Objective To systematically identify and analyse all published literature relating to the provision of undergraduate education for preparedness in ear, nose and throat (ENT) surgery, as perceived by medical students and clinicians in the UK.ududDesign Systematic literature review.ududData sources 5 major databases were searched: MEDLINE, EMBASE, ERIC, Cochrane and Web of Science. The literature search was conducted from February to April 2015.ududEligibility criteria for selecting studies Primary research or studies that report on the provision of undergraduate education for preparedness in ENT, from the perspective of medical students and clinicians in the UK. The timescale of searches was limited from 1999 onwards (ie, the past 15 years).ududData extraction The literature search was conducted by 2 independent reviewers. Search terms used involved the combination and variation of 5 key concepts, namely: medical student, clinician, ENT, undergraduate medical education and UK. A data extraction form was designed for and used in this study, based on guidelines provided by the UK National Health Service (NHS) Centre for Reviews and Dissemination. Textual narrative synthesis was used for data analysis.ududResults A total of 7 studies were included in the final review. 4 main themes were identified: confidence in managing patients, teaching delivery, student assessment and duration of rotations. A consistent finding in this review was that the majority of final year medical students and junior doctors did not feel adequately prepared to practise ENT. Important factors influencing preparedness in ENT included the duration of clinical rotations, the opportunity for hands-on learning and formal assessment.ududConclusions The findings of this review suggest the need for further development of the ENT undergraduate curricula across the UK. However, there is insufficient evidence from which to draw strong conclusions; this in itself is beneficial as it highlights a gap in the existing literature and supports the need for primary research.
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机译:目的:系统地识别和分析所有已发表的文献,这些文献与英国医学生和临床医生所认为的有关为耳鼻喉(ENT)手术的本科教育提供本科教育有关。 ud udDesign系统文献综述。 ud ud数据源搜索了5个主要数据库:MEDLINE,EMBASE,ERIC,Cochrane和Web of Science。文献检索于2015年2月至4月进行。 ud ud选择研究的资格标准从英国的医学生和临床医生的角度出发,一项初级研究或一些研究报告了耳鼻喉科为预防性提供本科教育的情况。检索的时间范围从1999年开始(即过去15年)受到限制。 ud ud数据提取文献检索由2位独立审阅者进行。使用的搜索词涉及5个关键概念的组合和变体,即:医学生,临床医生,耳鼻喉科,本科医学教育和英国。根据英国国家卫生服务(NHS)审查与传播中心提供的指南,设计了数据提取表并用于本研究。文字叙述综合用于数据分析。 ud ud结果最终的综述共包括7项研究。确定了4个主要主题:对患者的管理信心,教学交付,学生评估和轮换时间。该评价的一个一致发现是,大多数的医学专业的最后一年的学生和初级医生没有充分准备去做耳鼻喉科。影响耳鼻喉科准备的重要因素包括临床轮换的持续时间,动手学习和正式评估的机会。 ud ud结论本评价的结果表明,英国需要进一步开发耳鼻喉科的本科课程。但是,没有足够的证据可以得出强有力的结论;这本身是有益的,因为它突出了现有文献中的空白并支持了基础研究的需求。
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