical internship utilizing the tools found within this resource resulted in objective gains in task-specific confidence and test performance at course conclusion which, importantly, translated to improved performance upon residency matriculation. Discussion: This resource may be used by course directors for surgery PGY-1 preparatory classes/bootcamps, for independent study by individuals planning to matriculate into surgical residencies, or as a review source for those already in surgical training. While these materials were designed to meet the needs of new surgical house staff, the contents are easily generalized to other medical specialties, and would prove useful for any trainee managing hospital inpatients.


Educational Objectives

By the end of this session, learners will be able to:

  1. Describe the learning environment of surgical residency.
  2. Define self-directed learning.
  3. Explain the relevance of self-directed learning in surgical residency.
  4. Discuss what needs to be learned, what sources to use, and specific study strategies.
  5. Place emphasis on the importance of knowing oneself and setting goals.
  6. Brainstorm solutions in small groups for planning studying both from books and on-the-job, given specific scenarios.
  7. Provide opportunities for practice.
  8. Identify strategies for studying while on rotations.
  9. Explain “how” to read a surgical textbook in preparation for a lecture or conference.
  10. Discuss basic principles of medical ethics.
  11. Discuss why ethics are important to medical professionals.
  12. Identify and discuss the Seven Basic Rights of Patients.
  13. Identify ethical issues unique to the surgical field.
  14. Recognize and discuss ethical dilemmas that students may be presented with in surgical training.
  15. Identify resources for medical professionals.
  16. Discuss the concept and impact of educational debt.
  17. Identify why this topic should be important to surgical residents.
  18. Recognize the importance of financially thinking and planning ahead.
  19. Discuss the issues that led to the mortgage collapse and compare those with the current educational situation.

Author Information

  • Mara Antonoff, MD: University of Minnesota Medical School
  • Courtney Green: University of Minnesota Medical School
  • Jennifer Swanson: University of Pittsburgh School of Medicine
  • Jonathan D'Chuna: University of Pittsburgh School of Medicine

Disclosures
None to report.

Funding/Support
None to report.

Prior Presentations
Antonoff MB, Shelstad R, Reihsen T, et al. A technology-enhanced curriculum for surgical interns improves readiness for acute inpatient care. Presented at: University of Minnesota Academic Health Center Best Practices Institute; May 20, 2008; Minneapolis, MN.  

Antonoff MB, Shelstad R, Reihsen T, Schmitz C, Chipman J, D’Cunha J. A novel “critical skills” curriculum for surgical interns incorporating simulation training improves readiness for acute inpatient care. The American College of Surgeons 94th Annual Clinical Congress Abstracts for the 63rd Annual Sessions of the Owen H Wangensteen Forum on Fundamental Surgical Problems. Journal of the American College of Surgeons 2008;207(3):S93. http://dx.doi.org/10.1016/j.jamcollsurg.2008.06.234

Antonoff MB, Shelstad R, Reihsen T, et al. A critical skills curriculum for surgical interns including simulation improves readiness for acute inpatient care. Presented at: Minnesota Surgical Society Fall Meeting; October 25, 2008; Alexandria, MN. 

Antonoff MB, Shelstad R, Reihsen T, et al. Preparing interns for acute surgical inpatient care: design and implementation of a novel simulation-based curriculum. Presented at: Association for Surgical Education, Surgical Education Week; April 29, 2009; Salt Lake City, UT.   

Antonoff MB, Shelstad R, Chipman JG, Schmitz CC, D’Cunha J. Development and implementation of a simulation-based critical skills course for surgical interns: lessons learned. The American College of Surgeons 95th Annual Clinical Congress Abstracts for the 64th Annual Sessions of the Owen H Wangensteen Forum on Fundamental Surgical Problems. Journal of the American College of Surgeons 2009; 209(3): S108. http://dx.doi.org/10.1016/j.jamcollsurg.2009.06.270

Chipman JG, D’Cunha J, Antonoff MB, Schmitz CC. Critical response simulations: works in progress. Presented at: 2nd Annual Meeting of the Consortium of ACS-Accredited Education Institutes; March 20, 2009; Chicago, IL.

