"The Environment Fostered True Growth": Harnessing Coaching on an Innovative Medicine Sub-internship

Area of Science:

• Medical Education
• Graduate Medical Education
• Clinical Skills Development

Background:

• Traditional medical sub-internships face challenges in providing adequate clinical exposure and feedback.
• Learner variability in traditional settings hinders skill development for residency preparation.

Purpose of the Study:

• To evaluate the educational experience of medical students in a novel coaching-centered sub-internship (CCSI).
• To assess the impact of the CCSI model on resident uncovered ward services.

Main Methods:

• A coaching-centered sub-internship (CCSI) was implemented from 2017-2022.
• Sub-interns worked in small teams with frequent attending coaching and participated in targeted skills workshops.
• 73 sub-interns and 39 hospitalists participated in the study at an urban university-affiliated hospital.

Main Results:

• Students rated the CCSI significantly higher than traditional rotations (4.87/5 vs. 4.63/5).
• The CCSI fostered coaching, autonomy, accurate assessments, professional development, and a growth mindset.
• 91.8% of students responded, indicating high satisfaction with the educational experience.

Conclusions:

• The CCSI model effectively prepares medical students for internship by cultivating necessary skills and mindset.
• This coaching-centered approach offers a beneficial model for medical student education in various settings.