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Getting Real: Aligning the Learning Needs of Clerkship Students With the Current Clinical Environment
Debra L Klamen1, Reed Williams, Susan Hingle
1D.L. Klamen is senior associate dean for education and curriculum and professor and chair, Department of Medical Education, Southern Illinois University School of Medicine, Springfield, Illinois; ORCID: https://orcid.org/0000-0001-5471-6635. R. Williams, deceased, was J. Roland Folse MD Professor Emeritus, Surgical Education, and emeritus professor of medical education, Southern Illinois University School of Medicine, Springfield, Illinois; and adjunct professor of surgery, Indiana University School of Medicine, Indianapolis, Indiana; ORCID: https://orcid.org/0000-0002-4236-2697. S. Hingle is professor of medicine and year 3 curriculum director, Southern Illinois University School of Medicine, Springfield, Illinois; ORCID: https://orcid.org/0000-0003-0512-0872.
A new medical school curriculum model for third-year clerkships improved student engagement and clinical experience. Early outcomes show successful implementation, though standardized test performance remained unchanged.
Area of Science:
- Medical Education
- Curriculum Development
- Clinical Training
Background:
- Traditional third-year medical clerkships face challenges with student engagement and aligning learning with clinical practice.
- A prior publication proposed a novel curricular model to address these deficiencies.
Purpose of the Study:
- To implement and evaluate a new curricular model for third-year medical clerkships.
- To assess student and faculty reactions and key outcomes of the revised curriculum.
Main Methods:
- Implementation of a new curriculum at Southern Illinois University School of Medicine.
- Focus on clinical immersion, longitudinal faculty-student relationships, and clinical reasoning.
- Individualized student activities for specialty exploration and skill development.
Main Results:
- Mostly positive feedback from faculty and students regarding the new curriculum.
- Students demonstrated deeper immersion, increased time in clinical settings, and more procedures performed.
- No significant change in performance on Step 2 Clinical Knowledge and Clinical Skills exams.
Conclusions:
- Rethinking third-year clerkships is feasible and can be successfully implemented.
- The new curriculum shows promising early outcomes in student engagement and clinical experience.
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