TY  - JOUR
T1  - EFfect of a longitudinal course on student performance in clerkships
AU  - Deterding R, Kamin C, Barley G, Adams L, Dwinnell B, Merenstein G
Y1  - 1999/07/01
N1  - 10.1001/archpedi.153.7.755
JO  - Archives of Pediatrics & Adolescent Medicine
SP  - 755
EP  - 760
VL  - 153
IS  - 7
N2  - Objective 
    To determine the effect that a 3-year primary-care course experience with family medicine, internal medicine, or pediatric preceptors would have on clerkship performance in pediatrics and internal medicine.Design 
    In 1 academic year, third-year students were divided retrospectively into 3 groups based on preceptor type in the primary care course. An analysis of variance was conducted. When the analysis of variance showed statistical significance, a multiple-comparison t test was performed.Setting 
    University medical school with a longitudinal preceptor experience.Participants 
    One hundred nine third-year medical students who participated in the primary care course and completed the pediatric and internal medicine clerkships. Fifty-six students took part in the self-assessment portion of the study.Main Outcome Measures 
    Student performance scores in the pediatric clerkship and internal medicine clerkship were analyzed for significant differences based on preceptor type. Student self-assessment on pediatric objectives was analyzed for significant differences based on preceptor experience.Results 
    Students with pediatric preceptors received higher clinical scores in the pediatric clerkship (P=.04) and perceived themselves as more advanced on 18 of the 39 pediatric curriculum pretest self-assessment items. Students with pediatric or internal medicine preceptors received significantly higher scores on the written patient medical history and physical examinations (P=.02). There were no significant differences on the pediatric written examination. There were no significant performance differences in the internal medicine clerkship. All hypothesis testing was conducted at the 95% confidence level.Conclusion 
    Experiences with pediatric preceptors in the early years of medical school may improve a student's performance and confidence in the pediatric clerkship.
SN  - 1072-4710
M3  - doi: 10.1001/archpedi.153.7.755
UR  - http://dx.doi.org/10.1001/archpedi.153.7.755
ER  -