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How curricular changes influence medical students' perceptions of basic science: A pilot study.

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Area of Science:

  • Medical Education
  • Curriculum Development
  • Basic Science

Background:

  • Perceived value of study material influences learning and retention.
  • Medical school curricula vary in duration and timing of foundational science courses and licensing exams.
  • Traditional "2+2" curricula contrast with revised models featuring shortened pre-clerkship periods.

Purpose of the Study:

  • To compare the perceived value of basic science among medical students in different curriculum structures.
  • To investigate the impact of pre-clerkship curriculum length and USMLE Step 1 timing on students' views.
  • To inform curriculum design by understanding how structural changes affect the perceived importance of basic science.

Main Methods:

  • Anonymous 20-item Likert scale questionnaire administered to third-year medical students.
  • Comparison of perceived value and use of basic science between two curriculum types: USMLE Step 1 before clerkships (BC) and after clerkships (AC).
  • Statistical analysis using generalized linear models and p-values to compare student perceptions.

Main Results:

  • Students in schools with a longer basic science curriculum (BC) rated basic science as more essential for clinical practice than those in schools with shorter curricula (AC).
  • BC students perceived basic science as less independent from clinical practice (mean=2.73) compared to AC students (mean=2.97), p=0.0017.
  • BC students rated the importance of basic science to clinical practice higher (mean=3.50) than AC students (mean=3.30), p=0.0135.

Conclusions:

  • A longer basic science curriculum correlates with higher perceived value among medical students.
  • The timing of the USMLE Step 1 may influence the relationship between curriculum structure and perceived value.
  • Curricular modifications, including reduced pre-clerkship time and delayed USMLE Step 1, may diminish students' appreciation for basic science, impacting future engagement.