A comparison of inpatient and outpatient experiences during an internal medicine clerkship

The American Journal of Medicine
E W JacobsonD F Giansiracusa

Abstract

Our 12-week internal medicine clerkship contains an 8-week inpatient and a 4-week outpatient component. This study examines the differences between these components, comparing diagnoses seen, category of learning, and student contribution to patient care. Students used logbooks to record diagnoses, workup, and treatment for each patient they encountered. Additionally, students categorized the type of learning from each encounter (ie, pathophysiology, evaluation/workup, treatment, differentials, patient education/counseling, or technical skills) and ranked their involvement in patient care using a 1 to 5 scale (1=little; 5=significant). Comparison of inpatient and outpatient data was made using chi-square analysis or Student's t-test. One thousand three-hundred twenty-four patient encounters were analyzed (597 inpatient; 727 outpatient). The top 10 diagnoses in each setting were markedly different. Students reported that patient encounters in the inpatient setting were more likely to have involved learning about disease pathophysiology (21% inpatient vs 15% outpatient; P <0.001) whereas in outpatient encounters, students reported that they learned more about education/counseling (6% inpatient vs 11% outpatient; P <0.0001) and ev...Continue Reading

References

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Citations

Aug 12, 2003·Healthcare Management Forum·H Jay BiemDebra Gudmundson
Mar 17, 2001·Journal of General Internal Medicine·P A Masters, C Nester
Jan 24, 2003·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Fredrick A McCurdyJoseph H Evans
Sep 14, 2001·Journal of Evaluation in Clinical Practice·R J KurthH J Schmidt
Apr 22, 2006·Teaching and Learning in Medicine·Gerald D DentonPaul A Hemmer
Nov 1, 2006·American Journal of Obstetrics and Gynecology·AnnaMarie Connolly
Jan 31, 2006·American Journal of Surgery·Jaron McMullinLeigh Neumayer
Aug 15, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Kathleen M MazorEric Alper
Oct 16, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Clarence D KreiterMichael R Callaway
Jul 13, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Judith L Bowen, David M Irby
Aug 5, 2000·Academic Medicine : Journal of the Association of American Medical Colleges·L Kinsinger
Apr 1, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Annamarie ConnollyJohn Dalrymple

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