Internal medicine clerkship characteristics associated with enhanced student examination performance

Charles H. Griffith, John F. Wilson, Steve A. Haist, T. Andrew Albritton, Bryan A. Bognar, Stuart J. Cohen, Craig J. Hoesley, Mark J. Fagan, Gary S. Ferenchick, Othelia W. Pryor, Erica Friedman, Heather E. Harrell, Paul A. Hemmer, Bruce L. Houghton, Regina Kovach, David R. Lambert, Tayloe H. Loftus, Thomas D. Painter, Mark M. Udden, Raquel S. WatkinsRaymond Y. Wong

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Abstract

PURPOSE: To determine which internal medicine (IM) clerkship characteristics are associated with better student examination performance. METHOD: The authors collected data from 17 U.S. medical schools (1,817 students) regarding characteristics of their IM clerkships, including structural characteristics, pedagogical approaches, patient contact, and clinical teacher characteristics. Outcomes of interest were postclerkship National Board of Medical Examiners (NBME) subject examination score, United States Medical Licensing Examination (USMLE) 2 score, and change in score from USMLE 1 to 2. To examine how associations of various clerkship characteristics and examination performance may differ for students of different prior achievement, the authors categorized students into those who scored in the top 1/4 of the cohort on USMLE 1 and the bottom 1/4. The authors conducted analyses at both the school and the individual student levels. RESULTS: In school-level analyses (using a reduced four-variable model), independent variables associated with higher NBME subject examination score were more small-group hours/week and use of community-based preceptors. Greater score increase from USMLE 1 to 2 was associated with students caring for more patients/day. Several variables were associated with enhanced student examination performance at the student level. The most consistent finding was that more patients cared for per day was associated with higher examination performance. More structured learning activities were associated with higher examination scores for students with lower baseline USMLE 1 achievement. CONCLUSION: Certain clerkship characteristics are associated with better student examination performance, the most salient being caring for more patients per day.

Original languageEnglish (US)
Pages (from-to)895-901
Number of pages7
JournalAcademic Medicine
Volume84
Issue number7
DOIs
StatePublished - Jul 2009

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medicine
examination
performance
student
medical examiner
school
small group
contact
teacher

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  • Education

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Internal medicine clerkship characteristics associated with enhanced student examination performance. / Griffith, Charles H.; Wilson, John F.; Haist, Steve A.; Albritton, T. Andrew; Bognar, Bryan A.; Cohen, Stuart J.; Hoesley, Craig J.; Fagan, Mark J.; Ferenchick, Gary S.; Pryor, Othelia W.; Friedman, Erica; Harrell, Heather E.; Hemmer, Paul A.; Houghton, Bruce L.; Kovach, Regina; Lambert, David R.; Loftus, Tayloe H.; Painter, Thomas D.; Udden, Mark M.; Watkins, Raquel S.; Wong, Raymond Y.

In: Academic Medicine, Vol. 84, No. 7, 07.2009, p. 895-901.

