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Delivering Electives the Clerkship Way: Consolidating the Student Doctor Method of Training

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Abstract

Student doctor method of clinical training or clinical clerkship provides students with exposure to the entire longitudinal illness of the patient. The students participate in patient care as a part of treating team and can refine their clinical, communication and procedural skills. It provides them with an opportunity to work with the faculty and experience the future workplace. Although the graduate medical education regulations (GMER) provide for student doctor method of training, the time provided is too little and opportunistic. Electives have also been recently added to the new curriculum for the first time. We propose a model to deliver the electives using the clerkship method, so as to consolidate what students learn from the ongoing clerkship. This model is feasible, practical and can be introduced in the current GMER for Indian medical undergraduates without any major disruptions.

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References

  1. Marracino RK, Orr RD. Entitling the student doctor. J Gen Intern Med. 1998;13:266–70.

    Article  CAS  Google Scholar 

  2. Venkatesan P, Sahoo S, Gupta R, Shrivastava S. The undergraduate medical students’ perception of student-doctor approach training for diabetic retinopathy screening. J Educ Technol Health Sci. 2019;6:25–8.

    Google Scholar 

  3. Amin Z, Burdick WP, Supe A, Singh T. Relevance of the Flexner Report to contemporary medical education in South Asia. Acad Med. 2010;85:333–9

    Article  Google Scholar 

  4. Cotten, SR, Wilson B. Student-Faculty Interactions: Dynamics and Determinants. Higher Education. 2006; 51: 487–519.

    Article  Google Scholar 

  5. Sarki RT, Greenberg LW, Wilking AP. Twelve tips for a successful clerkship. Med Teach. 1997;19:95–8.

    Article  Google Scholar 

  6. US electives: Types of US clinical experience. Accessed on June 18, 2022. Available from: http://electives.us/typesofusce.html.

  7. Walker AM. Tacit knowledge. Eur J Epidemiol. 2017;32:261–267.

    Article  Google Scholar 

  8. Yardley S, Teunissen PW, Dornan T. Experiential learning: AMEE Guide No. 63. Med Teach. 2012;34:e102–15

    Article  Google Scholar 

  9. Ogur B, Hirsh D, Krupat E, Bor D. The Harvard medical school-Cambridge integrated clerkship: An Innovative model of clinical education. Acad Med. 2007;82:397–404.

    Article  Google Scholar 

  10. National Medical Commission. Regulations on Graduate Medical Education (Amendment), 2019. Accessed April 5, 2022. Available from: URL: https://www.nmc.org.in/ActivitiWebClient/open/getDocument?path=/Documents/Public/Portal/Gazette/GME-06.11.2019.pdf

  11. Myhre DL, Woloschuk W, Jackson W, McLaughlin K. Academic performance of longitudinal integrated clerkship versus rotation-based clerkship students: A matched-cohort study. Acad Med. 2014;89:292–5.

    Article  Google Scholar 

  12. Yale School of Medicine. MD Program: Clerkship Curriculum. Accessed July 15, 2022. Available from: https://medicine.yale.edu/md-program/curriculum/clerkships/

  13. California University of Science and Medicine. Clinical Clerkship Handbook. (2020 2021). Accessed July 15, 2022. Available from: https://www.cusm.org/docs/Clinical%20Clerkship%20Handbook.pdf

  14. Worley P, Silagy C, Prideaux D, Newble D, Jones A. The parallel rural community curriculum: an integrated clinical curriculum based in rural general practice. Med Educ. 2000; 34:558–65.

    Article  CAS  Google Scholar 

  15. Teherani A, Irby DM, Loeser H. Outcomes of different clerkship models: Longitudinal integrated, hybrid, and block. Acad Med. 2013;88:35–43.

    Article  Google Scholar 

  16. Day JA. Longitudinal Ambulatory Clerkship. The Johns Hopkins University School of Medicine. Accessed March 24, 2022. Available from: https://www.hopkinsmedicine.org/som/curriculum/genes_to_society/year-two/longitudinal-ambulatory-clerkship.html.

  17. Stewart R, Dlhosh S, Marino C, et al. Design and implementation of a longitudinal ambulatory clerkship in the first-year curriculum at the Johns Hopkins School of Medicine. J Community Hosp Intern Med Perspect. 2011;1:7033.

