title: A vascular disease educational program in the preclinical years of medical school increases student interest in vascular disease.
abstract: BACKGROUND
  New training paradigms in vascular surgery necessitate medical student interest in vascular disease. We examined the effects of incorporation of a vascular disease educational program during the second year of the medical school curriculum on student acquisition of knowledge and interest in the treatment of vascular disease.
  
  
  METHODS
  We developed and administered a new educational program on vascular disease and delivered the program to all second-year medical students. The new program encompassed 9 didactic hours, including 7 traditional lecture hours and 2 hours of problem-based learning. After completing the program, students were surveyed regarding vascular disease-specific knowledge, interest in treating vascular disease, and career choices. Third-year students who were not exposed to the program were surveyed as a control group. We recorded the voluntary student enrollment in the vascular and endovascular surgery rotation during the following academic year. Voluntary enrollment of the students exposed to the vascular disease education program was compared with enrollment for the previous 8 years.
  
  
  RESULTS
  Before the introduction of the new educational program, 946 total lecture hours were delivered to first- and second-year medical students, comprising 490 hours (52%) given by nonsurgeon physicians, 445 (47%) by nonphysicians, and 11 (1%) by surgeons. Survey response rate was 93% (112 of 121) for second-year students and 95% (39 of 41) for third-year students. After the vascular disease program, second-year students answered 7.1 +/- 1.4 of 9 vascular disease questions correctly, whereas unexposed third-year students answered 7.2 +/- 1.7 questions correctly (P = .96). Most second-year medical students described a "somewhat" or "much greater" interest in the medical (63%), procedural (59%), and overall (63%) management of vascular disease after exposure to the program. Most also had a "somewhat" or "much greater" interest in a vascular medicine (64%) or vascular and endovascular surgery (60%) rotation. Enrollment in the vascular surgery third-year clerkship increased significantly to a mean of 3.0 students/month from 1.16 students/month in the prior year (P = .0032, postintervention year vs 8 prior years).
  
  
  CONCLUSIONS
  A vascular disease educational program administered to second-year medical students increases interest in vascular disease and interest in further training. The increased interest translates to greater student enrollment in the vascular surgery clerkship in the subsequent academic year.
authors.affiliation: Department of Vascular and Endovascular Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1095, USA. cgodshal@wfubmc.edu
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Godshall
authors.forename: Phillip S
authors.initials: PS
authors.lastname: Moore
authors.forename: Shawn H
authors.initials: SH
authors.lastname: Fleming
authors.forename: Jeanette S
authors.initials: JS
authors.lastname: Andrews
authors.forename: Kimberley J
authors.initials: KJ
authors.lastname: Hansen
authors.forename: John R
authors.initials: JR
authors.lastname: Hoyle
authors.forename: Matthew S
authors.initials: MS
authors.lastname: Edwards
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D016022:Case-Control Studies; D032882:Comprehension; D003479:Curriculum; D004504:Education, Medical, Undergraduate; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009657:North Carolina; D016730:Program Development; D015397:Program Evaluation; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D014656:Vascular Surgical Procedures / Q000193:education*