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Third year clerkships

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https://www.readbyqxmd.com/read/27908638/using-the-acmge-milestones-as-a-handover-tool-from-medical-school-to-surgery-residency
#1
Lauren M Wancata, Helen Morgan, Gurjit Sandhu, Sally Santen, David T Hughes
OBJECTIVE: To map current medical school assessments for graduating students to the Accreditation Council for Graduate Medical Education (ACGME) milestones in general surgery, and to pass forward individual performance metrics on level 1 milestones to receiving residency programs. DESIGN: The study included 20 senior medical students who were accepted into surgery internship positions. Data from medical school performance assessments from the third-year surgery clerkship, fourth-year surgery rotations, fourth-year surgery boot camp, Clinical Competency Assessment Examination, and United States Medical Licensing Examination (USMLE) Step 1 and 2 examinations were used to map each student's competency assessments to the General Surgery Milestones based on a scoring system created and validated by independent assessors...
November 28, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27889269/medical-student-expectations-from-surgical-education-a-two-year-institutional-experience
#2
Alessandra Landmann, William S Havron, Arpit Patel, Britta M Thompson, Jason S Lees
BACKGROUND: The third-year surgical rotation is the first exposure medical students have to the fundamentals of surgical education. It is known that medical students come to the surgical clerkship with preconceived ideas, many of them negative and based on prior student feedback and hearsay. METHODS: An anonymous survey was conducted of third-year medical students while on the surgical clerkship. We sought to quantify student's experiences and expectations by assessing the students' confidence levels before and after the rotation...
October 20, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27885821/exploring-simulation-in-the-internal-medicine-clerkship
#3
Brian Kwan, Glory Bui, Paul Jain, Nilesh Shah, Derek Juang
BACKGROUND: Simulation-based medical education has been shown to produce substantial educational benefits; however, the integration and effectiveness of high-fidelity simulation within the internal medicine (IM) clerkship remains largely unexplored. Investigators sought to determine the effectiveness of simulation in improving student confidence in acute coronary syndrome (ACS) and the Advanced Cardiac Life Support (ACLS) curriculum. Secondary goals included examining student perceptions of the role of simulation in medical education...
November 25, 2016: Clinical Teacher
https://www.readbyqxmd.com/read/27884319/student-views-on-the-role-of-self-regulated-learning-in-a-surgery-clerkship
#4
Ariel M Lyons-Warren, John P Kirby, Douglas P Larsen
BACKGROUND: Self-regulated learning, including student-generated learning goals and flexibility in the learning structure are increasingly being used to enhance medical education. The role of these practices in surgical education of medical students has not been studied. MATERIALS AND METHODS: We administered an 18-question electronic survey to all third-year medical students at Washington University in St. Louis School of Medicine. Of the 126 students invited, 64 responded and 56 were included in the analysis...
December 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27882520/app-use-in-psychiatric-education-a-medical-student-survey
#5
Cecilia Lau, Venkata Kolli
OBJECTIVE: The objective of the study is to understand and appraise app use by medical students during their clerkships. METHODS: Following Creighton University IRB approval, a voluntary and anonymous paper-based, 15-question survey was distributed to third-year medical students. Data were analyzed using Microsoft Excel. RESULTS: Of 112 medical students available, 76.7% (86) participated in the survey. All participants owned a smartphone or tablet with 84...
November 23, 2016: Academic Psychiatry
https://www.readbyqxmd.com/read/27878052/missing-the-mark-current-practices-in-teaching-the-male-urogenital-examination-to-canadian-undergraduate-medical-students
#6
Kristen McAlpine, Stephen Steele
INTRODUCTION: The urogenital physical examination is an important aspect of patient encounters in various clinical settings. Introductory clinical skills sessions are intended to provide support and alleviate students' anxiety when learning this sensitive exam. The techniques each Canadian medical school uses to guide their students through the initial urogenital examination has not been previously reported. METHODS: This study surveyed pre-clerkship clinical skills program directors at the main campus of English-speaking Canadian medical schools regarding the curriculum they use to teach the urogenital examination...
August 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/27875600/finding-the-words-medical-students-reflections-on-communication-challenges-in-clinic
#7
Genna Braverman, Janine S Bruce, Gregory Makoul, Erika Schillinger
BACKGROUND AND OBJECTIVES: Interpersonal communication is essential to providing excellent patient care and requires ongoing development. Although aspects of medical student interpersonal communication may degrade throughout career progression, it is unknown what specific elements pose challenges. We aimed to characterize clerkship students' perspectives on communication challenges in the outpatient setting to help inform curricular development. METHODS: Third-year medical students in a required family medicine clerkship were asked to describe a communication challenge they encountered...
