Impact of a pre-clinical clinical skills curriculum on student performance in third-year clerkships

Journal of General Internal Medicine

Volumn 24, Issue 8, 2009, Pages 929-933

  Jackson, Molly Blackley ^a   Keen, Misbah ^b   Wenrich, Marjorie D ^a   Schaad, Doug C ^a   Robins, Lynne ^a   Goldstein, Erika A ^a  

^a UNIVERSITY OF WASHINGTON   (United States)

^b UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

Author keywords

Clinical skills; Curriculum; Medical education; Medical students; Preclinical

Indexed keywords

ARTICLE; CLINICAL COMPETENCE; CLINICAL EDUCATION; COMPARATIVE STUDY; CURRICULUM; EDUCATION; HEALTH CARE QUALITY; HUMAN; MEDICAL EDUCATION; MEDICAL STUDENT; METHODOLOGY; RETROSPECTIVE STUDY; STANDARD;

CLINICAL CLERKSHIP; CLINICAL COMPETENCE; CURRICULUM; EDUCATION, MEDICAL, UNDERGRADUATE; EDUCATIONAL MEASUREMENT; HUMANS; PRECEPTORSHIP; PROGRAM EVALUATION; RETROSPECTIVE STUDIES; STUDENTS, MEDICAL;

EID: 77950353459     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-009-1032-7     Document Type: Article

References (36)

