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Related Experiment Videos

A decrease from 8 to 6 weeks in obstetrics and gynecology clerkship: effect on medical students' cognitive knowledge

E R Smith1, T V Dinh, G Anderson

  • 1Department of Obstetrics and Gynecology, University of Texas Medical Branch at Galveston, USA.

Obstetrics and Gynecology
|September 1, 1995
PubMed
Summary
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Shortening obstetrics and gynecology clerkships to six weeks did not impact overall medical student knowledge. However, a higher failure rate was observed in the first half of the academic year for students completing the shorter rotation.

Area of Science:

  • Medical Education
  • Obstetrics and Gynecology

Background:

  • Medical school curricula are continually evaluated for optimal knowledge transfer.
  • The duration of clinical clerkships is a key factor in student learning and knowledge retention.

Purpose of the Study:

  • To assess the impact of reducing the obstetrics and gynecology (OB/GYN) clerkship duration on third-year medical student knowledge.
  • To determine if a shorter OB/GYN rotation affects National Board of Medical Examiners (NBME) subject examination scores.

Main Methods:

  • Comparative analysis of NBME OB/GYN subject examination scores.
  • Two groups of medical students were compared: 168 students completing an 8-week rotation (1989-1990) and 187 students completing a 6-week rotation (1990-1991).

Main Results:

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  • No significant difference was found in the mean total NBME OB/GYN subject examination scores between the 8-week and 6-week clerkship groups.
  • Students in the 6-week rotation during the first half of the academic year exhibited a statistically higher failure rate compared to those in the second half.
  • The overall failure rate remained consistent for the 8-week rotation group throughout the academic year.

Conclusions:

  • Reducing the OB/GYN clerkship length from 8 to 6 weeks did not significantly alter overall student performance on the NBME OB/GYN subject examination.
  • A temporal effect was observed, with a higher proportion of students scoring lower on the examination when completing the 6-week clerkship in the first half of the academic year.