November 2016: Family Medicine
https://www.readbyqxmd.com/read/27834170/feedback-in-formative-osces-comparison-between-direct-observation-and-video-based-formats
#8
Noëlle Junod Perron, Martine Louis-Simonet, Bernard Cerutti, Eva Pfarrwaller, Johanna Sommer, Mathieu Nendaz
INTRODUCTION: Medical students at the Faculty of Medicine, University of Geneva, Switzerland, have the opportunity to practice clinical skills with simulated patients during formative sessions in preparation for clerkships. These sessions are given in two formats: 1) direct observation of an encounter followed by verbal feedback (direct feedback) and 2) subsequent review of the videotaped encounter by both student and supervisor (video-based feedback). The aim of the study was to evaluate whether content and process of feedback differed between both formats...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27806828/the-impact-of-learning-communities-on-interpersonal-relationships-among-medical-students
#9
Eve Privman Champaloux, Meg G Keeley
BACKGROUND: Medical students at the University of Virginia (UVA) are mentored and learn within the framework of a four college learning community. Uniquely, these learning communities are used to organize the third-year clerkship rotations. METHODS: Students were surveyed after their first pre-clinical year and after their clerkship year to determine what the effect of the learning community was on their social and educational interpersonal relationships. RESULTS: Students knew a higher percentage of their college mates after completing their third-year clerkships within the framework of the college system...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27740669/effectiveness-of-vaginal-delivery-simulation-in-novice-trainees
#10
Kristina M Shumard, Jeffrey M Denney, Kristen Quinn, Arnold S Grandis, Paul W Whitecar, John Bailey, Rubymel J Jijon-Knupp, Chenchen Huang, Kendra Kesty, Brian C Brost, Joshua F Nitsche
OBJECTIVE: Simulation training has been demonstrated to increase medical student confidence with vaginal deliveries; however, effect on skill performance is still lacking. To determine if integration of simulation training into the OB/GYN clerkship improves performance of vaginal deliveries, we assessed the effectiveness of simulation in third-year medical students. METHODS: During the OB/GYN clerkship, third-year students were assigned to receive vaginal delivery simulation (n=54) or cervical exam simulation (n=56), with each group serving as a simulation naïve control for the other skill...
October 2016: Family Medicine
https://www.readbyqxmd.com/read/27737294/impact-of-a-musculoskeletal-clerkship-on-orthopedic-surgery-applicant-diversity
#11
Daniel A London, Ryan P Calfee, Martin I Boyer
Orthopedic surgery lacks racial and sexual diversity, which we hypothesized stems from absence of exposure to orthopedics during medical school. We conducted a study to determine whether diversity of matched orthopedic surgery residency applicants increased after introduction of a required third-year rotation. We compared 2 groups: precurriculum and postcurriculum. The postcurriculum group was exposed to a required 1-month musculoskeletal rotation during the third year of medical school. Comparisons were made of percentage of total students exposed to orthopedics, percentage who applied to and matched to orthopedic surgery, and proportion of women and underrepresented minorities...
September 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27692808/surgery-clerkship-evaluations-are-insufficient-for-clinical-skills-appraisal-the-value-of-a-medical-student-surgical-objective-structured-clinical-examination
#12
Kathryn L Butler, David A Hirsh, Emil R Petrusa, D Dante Yeh, Dana Stearns, David E Sloane, Jeffrey A Linder, Gaurab Basu, Lisa A Thompson, Marc A de Moya
OBJECTIVE: Optimal methods for medical student assessment in surgery remain elusive. Faculty- and housestaff-written evaluations constitute the chief means of student assessment in medical education. However, numerous studies show that this approach has poor specificity and a high degree of subjectivity. We hypothesized that an objective structured clinical examination (OSCE) in the surgery clerkship would provide additional data on student performance that would confirm or augment other measures of assessment...
September 27, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27689103/small-steps-in-impacting-clinical-auscultation-of-medical-students
#13
Edem K Binka, Linda O Lewin, Peter R Gaskin
The objective of this study was to determine if a training module improves the auscultation skills of medical students at the University of Maryland School of Medicine. Second-year medical students completed pretests on 12 heart sounds followed by a 45-minute training module on clinical auscultation, with retesting immediately after the intervention and during their third-year pediatrics clerkship. The control group consisted of third-year medical students who did not have the intervention. There was a 23% improvement in the identification of heart sounds postintervention (P < ...
