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Third year clerkships

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https://www.readbyqxmd.com/read/28056969/voluntary-attendance-of-small-group-brainstorming-tutoring-courses-intensify-new-clerk-s-excellence-in-clinical-care-a-pilot-study
#1
Ling-Yu Yang, Chia-Chang Huang, Hui-Chi Hsu, Ying-Ying Yang, Ching-Chi Chang, Chiao-Lin Chuang, Wei-Shin Lee, Jen-Feng Liang, Hao Min Cheng, Chin-Chou Huang, Fa-Yauh Lee, Shung-Tai Ho, Ralph Kirby
BACKGROUND: Clerkship provides a unique way of transferring the knowledge and skills gathered during medical school's curriculum into real-ward clinical care environment. The annual program evaluation has indicated that the training of clerks in diagnostic and clinical reasoning skills needed to be enhanced. Recently, "clinical excellence" program have been promoted in our institution to augment the excellence in clinical care of new clerks. Current study aims to evaluate whether this pilot program improve the "clinical excellence" of new clerks...
January 6, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28018764/specialty-preferences-and-the-factors-influencing-them-among-pre-clerkship-medical-students-the-first-study-from-alfaisal-university-college-of-medicine-saudi-arabia
#2
Nouf Alsubaie, Hadeel S Aldhofaian, Lamya Alhuwaimel, Noorah Ruxshan, Fatimah Alghamdi, Ahmad Shamia, Ahmed Abu-Zaid
AIM: To explore the specialty preferences and the factors influencing them among pre-clerkship (second-year and third-year) medical students at Alfaisal University-College of Medicine, Riyadh, Saudi Arabia. METHODS: An online, anonymous, cross-sectional, self-rating survey was administered. The survey explored socio-demographical data, specialty preferences and the factors influencing such preferences. A gender-wise statistical analysis was performed. RESULTS: Two hundred fifty-two students participated in the survey (n=252/308; response rate: 81...
November 23, 2016: Curēus
https://www.readbyqxmd.com/read/28012681/navigating-the-journey-from-medical-school-classroom-to-third-year-clerkship
#3
Demetrius M Coombs
No abstract text is available yet for this article.
December 14, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27999509/the-close-exposure-to-radiology-program-educational-benefits-to-medical-students
#4
Guang-Bin Cui, Lin-Feng Yan, Hai-Yan Nan, Xin Zhao, Yu-Chuan Hu, Alan David Kaye, Thea Moran, Wen Wang
BACKGROUND: Radiology clerkships during medical school provide a suboptimal training experience in the Chinese medical doctor training program. Staff radiologists are heavily occupied with clinic tasks which decreases teaching quality. The close exposure to radiology program (CERP) is a novel pathway designed to improve teaching quality, yet students' expectations of the potential benefits of such a program and their willingness to join CERP still have not been investigated among Chinese medical students...
2016: Ochsner Journal
https://www.readbyqxmd.com/read/27986086/pelvic-and-breast-examination-skills-curricula-in-united-states-medical-schools-a-survey-of-obstetrics-and-gynecology-clerkship-directors
#5
Lorraine Dugoff, Archana Pradhan, Petra Casey, John L Dalrymple, Jodi F Abbott, Samantha D Buery-Joyner, Alice Chuang, Amie J Cullimore, David A Forstein, Brittany S Hampton, Joseph M Kaczmarczyk, Nadine T Katz, Francis S Nuthalapaty, Sarah M Page-Ramsey, Abigail Wolf, Nancy A Hueppchen
BACKGROUND: Learning to perform pelvic and breast examinations produces anxiety for many medical students. Clerkship directors have long sought strategies to help students become comfortable with the sensitive nature of these examinations. Incorporating standardized patients, simulation and gynecologic teaching associates (GTAs) are approaches gaining widespread use. However, there is a paucity of literature guiding optimal approach and timing. Our primary objective was to survey obstetrics and gynecology (Ob/Gyn) clerkship directors regarding timing and methods for teaching and assessment of pelvic and breast examination skills in United States medical school curricula, and to assess clerkship director satisfaction with current educational strategies at their institutions...
December 16, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27979476/-i-got-it-on-ebay-cost-effective-approach-to-surgical-skills-laboratories
#6
Ethan Schneider, Paul J Schenarts, Valerie Shostrom, Kimberly D Schenarts, Charity H Evans
BACKGROUND: Surgical education is witnessing a surge in the use of simulation. However, implementation of simulation is often cost-prohibitive. Online shopping offers a low budget alternative. The aim of this study was to implement cost-effective skills laboratories and analyze online versus manufacturers' prices to evaluate for savings. MATERIALS AND METHODS: Four skills laboratories were designed for the surgery clerkship from July 2014 to June 2015. Skills laboratories were implemented using hand-built simulation and instruments purchased online...
January 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/27957514/goal-oriented-anesthesia-week-for-ms-iii-students
#7
Margaret A O'Donoghue, Jeffrey Martel
BACKGROUND: Third year medical students at our institution are required to complete a one-week rotation in anesthesia as part of their required twelve week surgery clerkship. During this constrained time, our aim was to provide students with a focused and goal-oriented preview of anesthesiology which would allow students going into various fields to have an appreciation of the field. CURRICULUM DESIGN: The one-week curriculum is a combination of lecture, simulation, operating room teaching and hands on experience aimed at providing students with some fundamentals of procedural skills and a knowledge base of anesthesia...
July 2016: Journal of Education in Perioperative Medicine: JEPM
https://www.readbyqxmd.com/read/27939007/a-novel-minute-feedback-system-for-medical-students
#8
David T Hughes, Lisa Leininger, Rishindra M Reddy, Gurjit Sandhu, Susan Ryszawa, Michael Englesbe
BACKGROUND: Medical students often report a lack of timely, useful feedback during clerkship rotations. The purpose of this study was to develop a novel Minute Feedback System and determine whether it would generate frequent, high quality, documented feedback for students during the third year surgery clerkship. METHODS: The Minute Feedback System was created using the Qualtrics(©) survey software platform and piloted with surgery clerkship students. These students were surveyed about the frequency and quality of feedback and their overall rating of the surgery clerkship and compared to students who did not use the feedback system...
December 2, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27908638/using-the-acmge-milestones-as-a-handover-tool-from-medical-school-to-surgery-residency
#9
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
#10
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...
December 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27885821/exploring-simulation-in-the-internal-medicine-clerkship
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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