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  • Acquisition of Clinical Competence: Added Value of Clerkship Real-life Contextual Experience

Acquisition of Clinical Competence: Added Value of Clerkship Real-life Contextual Experience

  • 31/03/2022
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Giới thiệu

Background: medical students’ limited access to patients induces a shift of learning activities from clinical wards to classrooms. Aim: identify clinical competencies specifically acquired during real-life contextual clerkship added to case-based tutorials, by a prospective, controlled study. Methods: students entering our eight-week internal medicine (im) clerkship attended paper case-based tutorials about 10 common presenting complaints and were assigned to an im specialty ward. For each tutorial case, two groups of students were created: those assigned to a ward, the specialty of which was unrelated to the case (case-unrelated ward, cuw) and those assigned to a ward, the specialty of which was related to the case (case-related ward, crw). Results: forty-one students (30 cuw and 11 crw) volunteered for the study. Both groups had similar previous experiences and pre-clerkship exam scores. The crw students collected more relevant clinical information from the patient (69% vs. 55% Of expected items, p=0.001) And elaborated charts of better quality (47% vs. 39% Of expected items, p=0.05). Clinical-knowledge mean score was similar (70%) in both groups (p=0.92). Conclusions: while paper-case tutorials did provide students with clinical knowledge, real contextual experience brought additional, specific competencies. This supports the preservation of clinical exposure with supervision and feedback. 2013 Informa uk ltd.

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