Academic performance of longitudinal integrated clerkship versus rotation-based clerkship students: a matched-cohort study

Academic Medicine : Journal of the Association of American Medical Colleges
Douglas L MyhreKevin McLaughlin

Abstract

Prior studies suggest that students on a longitudinal integrated clerkship (LIC) have comparable academic performance to those on a rotation-based clerkship (RBC); however, most of these studies did not adjust for preclerkship academic performance. The objective of this study was to compare the academic performance of LIC and RBC students matched on prior academic performance over a three-year period. Each LIC student in the University of Calgary classes of 2009, 2010, and 2011 (n = 34) was matched with four RBC students (n = 136) of similar prior academic performance. Knowledge and clinical skills performance between the streams was compared. Knowledge was evaluated by internal summative examinations and the Medical Council of Canada Part 1 licensing exam. Clinical skills were evaluated via in-training evaluation report (ITERs) and performance on the clerkship objective structured clinical examination (OSCE). Meta-analysis was used to compare knowledge evaluations and clinical performance for all core clerkship disciplines, and pooled effect sizes from the fixed-effect models were reported. Meta-analyses showed no statistically significant heterogeneity. There were no differences between LIC and RBC students on knowledge evalu...Continue Reading

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Citations

Feb 20, 2015·Medical Teacher·Robyn LatessaJeffery Heck
Dec 24, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Carl D StevensSebastian Uijtdehaage
Dec 24, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·David A HirshOlle ten Cate
Mar 2, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Robyn A LatessaDavid A Hirsh
Oct 16, 2018·Teaching and Learning in Medicine·J Kevin DorseySteven J Verhulst
Jul 7, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Brett SchreweJoanna Bates
Jun 1, 2014·Future Hospital Journal·M L Osborne, S A Fields
Nov 7, 2019·Orthopedics·Olga D SavvidouPanayiotis J Papagelopoulos
Aug 23, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Maria MylopoulosMaria Athina Tina Martimianakis
Oct 12, 2018·Teaching and Learning in Medicine·Catherine D MichelsonDaniel Schumacher
Oct 24, 2015·Medical Education·Richard E HawkinsSusan E Skochelak
Aug 27, 2016·Medical Education·Rachel H EllawayBeth-Ann Cummings
Jun 8, 2017·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Aditya Joshi, Paul Haidet
Sep 24, 2020·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Alexandra DavidsonRajiv Shah

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