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Exploring the impact of postponing core clerkships on future performance
Jeffrey B Bird1, Doreen M Olvet1, David Orner2
1Department of Science Education, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
Medical Education Online
|September 5, 2022
Summary
Delaying medical school clerkships negatively impacts student performance. Even with strong prior academics, postponed clerkships led to lower grades, suggesting lasting effects on future performance.
Area of Science:
- Medical Education
- Pedagogy
- Student Performance
Background:
- Experiential learning in medical education involves complex cognitive and noncognitive factors.
- Student motivation and confidence can be influenced by the clerkship environment.
- Reasons for delaying the transition to the clerkship year are varied.
Purpose of the Study:
- To investigate the impact of delaying the start of the third-year clerkship.
- To analyze how clerkship postponement affects subsequent academic performance in medical students.
Main Methods:
- Retrospective, observational study of three medical student cohorts (classes of 2018, 2019, 2020).
- Analysis of pre-clerkship and third-year clerkship performance for 274 students.
- Mixed analysis of variance (ANOVA) and paired t-tests to compare performance between students who delayed and those who did not.
Main Results:
- 12% of students (33 out of 274) opted to delay their clerkship year.
- Students who delayed clerkships showed a significant reduction in grades compared to peers.
- This performance decrease was observed regardless of students' prior academic standing.
Conclusions:
- Postponing the start of the medical clerkship year may have detrimental and lasting effects on academic performance.
- Student advisement should consider the potential negative consequences of delaying clerkships.
- Understanding these effects is crucial for optimizing medical student progression and success.
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