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Related Experiment Videos

Does clinical exposure affect medical student examination performance?

S H Ellozy1, S Kaiser, J J Bauer

  • 1Department of Surgery, Mount Sinai School of Medicine, New York, New York, USA.

American Journal of Surgery
|July 6, 2000
PubMed
Summary

Medical student scores improved during surgical clerkships, but this gain was not linked to specific clinical exposure. Greater exposure to trauma, inflammatory bowel disease (IBD), or vascular surgery did not significantly impact test performance.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Student Assessment

Background:

  • Surgical clerkships traditionally integrate lectures, small groups, readings, clinical exposure, and testing.
  • Curriculum components are often compromised due to time constraints.
  • Medical student clinical exposure varies by team assignment, impacting exposure to specific topics like trauma, inflammatory bowel disease (IBD), and vascular surgery.

Purpose of the Study:

  • To quantify the impact of clinical exposure on medical student education.
  • To determine if clinical exposure influences examination performance in surgical clerkships.

Main Methods:

  • Administered a pre-clerkship multiple-choice examination covering trauma, IBD, and vascular surgery.
  • Students completed two 4-week surgical blocks in varied settings.

Related Experiment Videos

  • Re-examined students post-clerkship; analyzed pretest and posttest score differences using Wilcoxon signed ranks and Mann-Whitney U tests.

    • Main Results:

    • Overall examination performance significantly improved from pretest to posttest.
    • Improvements were observed across all tested subsections.
    • No statistically significant difference in score improvement was found based on clinical exposure to vascular, IBD, or trauma.

    Conclusions:

    • Medical student examination scores increased throughout the surgical clerkship.
    • Increased clinical exposure to specific surgical topics did not correlate with improved examination performance.