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Acquisition of clinical competence: Added value of clerkship real-life contextual experience.
- Source :
- Medical Teacher; Feb2013, Vol. 35 Issue 2, pe957-e962, 6p
- Publication Year :
- 2013
-
Abstract
- Background: Medical students' limited access to patients induces a shift of learning activities from clinical wards to classrooms. Aim: Identify clinical competencies specifically acquired during real-life contextual clerkship added to case-based tutorials, by a prospective, controlled study. Methods: Students entering our eight-week internal medicine (IM) clerkship attended paper case-based tutorials about 10 common presenting complaints and were assigned to an IM specialty ward. For each tutorial case, two groups of students were created: those assigned to a ward, the specialty of which was unrelated to the case (case-unrelated ward, CUW) and those assigned to a ward, the specialty of which was related to the case (case-related ward, CRW). Results: Forty-one students (30 CUW and 11 CRW) volunteered for the study. Both groups had similar previous experiences and pre-clerkship exam scores. The CRW students collected more relevant clinical information from the patient (69% vs. 55% of expected items, p = 0.001) and elaborated charts of better quality (47% vs. 39% of expected items, p = 0.05). Clinical-knowledge mean score was similar (70%) in both groups ( p = 0.92). Conclusions: While paper-case tutorials did provide students with clinical knowledge, real contextual experience brought additional, specific competencies. This supports the preservation of clinical exposure with supervision and feedback. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANALYSIS of variance
CLINICAL competence
CLINICAL medicine
OUTCOME-based education
CONFIDENCE intervals
EPIDEMIOLOGY
HEALTH occupations students
INTELLECT
LONGITUDINAL method
PATIENT-professional relations
MEDICAL students
STUDY & teaching of medicine
NURSING records
RESEARCH funding
SCHOOL environment
STATISTICAL hypothesis testing
DATA analysis
EDUCATIONAL outcomes
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 0142159X
- Volume :
- 35
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Medical Teacher
- Publication Type :
- Academic Journal
- Accession number :
- 85606774
- Full Text :
- https://doi.org/10.3109/0142159X.2012.714887