en
Scientific article
French

Acquisition of clinical competence: Added value of clerkship real-life contextual experience

Published inMedical teacher, vol. 35, no. 2, p. e957-e962
Publication date2013
Abstract

Background: Medical students' limited access to patients induces a shift of learning activities from clinical wards to classrooms. Aim: Identify clinical competencies specifically acquired during real-life contextual clerkship added to case-based tutorials, by a prospective, controlled study. Methods: Students entering our eight-week internal medicine (IM) clerkship attended paper case-based tutorials about 10 common presenting complaints and were assigned to an IM specialty ward. For each tutorial case, two groups of students were created: those assigned to a ward, the specialty of which was unrelated to the case (case-unrelated ward, CUW) and those assigned to a ward, the specialty of which was related to the case (case-related ward, CRW). Results: Forty-one students (30 CUW and 11 CRW) volunteered for the study. Both groups had similar previous experiences and pre-clerkship exam scores. The CRW students collected more relevant clinical information from the patient (69% vs. 55% of expected items, p = 0.001) and elaborated charts of better quality (47% vs. 39% of expected items, p = 0.05). Clinical-knowledge mean score was similar (70%) in both groups (p = 0.92). Conclusions: While paper-case tutorials did provide students with clinical knowledge, real contextual experience brought additional, specific competencies. This supports the preservation of clinical exposure with supervision and feedback.

Citation (ISO format)
RUDAZ, Andréa Laure et al. Acquisition of clinical competence: Added value of clerkship real-life contextual experience. In: Medical teacher, 2013, vol. 35, n° 2, p. e957–e962. doi: 10.3109/0142159X.2012.714887
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ISSN of the journal0142-159X
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