Could clinical experience during clerkship enhance students’ clinical performance?

BMC Medical Education

Sun Jung Myung¹  Ji Young Kim¹ 

[1] Office of Medical Education, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul 110-799, Republic of Korea

关键词: Clinical competency;    Medical education;    Clinical clerkship;    Objective structured clinical examination;   

Others  :  1090879
DOI  :  10.1186/1472-6920-14-209

 received in 2014-06-11, accepted in 2014-09-29,  发布年份 2014

【 摘 要 】

Background

Medical students learn and practice various clinical skills during clinical clerkship. Patient encounters are important for developing clinical thinking, communication skills, and professional attitude. We investigated whether the amount of clinical experience during clerkship correlated with students’ clinical competency and students’ perception of effectiveness of their clerkship on it.

Methods

Fourth year medical students undertook the Objective Structured Clinical Examinations (OSCE) in August 2012. Students provided the number of patients for whom they took medical histories or performed physical examinations during clerkship and provided feedback as to whether or not the clinical clerkship was helpful in preparing OSCE. The correlation between the OSCE score and number of patients was analyzed.

Results

One hundred thirty students completed the questionnaire (86.6%). OSCE scores correlated with the total number of patients encountered for physical examinations (correlation coefficient, 0.274; p = 0.0105). Cumulative 3-year GPAs were positively correlated with OSCE scores (correlation coefficient, 0.330; p = 0.0001). Most (92.3%) answered that their clinical clerkship was helpful in preparing them for the OSCE; however, only 20% felt that their clinical clerkship was most helpful. Others felt that role playing (38.46%) or the guide book (33.84%) was most helpful.

Conclusions

The amount of clinical experience during the students’ clerkship had a small but positive relationship with students’ clinical performance. Further research to elucidate the influence of clinical experience on clinical competency is needed.

【 授权许可】

   
2014 Kim and Myung; licensee BioMed Central Ltd.

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