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Incorporating active learning into a psychiatry clerkship: does it make a difference?
Mary Morreale1, Cynthia Arfken, Patrick Bridge
1Dept. of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA. mmorreale@med.wayne.edu
Active Learning (AL) in psychiatry clerkships improved medical student satisfaction and preparedness for Objective Structured Clinical Exams (OSCEs). However, AL did not significantly impact National Board of Medical Examiners (NBME) scores or the likelihood of students choosing psychiatry as a specialty.
Area of Science:
- Medical Education
- Psychiatry Training
- Active Learning Strategies
Background:
- Traditional lecture-based curricula may not fully engage medical students.
- Assessing the impact of innovative teaching methods is crucial for improving medical training.
- Medical student interest in psychiatry as a specialty requires focused attention.
Purpose of the Study:
- To compare the effectiveness of Active Learning (AL) versus traditional lectures in a psychiatry clerkship.
- To evaluate the impact of AL on student satisfaction, OSCE preparedness, and specialty choice.
- To analyze the effect of AL on National Board of Medical Examiners (NBME) psychiatry shelf-examination scores.
Main Methods:
- A comparative study involving two groups of medical students (N=108 traditional, N=102 AL) during a 1-month psychiatry clerkship.
- Data collection through surveys on satisfaction, OSCE preparedness, and specialty interest.
- Analysis of NBME psychiatry shelf-examination scores using independent-samples t-tests.
Main Results:
- Medical students reported higher satisfaction and improved sense of preparedness for the Objective Structured Clinical Exam (OSCE) with Active Learning (AL).
- No significant difference was found in National Board of Medical Examiners (NBME) psychiatry shelf-examination scores between the AL and traditional groups.
- The interventional curriculum did not increase the expressed likelihood of students choosing psychiatry as a specialty.
Conclusions:
- Active Learning (AL) effectively enhances medical student satisfaction and Objective Structured Clinical Exam (OSCE) preparedness in psychiatry clerkships.
- While AL improves certain educational outcomes, it did not significantly alter National Board of Medical Examiners (NBME) exam performance or specialty preference.
- Further research may be needed to identify strategies that increase medical student interest in pursuing psychiatry.
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