Development and evaluation of a simulation-based transition to clerkship course

Area of Science:

• Medical Education
• Simulation-Based Learning
• Clinical Skills Training

Background:

• Transition to clerkship courses are crucial for medical students moving from preclinical to clinical education.
• Simulation-based teaching methods are underutilized in these transition courses.
• This study details the creation and assessment of a novel simulation-based transition to clerkship course.

Purpose of the Study:

• To develop and evaluate a simulation-based course for medical students transitioning to clerkships.
• To enhance clinical skills acquisition and competency-based education.
• To provide a safe and effective learning environment for practical skill refinement.

Main Methods:

• A simulation-based course was designed with seven goals aligned with the Association of American Medical Colleges Core Entrustable Professional Activities.
• High-fidelity simulation, didactics, and a simulation-based objective structured clinical examination with feedback were employed.
• A mixed-methods approach, including pre/post surveys and a focus group, assessed course effectiveness.

Main Results:

• 152 out of 166 students completed surveys, reporting significant improvements in 21 of 22 course objectives.
• Qualitative analysis highlighted positive learning environment, faculty engagement, and collegiality.
• Resource procurement (faculty, materials, facilities) was identified as the primary execution challenge.

Conclusions:

• The simulation-based transition course effectively met its educational objectives.
• It fostered a safe and supportive environment for practicing and refining clinical skills.
• Despite resource intensity, the course demonstrated success in preparing students for clinical clerkships.