1. Kern DC, Parrino TA, Korst DR. The lasting value of clinical skills. JAMA. 1985;254: 70-6. (Pubitemid 15071701)
2. Cooke M, Irby DM, Sullivan W, Ludmerer KM. American Medical Education 100 years after the Flexner Report. N Engl J Med. 2006;355: 1339-44.
3. Emanuel EJ. Changing premed requirements and the medical curriculum. JAMA. 2006;296(9): 1128-31. (Pubitemid 44343532)
4. Reilly BM. Physical examination in the care of medical inpatients: an observational study. Lancet. 2003;362: 1100-5. (Pubitemid 37222333)
5. Novack DH, Volk G, Drossman DA, Lipkin M. Medical interviewing and interpersonal skills teaching in the U.S. medical schools. Progress, problems, and promise. JAMA. 1993;269: 2101-5. (Pubitemid 23112628)
6. Holmboe ES. Faculty and the observation of trainees' clinical skills: Problems and opportunities. Acad Med. 2004;79: 16-22. (Pubitemid 38031534)
7. Nutter D, Whitcomb M. The AAMC Project on the Clinical Education of Medical Students. Washington, DC: Association of American Medical Colleges; 2001.
8. Wilkerson L, Lee M. Assessing physical examination skills of senior medical students: knowing how versus knowing when. Acad Med. 2003;78:S30-2. (Pubitemid 37238499)
9. Omori D, Wong R, Antonelli M, Hemmer P. Introduction to clinical medicine: A time for consensus and integration. Am J Med. 2005;118 (2): 189-94. (Pubitemid 40202870)
10. Mechaber AJ, et al. Clinical skills training: Time for a national dialogue and consensus. Am J Med. 2005;118(8): 931-2. (Pubitemid 41097479)
11. Pfeiffer C, Madray H, Ardolino A, Williams J. The rise and fall of students' skill in obtaining a medical history. Med Educ. 1998;32: 283-8. (Pubitemid 28310577)
12. Ramsey PG, Curtis JR, Paauw DS, Carline JD, Wenrich MD. Historytaking and preventive medicine skills among primary care physicians: an assessmentusing standardized patients. AmJMed. 1998 Feb;104(2): 152-8. (Pubitemid 28117410)
13. Wilson BE. Performance-based assessment of internal medicine interns: evaluation of baseline clinical and communication skills. Acad Med. 2002;77:1158.
14. Ortiz-Neu C, Walters CA, Tenenbaum J, Colliver JA, Schmidt HJ. Error patterns of 3rd-year medical students on the cardiovascular physical examination. Teach Learn Med. 2001;13: 161-6. (Pubitemid 33658013)
15. Engum SA. Do you know your students' basic clinical skills exposure? Am J Surg. 2003;186: 175-81. (Pubitemid 37289093)
16. Freedman KB, Bernstein J. The adequacy of medical school education in musculoskeletal medicine. J Bone Joint Surg Am. 1998;80: 1421-7. (Pubitemid 28503256)
17. Mangione S. Cardiac auscultatory skills of physicians-in-training: a comparison of three English-speaking countries. Am J Med. 2001;110: 210-6. (Pubitemid 32162104)
18. Mangione S, Nieman LZ. Cardiac auscultatory skills of internal medicine and family practice trainees. A comparison of diagnostic proficiency. JAMA. 1997;278: 717-22. (Pubitemid 27377136)
19. Fred HL. Hyposkillia. Deficiency of clinical skills. Tex Heart Inst. 2005; J32: 255-6.
20. Ludmerer K. Time to Heal: American Medical Education from the Turn of the Century to the Era of Managed Care. New York: Oxford University Press; 1999.
21. Whitcomb ME, Anderson MB. Transformation of medical students' education: Work in progress and continuing challenges. Acad Med. 1999;74(10): 1076-9. (Pubitemid 29493376)
22. Ozuah PO. Undergraduate medical education: thoughts on future challengesBMC Med Educ. 2002; 2: 8. Jul 30.
23. Stevens DP, Leach DC, Warden GL, Cherniack NS. A strategy for coping with change: an affiliation between a medical school and a managed care health system. Acad Med. 1996;71(2): 133-7. (Pubitemid 26053010)
24. Reilly BM. Inconvenient truths about effective clinical teaching. Lancet. 2007;370(9588): 705-11. (Pubitemid 47285320)
25. Feddock CA. The Lost Art of Clinical Skills. APM Perspectives. Am J Med. 2007;120(4): 374-8. (Pubitemid 46483321)
26. Goldstein EA, MacLaren CF, Smith S, et al. Promoting fundamental clinical skills: a competency-based college approach at the University of Washington. Acad Med. 2005;80: 423-33. (Pubitemid 40586466)
27. Whipple ME, Barlow CB, Smith S, Goldstein EA. Early introduction of clinical skills improves medical student comfort at the start of third year clerkships. Acad Med. 2006;81:S40-3.
28. Kossoff EH, Hubbard TW, Gowen CW. Early clinical experience enhances third-year pediatrics clerkship performance. Acad Med. 1999;74(11): 1238-41.
29. Hook KM, Pfeiffer CA. Impact of a new curriculum on medical students' interpersonal and interviewing skills. Med Educ. 2007;41 (2): 154-9. (Pubitemid 46213695)
30. Pulito AR, Donnelly MB, Plymale M. Factors in faculty evaluation of medical students' performance. Med Educ. 2007;41: 667-75. (Pubitemid 47035414)
31. Carline JD, Paauw DS, Thiede KW, Ramsey PG. Factors affecting the reliability of ratings of students' clinical skills in a medicine clerkship. J Gen Int Med. 1992;7: 506-10.
32. Whitfield CF, Mauger EA, Zwicker J, Lehman EB. Differences Between Students in Problem-Based and Lecture-Based Curricula Measured by Clerkship Performance Ratings at the Beginning of the Third Year. Teach Learn Med. 2002;14(4): 211-7.
33. Callahan CA, et al. Validity of Faculty Ratings of Students' Clinical Competence in Core Clerkships in Relation to Scores on Licensing Examinations and Supervisors' Ratings in Residency. Acad Med. 2000;75:S71-3.
34. StataCorp. Stata Statistical Software: Release 10. College Station. TX: StataCorp LP; 2007.
35. Lexis W. Das Unterrichtswesen im deutschen Reich. Vol. I. Berlin, 1904.
36. Flexner A. Medical education in the United States and Canada. Carnegie Foundation for the Advancement of Teaching, 1910.