Correlation between early clinical exposure environment, attitudes toward basic medicine, and medical students' basic
Kung-Pei Tang1, Chien-Yu Chen1,2,3,4, Ming-Shun Wu5,6
1Department of Education and Humanities in Medicine, School of Medicine, College of Medicine, Taipei Medical University, No.250, Wu-Hsing Street, Taipei, 11031, Taiwan.
BMC Medical Education
|June 5, 2019
Summary
Early clinical exposure (ECE) in medical school significantly impacts academic performance. The learning environment of ECE, not just student anxiety, positively predicts success in basic science courses.
Area of Science:
- Medical Education
- Basic Science Pedagogy
- Student Academic Performance
Background:
- Early clinical exposure (ECE) aims to contextualize basic science for medical practice.
- Limited research exists on ECE's specific impact on student academic outcomes.
- This study examines ECE's influence versus internal learning factors on medical students' performance.
Purpose of the Study:
- To determine if early clinical exposure or student learning attitudes better correlate with medical students' academic performance.
- To investigate the predictive power of ECE experiences and student learning attitudes on academic success.
Main Methods:
- Hierarchical multiple regression (HMR) analysis was used.
- 109 medical students, 50 in an elective ECE program, participated.
- Variables included ECE engagement, learning environment, attitudes, test anxiety, and Systems-Based Basic Sciences (SBBS) course scores.
Main Results:
- ECE learning environment and test anxiety towards basic science significantly predicted SBBS test scores.
- Both external (ECE environment) and internal (test anxiety) factors showed predictive power.
Conclusions:
- Medical students' basic science academic performance is linked to testing anxiety and, more strongly, to their clinical learning environment.
- Further research into diverse ECE learning environments is recommended to understand their impact on student outcomes.
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