    Article  Google Scholar 

  18. Ellaway R, Graves L, Berry S, et al. Twelve tips for designing and running longitudinal integrated clerkships. Med Teach. 2013; 35:989–95.

    Article  Google Scholar 

  19. Mahajan R, Singh T. Electives in undergraduate health professions training: Opportunities and utility. Med J Armed Forces India. 2021;77:S12–15.

    Article  Google Scholar 

  20. Greenhill J, Poncelet AN. Transformative learning through longitudinal integrated clerkships. Med Educ. 2013;47:336–9.

    Article  Google Scholar 

  21. Ng VK, McKay A. Challenges of multisite surgical teaching programs: A review of surgery clerkship. J Surg Educ. 2010; 67:1–8.

    Article  Google Scholar 

  22. Vleuten CP, Van Der AJ, Scherpbier CPM, et al, Clerkship assessment assessed. Med Teach. 2000;22:592–600.

    Article  Google Scholar 

  23. Playford D, Kirke A, Maley M, et al. Longitudinal assessment in an undergraduate longitudinal integrated clerkship: The mini clinical evaluation exercise (mCEX) profile. Med Teach. 2013; 35:e1416–21.

    Article  Google Scholar 

  24. Mclaughlin K, Vitale G, Coderre S, et al. Clerkship evaluation—what are we measuring? Med Teach. 2009;31:e36–9.

    Article  Google Scholar 

  25. Otago Polytechnic. Reflective writing. Accessed July 16, 2022. Available from: https://www.op.ac.nz/assets/LearningAdvice/d0a1fac268/Reflectivewriting.pdf

  26. Milan FB, Dyche L, Fletcher J. “How am I doing?” Teaching medical students to elicit feedback during their clerkships. Med Teach. 2011;33:904–10.

    Article  Google Scholar 

  27. Bernard AW, Kman NE, Khandelwal S. Feedback in the emergency medicine clerkship. West J Emerg Med. 2011; 12:537–42.

    Article  Google Scholar 

  28. Hamza DM, Ross S, Oandasan I. Process and outcome evaluation of a CBME intervention guided by program theory. J Eval Clin Pract. 2020;26:1096–1104.

    Article  Google Scholar 

  29. Hem-Stokroos HH van der, Scherpbier AJ, et al. How effective is a clerkship as a learning environment? Med Teach. 2001; 23:599–604.

    Article  Google Scholar 

  30. Frye AW, Hemmer PA. Program evaluation models and related theories: AMEE guide no. 67. Med Teach. 2012; 34:e288–99.

    Article  Google Scholar 

  31. Moss HA, Derman PB, Clement RC. Medical student perspective: working toward specific and actionable clinical clerkship feedback. Med Teach. 2012;34:665–7.

    Article  Google Scholar 

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Funding

Funding: None

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Authors and Affiliations

  1. Department of Pediatrics, All India Institute of Medical Sciences, Guwahati, Assam, India

    Jaya Shankar Kaushik

  2. Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamil Nadu, India

    P. Ramachandran

  3. Department of Biochemistry, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab, India

    Sahiba Kukreja

  4. Department of Pediatrics, University College of Medical Sciences, Delhi, 110 095, India

    Piyush Gupta

  5. Center for Health Professions Education, Adesh University, Bathinda, Punjab, India

    Tejinder Singh

Authors
  1. Jaya Shankar Kaushik
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  2. P. Ramachandran
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  3. Sahiba Kukreja
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  4. Piyush Gupta
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  5. Tejinder Singh
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Contributions

Contributors: TS: Initial concept; JSK,PG,SK,PR: drafting the manuscript and review of literature; PG, SK, PR, TS: critical review of the manuscript for intellectual content. All authors approved the final version of the manuscript for publication.

Corresponding author

Correspondence to Piyush Gupta.

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Competing interests: None stated.

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Kaushik, J.S., Ramachandran, P., Kukreja, S. et al. Delivering Electives the Clerkship Way: Consolidating the Student Doctor Method of Training. Indian Pediatr 59, 710–715 (2022). https://doi.org/10.1007/s13312-022-2600-8

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  • DOI: https://doi.org/10.1007/s13312-022-2600-8

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