Emergency medicine subinternship: does a standard clinical experience improve performance outcomes?

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Christopher J LampeA M Gill

Abstract

The emergency medicine (EM) subinternship provides a varied experience for senior medical students depending on gender, specialty choice, and interest. A didactic curriculum can be standardized, but the clinical component is difficult to control. Students can be directed to see patients with specific chief complaints. To assess whether a clinical requirement of 10 predetermined cases improves general knowledge as measured on an objective exam. This was a prospective, nonrandomized, case-controlled study at a public teaching hospital. Students were assigned to the control group (CG) or test group (TG) by alternating block rotations over 6 months. The CG saw emergency department (ED) patients according to interest and faculty direction. The TG was also required to identify ten specific chief complaints. Patient encounters were recorded in computerized logs. A 10-question pretest assessed preexisting knowledge of each chief complaint, and a 40-question final exam tested general EM knowledge. Descriptive statistics measured demographic data. Groups were compared by Fisher's exact test. Difference in means testing was performed to see if pre- to posttest differences varied by group. Multivariate analysis controlled for gender and sp...Continue Reading

References

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Oct 4, 2003·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Wendy C CoatesAndrew M Gill

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Citations

Apr 26, 2011·Teaching and Learning in Medicine·Jay H WoodlandJean C Aldag
Jun 25, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Pamela Lyss-LermanG Michael Harper
Jun 1, 2012·International Journal of Emergency Medicine·Jennifer L AvegnoLisa Moreno-Walton
Apr 13, 2010·The Journal of Emergency Medicine·Laleh GharahbaghianShahram Lotfipour
Sep 29, 2015·The Journal of Emergency Medicine·Jaime JordanWendy C Coates
Jan 29, 2013·Medical Teacher·Jip de JongMargreet Wieringa-de Waard
Apr 13, 2012·Oxidative Medicine and Cellular Longevity·Deqing WangBrian Tomlinson
May 5, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Mark C DuganKiran B Hebbar
Jan 7, 2018·BMC Medical Education·Sami ShabanFikri Abu-Zidan
Apr 2, 2021·The Journal of Emergency Medicine·Frances RudolfStephen R Hayden

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