Reconstruction of XXXX with local flaps - a training model for medical students?

@entity1 @entity545 @entity154 @entity1707
INTRODUCTION: The lack of surgeons will be a future major problem in @entity1 care for multifaceted reasons. Niche specialties such as OMFS face an additional drawback because of the need for dual qualification. Special surgical training that gives students the opportunity to gain experience in the techniques of @entity545 ( @entity545 ) has therefore been established to promote interest in OMFS. METHODS: Two hands-on courses with 8 modules of 2  h for 10 students were established. Course modules included surgical techniques of @entity545 , such as local flaps in a complex facial defect on @entity1707 heads, and were supervised by two OMFS surgeons. The identical initial and final tests examined theoretical knowledge and practical skills. Questionnaires concerning basic demographic data, future career goals, and perception of surgical disciplines before and after the completion of the course were handed out. RESULTS: The 19 participating students (12 female, 7 male; median age 24        2.24) were in their 8.31        1.20 semester. Results of the tests showed improvement in knowledge following the courses (before 52.68        12.64 vs. after 77.89        11.37; p   <   0.05). Based on the Likert scale, an increase in interest in a career in OFMS was observed (3.90        1.18 vs. 2.72        1.33; p   <   0.05), but this was not so marked with regard to a career in a surgical discipline in general (1.93        1.30 vs. 1.62        1.19; p   >   0.05). Perception of OMFS as a surgical discipline changed (3.68        1.09 vs. 1.80        0.64; p   <   0.05). The following values also changed: students   perception of @entity545 in OMFS (14 (74.68  %) vs. 5 (25.32  %); 19 (100  %) vs. 0 (0  %)), evaluation of @entity545 as a study subject for medical students (7 (36.84  %) vs. 12 (63.16  %); 19 (100  %) vs. 0 (0  %)), and the interest in an OMFS elective subject (6 (31.58  %) vs. 13 (68.42  %); 18 (94.74  %) vs. 1 (5.26  %)) and as a final clinical year subject (4 (21.05  %) vs. 15 (78.95  %); 14 (73.68  %) vs. 5 (26.32  %)). CONCLUSIONS: Hands-on courses with complex @entity154 can be used to gain new professionals, even in niche specialties such as OMFS. Moreover, a hands-on course design, including innovative teaching methods and structured objective tests combined with a close student-teacher relationship and motivated instructors, is able to promote complex surgical skills in @entity545 .
