Impact of a Pre-Clinical Clinical Skills Curriculum on Student Performance in Third-Year Clerkships
- First Online:
Research on the outcomes of pre-clinical curricula for clinical skills development is needed to assess their influence on medical student performance in clerkships.
To better understand the impact of a clinical-skills curriculum in the pre-clinical setting on student performance.
We conducted a non-randomized, retrospective, pre-post review of student performance evaluations from 3rd-year clerkships, before and after implementation of a clinical-skills curriculum, the Colleges (2001–2007).
Comparisons of clerkship performance data revealed statistically significant differences favoring the post-Colleges group in the Internal Medicine clerkship for 9 of 12 clinical-skills domains, including Technical Communication Skills (p < 0.023, effect size 0.16), Procedural Skills (p < 0.031, effect size 0.17), Communication Skills (p < 0.003, effect size 0.21), Patient Relationships (p < 0.003, effect size 0.21), Professional Relationships (p < 0.021, effect size 0.17), Educational Attitudes (p < 0.001, effect size 0.24), Initiative and Interest (p < 0.032, effect size 0.15), Attendance and Participation (p < 0.007, effect size 0.19), and Dependability (p < 0.008, effect size 0.19). Statistically significant differences were identified favoring the post-Colleges group in technical communication skills for three of six basic clerkships (Internal Medicine, Surgery, and Pediatrics).
Implementation of a pre-clinical fundamental skills curriculum appears to be associated with improved clerkship performance in the 3rd year of medical school, particularly in the Internal Medicine clerkship. Similar curricula, focused on teaching clinical skills in small groups at the bedside with personalized mentoring from faculty members, may improve student performance. Continued efforts are needed to understand how to best prepare students for clinical clerkships and how to evaluate outcomes of similar pre-clinical skills programs.
KEY WORDSmedical education clinical skills medical students pre-clinical curriculum
- 7.Nutter D, Whitcomb M. The AAMC Project on the Clinical Education of Medical Students. Washington, DC: Association of American Medical Colleges; 2001.Google Scholar
- 19.Fred HL. Hyposkillia. Deficiency of clinical skills. Tex Heart Inst. 2005;J32:255–6.Google Scholar
- 20.Ludmerer K. Time to Heal: American Medical Education from the Turn of the Century to the Era of Managed Care. New York: Oxford University Press; 1999.Google Scholar
- 22.Ozuah PO. Undergraduate medical education: thoughts on future challengesBMC Med Educ. 2002; 2: 8. Jul 30.Google Scholar
- 34.StataCorp. Stata Statistical Software: Release 10. College Station. TX: StataCorp LP; 2007.Google Scholar
- 35.Lexis W. Das Unterrichtswesen im deutschen Reich. Vol. I. Berlin, 1904.Google Scholar
- 36.Flexner A. Medical education in the United States and Canada. Carnegie Foundation for the Advancement of Teaching, 1910.Google Scholar