2016: Global Pediatric Health
https://www.readbyqxmd.com/read/27661999/furthering-the-validity-of-a-tool-to-assess-simulated-pregnancy-options-counseling-skills
#14
Carla Lupi, Melissa Ward-Peterson, Stefany Coxe, Suzanne Minor, Irmanie Eliacin, Vivian Obeso
OBJECTIVE: To further the validity of a tool to assess nondirective pregnancy options counseling skills. METHODS: Using a cross-sectional design, we explored four sources of construct validity evidence for an objective structured clinical examination for training and assessment of nondirective pregnancy options counseling: content, response process, internal structure, and relations to other variables. Content of the previously developed tool was enhanced through input from five family medicine educators...
October 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27647042/interprofessional-learning-through-shadowing-insights-and-lessons-learned
#15
Anita V Kusnoor, Linda A Stelljes
BACKGROUND: Interprofessional education (IPE) aims to improve patient outcomes. Interprofessional shadowing improves students' knowledge of different roles and attitudes toward other professionals. AIM: This study evaluates (1) how pre-clinical medical students describe the roles of the healthcare professionals they shadowed, and (2) whether shadowing can be used to introduce medical students to the benefits of interprofessional collaboration, and if so, in what ways...
September 20, 2016: Medical Teacher
https://www.readbyqxmd.com/read/27640907/all-for-knots-evaluating-the-effectiveness-of-a-proficiency-driven-simulation-based-knot-tying-and-suturing-curriculum-for-medical-students-during-their-third-year-surgery-clerkship
#16
Cianna Pender, Vladimir Kiselov, Qingzhao Yu, Jennifer Mooney, Patrick Greiffenstein, John T Paige
BACKGROUND: We evaluated the effectiveness of implementing a proficiency-driven, simulation-based knot tying and suturing curriculum for medical students during their 3rd-year surgery clerkship. METHODS: Medical students on the 3rd-year surgical clerkship completed a proficiency-driven, simulation-based knot tying and suturing curriculum consisting of 6 tasks. The effectiveness was evaluated by comparing the initial presession scores to the final postsession scores on an 8-item self-efficacy scale and evaluating pass rates on end of clerkship skills testing...
August 22, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27629933/using-area-health-education-centers-to-promote-interest-in-rural-practice
#17
Jennifer D Taylor, Sarah E Goletz
INTRODUCTON: In the USA, area health education centers (AHECs) work to recruit and educate students to serve in medically underserved communities, primary care, and rural settings. One important aspect of their work is connecting students with rural clinical experiences. Within these experiences, AHECs incorporate a community health/socioeconomic experience within the family medicine clerkship that may not be as prevalent in the standard family medicine clerkship experiences. The purpose of the study was to assess the relationship between AHEC-sponsored family medicine clerkships with a self-reported intent to practice in a rural setting upon graduation...
July 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27570912/does-academic-performance-or-personal-growth-share-a-stronger-association-with-learning-environment-perception
#18
Jorie M Colbert-Getz, Sean Tackett, Scott M Wright, Robert S Shochet
OBJECTIVES: This study was conducted to characterize the relative strength of associations of learning environment perception with academic performance and with personal growth. METHODS: In 2012-2014 second and third year students at Johns Hopkins University School of Medicine completed a learning environment survey and personal growth scale. Hierarchical linear regression analysis was employed to determine if the proportion of variance in learning environment scores accounted for by personal growth was significantly larger than the proportion accounted for by academic performance (course/clerkship grades)...
2016: International Journal of Medical Education
https://www.readbyqxmd.com/read/27555125/assessing-student-usage-perception-and-the-utility-of-a-web-based-simulation-in-a-third-year-medical-school-clerkship
#19
Eric M Wise, William R McIvor, Michael P Mangione
STUDY OBJECTIVE: The goals of this study were to assess students' usage data of Web-based simulation (WBS), to determine if it can fill gaps in clinical experience-based medical education, and to determine students' perceived value of this kind of simulation during a clinical clerkship. DESIGN: Observational/prospective cohort. SETTING: Medical school affiliated with a large academic hospital. SUBJECTS: A total od 138 medical students...
September 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27535386/using-standardized-patient-encounters-to-teach-longitudinal-continuity-of-care-in-a-family-medicine-clerkship
#20
Bonnie M Vest, Abigail Lynch, Denise McGuigan, Timothy Servoss, Karen Zinnerstrom, Andrew B Symons
BACKGROUND: Despite demonstrated benefits of continuity of care, longitudinal care experiences are difficult to provide to medical students. A series of standardized patient encounters was developed as an innovative curricular element to address this gap in training for medical students in a family medicine clerkship. The objective of this paper is to describe the development and implementation of the curriculum, evaluate the effectiveness of the curriculum for increasing student confidence around continuity of care and chronic disease management, and explore student opinions of the value of the experience...
2016: BMC Medical Education
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