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Improving Acute Care Preparedness Amongst Medical Students: A Systematic Review.

Haider Merchant¹, Joanna Tarr²

¹ENT, Royal Cornwall Hospital, Truro, GBR.

|June 26, 2025

Summary

Medical schools need better acute care training. This review found clerkships, courses, and simulation effective, but more research is needed to confirm student preparedness and patient outcomes.

Keywords:

a systematic review acute care acute medicine emergency medicine undergraduate medical education

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Area of Science:

Medical Education
Acute Care Training
Curriculum Development

Background:

Undergraduate medical education often lacks sufficient preparation for acute care settings.
Previous interventions to improve acute care readiness have not been formally evaluated for effectiveness.

Purpose of the Study:

To identify and evaluate educational interventions aimed at preparing medical students for acute care.
To assess the effectiveness of these interventions based on available research.

Main Methods:

Systematic literature search of MEDLINE, CENTRAL, Embase, Scopus, and Web of Science (2000-2020).
Inclusion of primary research studies reporting outcomes of medical student acute care preparation.
Quality appraisal using the Medical Education Research Study Quality Instrument (MERSQI).

Main Results:

72 studies were included; most were single-group pre- and post-test designs.
Clerkships, courses, and simulation emerged as the most effective interventions.
Clerkship studies focusing on acute care skills showed high effectiveness, but overall study quality and outcome measures were limited.

Conclusions:

Clerkships, courses, and simulation show promise for enhancing medical student acute care preparation.
Significant heterogeneity and study limitations prevent definitive conclusions.
Future research should prioritize high-quality studies measuring behavioral and patient outcomes.