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Evaluating the Impact of Early Clinical Role Exposure to Ease Transition to the Clinical Year


The transition to clinical training is a well-documented source of medical student stress. While students are taught the essential skills of patient interviewing and physical examination, exposure to their role on the ward team may be limited. We designed an opportunity for pre-clinical medical students to shadow clinical students to better understand the role of the student on the clinical team. Participants were surveyed before and after to evaluate their understanding and comfort. They reported increased familiarity and comfort with the clinical student’s role after shadowing and that the experience was worthwhile and reduced their anxiety about the transition.

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  1. Dunham L, Dekhtyar M, Gruener G, et al. Medical student perceptions of the learning environment in medical school change as students transition to clinical training in undergraduate medical school. Teach Learn Med. 2017;0:1–9.

    Google Scholar 

  2. Radcliffe C, Lester H. Perceived stress during undergraduate medical training: a qualitative study. Med Educ. 2003;37:32–8.

    Article  Google Scholar 

  3. Surmon L, Bialocerkowski A, Hu W. Perceptions of preparedness for the first medical clerkship: a systematic review and synthesis. BMC Med Educ. 2016;16:89.

    Article  Google Scholar 

  4. Godefrooij MB, Diemers AD, Scherpbier AJ. Students’ perceptions about the transition to the clinical phase of a medical curriculum with preclinical patient contacts; a focus group study. BMC Med. Educ. 2010;10:28.

    Article  Google Scholar 

  5. Atherley AE, Hambleton IR, Unwin N, George C, Lashley PM, Taylor CG. Exploring the transition of undergraduate medical students into a clinical clerkship using organizational socialization theory. Perspect Med Educ. 2016;5:78–87.

    Article  Google Scholar 

  6. O’Brien BC, Poncelet AN. Transition to clerkship courses: preparing students to enter the workplace. Acad Med. 2010;85:1862–9.

    Article  Google Scholar 

  7. Poncelet A, O’Brien B. Preparing medical students for clerkships: a descriptive analysis of transition courses. Acad Med. 2008;83:444–51.

    Article  Google Scholar 

  8. Grochowski CO, Halperin EC, Buckley EG. A curricular model for the training of physician scientists: the evolution of the Duke University School of Medicine curriculum. Acad Med. 2007;82:375–82.

    Article  Google Scholar 

  9. Goldberg C. Inpatient Medicine. A Practical Guide to Clinical Medicine. 2004. Available from:

  10. Chittenden EH, Henry D, Saxena V, Loeser H, O’Sullivan PS. Transitional clerkship: an experiential course based on workplace learning theory. Acad Med. 2009;84:872–6.

    Article  Google Scholar 

  11. Turner SR, White J, Poth C, Rogers WT. Preparing students for clerkship. Acad Med. 2012;87:1288–91.

    Article  Google Scholar 

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This work was supported by the National Institutes of Health grant 5T32GM007171 (to TAG/Duke Medical Scientist Training Program).

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Correspondence to Tanmay A. Gokhale.

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Gokhale, T.A., Chudgar, S.M. Evaluating the Impact of Early Clinical Role Exposure to Ease Transition to the Clinical Year. Med.Sci.Educ. 28, 285–287 (2018).

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  • Transition to clinical work
  • Medical students
  • Student role