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Relationship between medical programme progress test performance and surgical clinical attachment timing and

Andy Wearn1, Vanshay Bindra1, Bradley Patten1

  • 1Medical Programme Directorate, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.

Medical Teacher
|March 11, 2023
PubMed
Summary

Clinical surgical attachments improve progress test scores in surgery, though the effect lessens over time. Early progress test performance predicts higher surgical attachment grades, highlighting the value of foundational medical knowledge.

Keywords:
Medical studentsassessmentclinical attachmentprogress testing

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Area of Science:

  • Medical Education Research
  • Assessment in Medical Training
  • Surgical Education

Background:

  • Progress tests (PTs) are crucial for assessing applied medical knowledge and retention.
  • Clinical attachments provide essential learning contexts, but their impact on PT performance is under-researched.
  • Understanding the interplay between PTs and clinical performance is vital for optimizing medical curricula.

Purpose of the Study:

  • To evaluate the influence of Year 4 general surgical attachment (GSA) completion and timing on PT performance.
  • To examine the association between early PT results (Years 2-3) and GSA assessment outcomes.
  • To determine if PT performance predicts success in surgical attachments.

Main Methods:

  • Analysis of data from 965 medical students (2013-2018).
  • Linear mixed models assessed the effect of GSA exposure on PT results.
  • Logistic regressions explored the predictive value of PT performance on GSA distinction grades.

Main Results:

  • Sequenced GSA exposure in Year 4 improved performance on surgically coded PT items, but not overall PT scores.
  • The positive effect of GSA on surgical PT items diminished throughout the year.
  • Stronger PT performance in Years 2-3 significantly increased the likelihood of achieving a GSA distinction (OR 1.62).

Conclusions:

  • Surgical attachments enhance subject-specific learning, as reflected in improved surgical PT scores.
  • The timing of the GSA did not affect overall end-of-year PT performance.
  • Preclinical PT performance is a significant predictor of success in surgical attachments.