Antonoff MB, D’Cunha J. Improving the transition to surgical internship: increased confidence and anxiety reduction through formal preparatory instruction.  Presented at: Minnesota Surgical Society, Fall Conference; October 24, 2009; Rochester, MN.

Antonoff MB, Maddaus MA, D’Cunha J. Improving the transition to surgical internship: increased confidence and anxiety reduction through formal preparatory instruction. Presented at: 5th Annual Academic Surgical Congress; February 3, 2010; San Antonio, TX.

Antonoff MB, Swanson JA, Acton RD, Chipman JG, Maddaus MA, Schmitz CC, D’Cunha J. Improving surgical intern confidence through the implementation of expanded orientation sessions. Presented at: 5th Annual Academic Surgical Congress; February 3, 2010; San Antonio, TX.

Antonoff MB, D’Cunha J. The benefit of a targeted intervention to improve the transition to surgical residency. Presented at: Association for Surgical Education, Surgical Education Week; April 24, 2010; San Antonio, TX.

Green CA, Antonoff MB, Maddaus MA, Reihsen TE, Sweet R, D’Cunha J. Development and implementation of a simulation-based critical skills course for PGY-1 surgical interns: mid-term analysis. Presented at: American College of Surgeons, Division of Education Medical Student Program; October 4, 2010; Washington, DC.

Antonoff MB, Green CA, Reihsen TE, Sweet R, Maddaus MA, D’Cunha J. A simulation-based critical skills course for surgical interns: mid-term analysis. Presented at: Association of American Medical Colleges Annual Meeting, Modernizing Medicine MedEdPORTAL Poster Session; November 6, 2010; Washington, DC.

Antonoff MB, Maddaus MA, D’Cunha J. Beyond the surgical bootcamp: evaluation of a competency-based curriculum for senior medical students entering surgical internship. Presented at: 6th Annual Academic Surgical Congress; February 3, 2011; Huntington Beach, CA.

Antonoff MB, Maddaus MA, D'Cunha J. PGY-1 preparatory curriculum design: tailoring content to the modern trainee. Presented at: Association for Surgical Education Annual Meeting; March 22, 2011; Boston, MA.

Antonoff MB, D'Cunha J. Competency-based preparation of senior medical students for surgical internship: impact upon task-specific confidence and competence. Presented at: Surgical Education Research Fellowship Forum, Association for Surgical Education Annual Meeting; March 23, 2011; Boston, MA.

Antonoff MB, D'Cunha J. Development of PGY-1 surgery preparatory course curricula: identification of key curricular components. Presented at: Association of Program Directors in Surgery Annual Meeting; March 25, 2011; Boston, MA.

Antonoff MB, Whitson BA, Green CA, Maddaus MA, D’Cunha J. Preparation of the senior medical student for integrated surgery training: significant impact of a competency-based course. Presented at: American College of Surgeons 97th Annual Clinical Congress; October 25, 2011; San Francisco, CA.

Antonoff MB, Green CA, Swanson JA, Maddaus MA, D’Cunha J. Prospective Analysis Of The 2-Year Outcomes From A Competency-Based Preparatory Course For The PGY-1 Resident: Modeling Standards For The Future. Presented at: 7th Annual Academic Surgical Congress; February 14-16, 2012; Las Vegas, NV.

Green CA, Antonoff MB, Swanson JA, D'Cunha J. Preparing Medical Students for Residency Training: 2-year Cumulative Analysis of a Model Preparatory Course. Presented at: Minnesota Surgical Society, Spring 2012 Meeting; May 4, 2012; St. Paul, MN.

Green CA, Antonoff MB, Swanson JA, D’Cunha J. Competency-based Preparation of Senior Medical Students for Residency Training: 2-year Cumulative Analysis of a Model Preparatory Course. Presented at: Association of Women Surgeons Starr Poster Session, AWS Fall Conference; September 30, 2012; Chicago, IL.



Citation

Antonoff M, Green C, Swanson J, D'Chuna J. Professionalism and interpersonal skills for the senior medical student entering surgery. MedEdPORTAL. 2014;10:9718. https://doi.org/10.15766/mep_2374-8265.9718