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Medical students’ voluntary assignments during the pediatric clerkship to enhance clinical experiences in the United States

Krawiec Conrad, Myers Abigail Kate,
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 ( Krawiec Conrad ) - Penn State Children’s Hospital Department of Pediatrics
 ( Myers Abigail Kate ) - Penn State Children’s Hospital Department of Pediatrics

Abstract


Purpose: Pediatric clerkships that utilize off-campus clinical sites ensure clinical comparability by requiring completion of patient-focused tasks. Some tasks may not be attainable (especially off-campus); thus, they are not assigned. The objective of this study is to evaluate the feasibility of providing a voluntary assignment list to pediatric clerkship third-year medical students.

Methods: This is a retrospective single-center cross-sectional analysis of voluntary assignment completion during the 2019-2020 academic year. Third-year medical students were provided a voluntary assignment list as follows: observe a procedure, use an interpreter phone to obtain a pediatric history, ask a preceptor to critique a clinical note, and follow-up on a patient after rotation end. Descriptive statistics were used to assess the timing and distribution of voluntary assignment completion amongst study subjects.

Results: One-hundred and thirty-two subjects (77 on main-campus, 55 off-campus) were included in this study. Eighteen (13.6%) main-campus and sixteen (12.1%) off-campus students completed at least one voluntary assignment. The following voluntary assignments were completed: observe a procedure (15, 11.4%), use an interpreter phone (26, 19.7%), ask a preceptor to critique a clinical note (12, 9.1%), and follow-up on a patient after rotation end (7, 5.3%). Off-campus students completed this assignment more often (29.1%) than on-campus students (23.4%)

Conclusion: Our clerkship values specific patient-focused tasks that may enhance student development, but are not attainable at all our clinical sites. It is demonstrated that when provided a voluntary assignment list, 34 out of 132students (25.8%) completed them. Clerkships that utilize off-campus sites should consider this approach to optimize the pediatric educational experience.

키워드

Educational measurement; Educational technology/methods; Medical education

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