Clerkship order linked with outcomes on clerkship subject exams, grades, not clinical performance

Sep 14, 2010

Susan M. Kies, Ed.D., of the University of Illinois College of Medicine, Urbana, and colleagues conducted a study to assess whether the order in which third-year core clerkships are completed affects student performance.

Anecdotal experience has suggested that third-year medical students whose first clerkship is internal medicine may have superior performance throughout the academic year. The researchers reviewed the clerkship performance records of at all four campuses of the University of Illinois College of Medicine who completed their third-year core clerkships from July 2000 through June 2008 (n = 2,236).

The authors found that "clerkship order was significantly associated with performance on clerkship subject examinations and overall grades [with the strongest associations appearing to be with internal medicine as the initial clerkship, followed by ], but not with clerkship clinical performance or United States Medical Licensing Examination Step 2 scores. The success of student clinical performance may be related to factors other than those included within the scope of this study. Additional analyses of student performance in the clinical setting and in other institutions may help provide optimal experiences for students."

Explore further: Were clinical trial practices in East Germany questionable?

More information: JAMA. 2010;304[11]:1220-1226.

add to favorites email to friend print save as pdf

Related Stories

Researchers incorporate multisite geriatric clerkship

Oct 01, 2009

(Boston) -As the population ages, it is imperative that medical students are prepared to treat older adults, regardless of their specialty. Researchers at Boston University School of Medicine (BUSM) report that an interdisciplinary ...

Rx for time-crunched physicians

Jul 14, 2008

With their waiting rooms crowded and exam rooms full, many physicians say they are too busy to be good communicators. Those who study physician time-management think otherwise. Certain communication skills can foster efficiency ...

Medical student gender and self-confidence

Oct 03, 2008

Despite performing equally to their male peers in the classroom and the clinic, female medical students consistently report decreased self-confidence and increased anxiety, particularly over issues related to their competency. ...

Recommended for you

Were clinical trial practices in East Germany questionable?

9 hours ago

Clinical trials carried out in the former East Germany in the second half of the 20th century were not always with the full knowledge or understanding of participants with some questionable practices taking place, according ...

Schumacher's doctor sees progress after injury

Oct 23, 2014

A French physician who treated Michael Schumacher for nearly six months after the Formula One champion struck his head in a ski accident says he is no longer in a coma and predicted a possible recovery within three years.

User comments : 0