Last Chance to Observe: Assessing Residency Preparedness Following the 4th-Year Subinternship.

Background: The subinternship is an integral part of the 4th year of medical school. There is little description of innovations aimed at assessing the preparedness and confidence of graduating students as they move on the next step in their training.Description: An innovation including an Objective Structured Clinical Examination (OSCE) at the conclusion of the subinternship was designed. We focused on key themes of transitions of care, communication within the health care system, and communication with patients and providers.Evaluation: A pre- and postsurvey addressed student self-perceived skill, confidence, and overall perception of importance. Improvement (p< .05) was seen across all themes from pre- to postsurvey, with more favorable scores on the postsurvey.Conclusions: A subinternship innovation including an OSCE was feasible and had a positive effect on student assessment, perception and confidence. As the landscape of medical education evolves, assessing students’ preparedness for residency will become increasingly imperative. [ABSTRACT FROM AUTHOR]