Pre-clerkship clinical skills and clinical reasoning course performance: Explaining the variance in clerkship performance: Pre-clerkship predictors of clerkship variance

Pre-clerkship clinical skills and clinical reasoning course performance: Explaining the variance in clerkship performance: Pre-clerkship predictors of clerkship variance

Introduction: Evidence suggests that pre-clerkship courses in clinical skills and clinical reasoning positively impact student performance on the clerkship. Given the increasing emphasis on reducing diagnostic reasoning errors, it is very important to develop this critical area of medical education....

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Main Authors: LaRochelle, Jeffrey S., Dong, Ting, Durning, Steven J.
Format: Online
Language:English
Published: Bohn Stafleu van Loghum 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4978640/
id pubmed-4978640
recordtype oai_dc
spelling pubmed-49786402016-08-19 Pre-clerkship clinical skills and clinical reasoning course performance: Explaining the variance in clerkship performance: Pre-clerkship predictors of clerkship variance LaRochelle, Jeffrey S. Dong, Ting Durning, Steven J. Original Article Introduction: Evidence suggests that pre-clerkship courses in clinical skills and clinical reasoning positively impact student performance on the clerkship. Given the increasing emphasis on reducing diagnostic reasoning errors, it is very important to develop this critical area of medical education. An integrated approach between clinical skills and clinical reasoning courses may better predict struggling learners, and better allocate scarce resources to remediate these learners before the clerkship. Methods: Pre-clerkship and clerkship outcome measures from 514 medical students graduating between 2009 and 2011were analyzed in a multiple linear regression model. Results: Learners with poor performances on integrated pre-clerkship outcome measures had a relative risk of 6.96 and 5.85 for poor performance on National Board of Medical Examiners (NBME) subject exams and clerkship performance, respectively, and explained 22 % of the variance in clerkship NBME subject exam scores and 20.2 % of the variance in clerkship grades. Discussion: Pre-clerkship outcome measures from clinical skills and clinical reasoning courses explained a significant amount of clerkship performance beyond baseline academic ability. These courses provide valuable information regarding student abilities, and may serve as an early indicator for students requiring remediation. Conclusions: Integrating pre-clerkship outcome measures may be an important aspect of ensuring the validity of this information as the pre-clerkship curriculum becomes compressed, and may serve as the basis for identifying students in need of clinical skills remediation. Bohn Stafleu van Loghum 2016-07-18 2016-08 /pmc/articles/PMC4978640/ /pubmed/27432368 http://dx.doi.org/10.1007/s40037-016-0287-z Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author LaRochelle, Jeffrey S.
Dong, Ting
Durning, Steven J.
spellingShingle LaRochelle, Jeffrey S.
Dong, Ting
Durning, Steven J.
Pre-clerkship clinical skills and clinical reasoning course performance: Explaining the variance in clerkship performance: Pre-clerkship predictors of clerkship variance
author_facet LaRochelle, Jeffrey S.
Dong, Ting
Durning, Steven J.
author_sort LaRochelle, Jeffrey S.
title Pre-clerkship clinical skills and clinical reasoning course performance: Explaining the variance in clerkship performance: Pre-clerkship predictors of clerkship variance
title_short Pre-clerkship clinical skills and clinical reasoning course performance: Explaining the variance in clerkship performance: Pre-clerkship predictors of clerkship variance
title_full Pre-clerkship clinical skills and clinical reasoning course performance: Explaining the variance in clerkship performance: Pre-clerkship predictors of clerkship variance
title_fullStr Pre-clerkship clinical skills and clinical reasoning course performance: Explaining the variance in clerkship performance: Pre-clerkship predictors of clerkship variance
title_full_unstemmed Pre-clerkship clinical skills and clinical reasoning course performance: Explaining the variance in clerkship performance: Pre-clerkship predictors of clerkship variance
title_sort pre-clerkship clinical skills and clinical reasoning course performance: explaining the variance in clerkship performance: pre-clerkship predictors of clerkship variance
description Introduction: Evidence suggests that pre-clerkship courses in clinical skills and clinical reasoning positively impact student performance on the clerkship. Given the increasing emphasis on reducing diagnostic reasoning errors, it is very important to develop this critical area of medical education. An integrated approach between clinical skills and clinical reasoning courses may better predict struggling learners, and better allocate scarce resources to remediate these learners before the clerkship. Methods: Pre-clerkship and clerkship outcome measures from 514 medical students graduating between 2009 and 2011were analyzed in a multiple linear regression model. Results: Learners with poor performances on integrated pre-clerkship outcome measures had a relative risk of 6.96 and 5.85 for poor performance on National Board of Medical Examiners (NBME) subject exams and clerkship performance, respectively, and explained 22 % of the variance in clerkship NBME subject exam scores and 20.2 % of the variance in clerkship grades. Discussion: Pre-clerkship outcome measures from clinical skills and clinical reasoning courses explained a significant amount of clerkship performance beyond baseline academic ability. These courses provide valuable information regarding student abilities, and may serve as an early indicator for students requiring remediation. Conclusions: Integrating pre-clerkship outcome measures may be an important aspect of ensuring the validity of this information as the pre-clerkship curriculum becomes compressed, and may serve as the basis for identifying students in need of clinical skills remediation.
publisher Bohn Stafleu van Loghum
publishDate 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4978640/
_version_ 1613624336756768768

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