Research output: Contribution to journalArticle

Griffith, CH, Wilson, JF, Haist, SA, Albritton, TA, Bognar, BA, Cohen, SJ, Hoesley, CJ, Fagan, MJ, Ferenchick, GS, Pryor, OW, Friedman, E, Harrell, HE, Hemmer, PA, Houghton, BL, Kovach, R, Lambert, DR, Loftus, TH, Painter, TD, Udden, MM, Watkins, RS & Wong, RY 2009, 'Internal medicine clerkship characteristics associated with enhanced student examination performance', Academic Medicine, vol. 84, no. 7, pp. 895-901. https://doi.org/10.1097/ACM.0b013e3181a82013
Griffith, Charles H. ; Wilson, John F. ; Haist, Steve A. ; Albritton, T. Andrew ; Bognar, Bryan A. ; Cohen, Stuart J. ; Hoesley, Craig J. ; Fagan, Mark J. ; Ferenchick, Gary S. ; Pryor, Othelia W. ; Friedman, Erica ; Harrell, Heather E. ; Hemmer, Paul A. ; Houghton, Bruce L. ; Kovach, Regina ; Lambert, David R. ; Loftus, Tayloe H. ; Painter, Thomas D. ; Udden, Mark M. ; Watkins, Raquel S. ; Wong, Raymond Y. / Internal medicine clerkship characteristics associated with enhanced student examination performance. In: Academic Medicine. 2009 ; Vol. 84, No. 7. pp. 895-901.
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abstract = "PURPOSE: To determine which internal medicine (IM) clerkship characteristics are associated with better student examination performance. METHOD: The authors collected data from 17 U.S. medical schools (1,817 students) regarding characteristics of their IM clerkships, including structural characteristics, pedagogical approaches, patient contact, and clinical teacher characteristics. Outcomes of interest were postclerkship National Board of Medical Examiners (NBME) subject examination score, United States Medical Licensing Examination (USMLE) 2 score, and change in score from USMLE 1 to 2. To examine how associations of various clerkship characteristics and examination performance may differ for students of different prior achievement, the authors categorized students into those who scored in the top 1/4 of the cohort on USMLE 1 and the bottom 1/4. The authors conducted analyses at both the school and the individual student levels. RESULTS: In school-level analyses (using a reduced four-variable model), independent variables associated with higher NBME subject examination score were more small-group hours/week and use of community-based preceptors. Greater score increase from USMLE 1 to 2 was associated with students caring for more patients/day. Several variables were associated with enhanced student examination performance at the student level. The most consistent finding was that more patients cared for per day was associated with higher examination performance. More structured learning activities were associated with higher examination scores for students with lower baseline USMLE 1 achievement. CONCLUSION: Certain clerkship characteristics are associated with better student examination performance, the most salient being caring for more patients per day.",
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T1 - Internal medicine clerkship characteristics associated with enhanced student examination performance

AU - Griffith, Charles H.

AU - Wilson, John F.

AU - Haist, Steve A.

AU - Albritton, T. Andrew

AU - Bognar, Bryan A.

AU - Cohen, Stuart J.

AU - Hoesley, Craig J.

AU - Fagan, Mark J.

AU - Ferenchick, Gary S.

AU - Pryor, Othelia W.

AU - Friedman, Erica

AU - Harrell, Heather E.

AU - Hemmer, Paul A.

AU - Houghton, Bruce L.

AU - Kovach, Regina

AU - Lambert, David R.

AU - Loftus, Tayloe H.

AU - Painter, Thomas D.

AU - Udden, Mark M.

AU - Watkins, Raquel S.

AU - Wong, Raymond Y.

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N2 - PURPOSE: To determine which internal medicine (IM) clerkship characteristics are associated with better student examination performance. METHOD: The authors collected data from 17 U.S. medical schools (1,817 students) regarding characteristics of their IM clerkships, including structural characteristics, pedagogical approaches, patient contact, and clinical teacher characteristics. Outcomes of interest were postclerkship National Board of Medical Examiners (NBME) subject examination score, United States Medical Licensing Examination (USMLE) 2 score, and change in score from USMLE 1 to 2. To examine how associations of various clerkship characteristics and examination performance may differ for students of different prior achievement, the authors categorized students into those who scored in the top 1/4 of the cohort on USMLE 1 and the bottom 1/4. The authors conducted analyses at both the school and the individual student levels. RESULTS: In school-level analyses (using a reduced four-variable model), independent variables associated with higher NBME subject examination score were more small-group hours/week and use of community-based preceptors. Greater score increase from USMLE 1 to 2 was associated with students caring for more patients/day. Several variables were associated with enhanced student examination performance at the student level. The most consistent finding was that more patients cared for per day was associated with higher examination performance. More structured learning activities were associated with higher examination scores for students with lower baseline USMLE 1 achievement. CONCLUSION: Certain clerkship characteristics are associated with better student examination performance, the most salient being caring for more patients per day.

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