TY - JOUR
T1 - Relationship between clinical experiences and internal medicine clerkship performance
AU - Dong, Ting
AU - Artino, Anthony R., Jr.
AU - Durning, Steven J.
AU - Denton, Gerald D.
PY - 2012/7
Y1 - 2012/7
N2 - This study was conducted to assess the associations between several clerkship process measures and students' clinical and examination performance in an internal medicine clerkship.We collected data from the internal medicine clerkship at one institution over a 3-year period (classes of 2010-2012; n = 507) and conducted correlation and multiple regression analyses. We examined the associations between clerkship process measures (student-reported number of patients evaluated, percentage of core problems encountered, total number of core problems encountered, total number of clinics attended) and four clerkship outcomes (clinical points [a weighted summation of a student's clinical grade recommendations], ambulatory clinical points [the out-patient portion of clinical points], examination points [a weighted summation of scores on three clerkship examinations], and National Board of Medical Examiners examination score).After controlling for pre-clerkship ability and gender, percentage of core problems was significantly associated with ambulatory clinical points (b = 3.84, total model R(2) = 0.14). Further, number of patients evaluated was significantly associated with clinical points (b = 0.19, total model R(2) = 0.22), but only for students who undertook first-quarter clerkships, who reported higher numbers of patients.Notwithstanding a few positive (but small) associations, the results from this study suggest that clinical exposure is, at best, weakly associated with internal medicine clerkship performance.? Blackwell Publishing Ltd 2012.
AB - This study was conducted to assess the associations between several clerkship process measures and students' clinical and examination performance in an internal medicine clerkship.We collected data from the internal medicine clerkship at one institution over a 3-year period (classes of 2010-2012; n = 507) and conducted correlation and multiple regression analyses. We examined the associations between clerkship process measures (student-reported number of patients evaluated, percentage of core problems encountered, total number of core problems encountered, total number of clinics attended) and four clerkship outcomes (clinical points [a weighted summation of a student's clinical grade recommendations], ambulatory clinical points [the out-patient portion of clinical points], examination points [a weighted summation of scores on three clerkship examinations], and National Board of Medical Examiners examination score).After controlling for pre-clerkship ability and gender, percentage of core problems was significantly associated with ambulatory clinical points (b = 3.84, total model R(2) = 0.14). Further, number of patients evaluated was significantly associated with clinical points (b = 0.19, total model R(2) = 0.22), but only for students who undertook first-quarter clerkships, who reported higher numbers of patients.Notwithstanding a few positive (but small) associations, the results from this study suggest that clinical exposure is, at best, weakly associated with internal medicine clerkship performance.? Blackwell Publishing Ltd 2012.
U2 - 10.1111/j.1365-2923.2012.04283.x
DO - 10.1111/j.1365-2923.2012.04283.x
M3 - Article
C2 - 22691148
SN - 0308-0110
VL - 46
SP - 689
EP - 697
JO - Medical Education
JF - Medical Education
IS - 7
ER -