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Related Experiment Videos

Clinical experience and examination performance: is there a correlation?

Gary L Beck1, Mihaela T Matache, Carrie Riha

  • 1Department of Pediatrics, University of Nebraska Medical Center, Omaha, NE 68198-2184, USA. gbeck@unmc.edu

Medical Education
|May 24, 2007
PubMed
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Student patient encounters do not predict medical exam performance. This study found no correlation between the number of patients seen and multiple-choice test scores, challenging traditional assessment metrics.

Area of Science:

  • Medical Education
  • Clinical Assessment
  • Pediatric Clerkships

Background:

  • Liaison Committee on Medical Education (LCME) mandates comparable educational experiences and equivalent evaluation methods across instructional sites.
  • Accreditation requires students to encounter similar patient numbers and diagnoses.
  • Prior research has not established a link between patient volume and multiple-choice exam performance.

Purpose of the Study:

  • To investigate if student exposure to patients with specific diagnoses predicts performance on related multiple-choice examination questions.
  • To determine the predictive value of patient encounters on knowledge-based assessments in pediatric clerkships.

Main Methods:

  • Analysis of patient logbooks (demographics, student roles) collected since 1994.

Related Experiment Videos

  • Coding of logbooks and pre-examination questions using standard ICD-9 codes.
  • Statistical analysis (Minitab) to assess the relationship between patient encounters and test scores in a convenience sample of students (1997-2000).

    • Main Results:

    • Medical student performance on multiple-choice examinations was found to be independent of the number of patients encountered.
    • No statistically significant correlation was identified between patient volume and examination scores.

    Conclusions:

    • Knowledge-based examination performance in clinical courses cannot be reliably predicted by the number of patients seen.
    • Emphasis on examination scores for clerkship completion should be balanced with clinical performance evaluations.