Is a mandatory general surgery rotation necessary in the surgical clerkship?
BACKGROUND
Changes in the spectrum of general surgery and the delivery of surgical care have placed the requirement for a mandatory general surgery rotation in the surgical clerkship in question.


METHODS
We tested the hypothesis that equal mastery of surgical clerkship objectives can be obtained in a clerkship with and without general surgery. Students chose any two surgical rotations and were assessed by written examination, objective structured clinical examination (OSCE), ward evaluations, self-assessment objectives questionnaire, and satisfaction survey.


RESULTS
Data for 54 students showed no differences in scores between groups on any parameter. No specific concerns related to the absence of general surgery were identified.


CONCLUSIONS
Effective undergraduate surgical education can be offered in many specialty settings. Removal of the requirement for general surgery in clerkship may lead to a more effective use of all educational opportunities. A careful analysis of local programs and facilities is necessary before suggesting this change to other institutions.
Poenaru
D
D
Department of Surgery, Faculty of Medicine, Queen's University, Kingston, Ontario, Canada.
Davidson
L
L
Donnely
M
M
Tekian
A
A
D001290:Attitude; D002982:Clinical Clerkship; D004521:Educational Measurement; D013502:General Surgery / Q000193:education*; D006801:Humans; D008511:Medicine; D013038:Specialization; D013337:Students, Medical