Documenting and Comparing Medical Students' Clinical Experiences

Rattner, Susan L.; Louis, Daniel Z.; Rabinowitz, Carol; Gottlieb, Jonathan E.; Nasca, Thomas J.; Markham, Fred W.; Gottlieb, Ronald H.; Caruso, John W.; Lane, J. Lindsey; Veloski, J. Jon; Hojat, Mohammadreza; Gonnella, Joseph S.

doi:10.1001/jama.286.9.1035

Cited by 58 publications

(48 citation statements)

References 27 publications

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“…The finding that the CX group did not improve their PE skills over the course of the clerkship, despite performing at least forty physical examinations (11) and 60% reporting that they received instruction on physical examination, indicates the need to develop teaching sessions that incorporate an assessment of skills acquisition/competence of the participating students. It is also of concern that our 3 rd year students had similar entry-level skills in abdominal examination irrespective of whether they were at the beginning or end of the 3rd year.…”

Section: Discussionmentioning

confidence: 97%

Development and Evaluation of an Interactive Multimedia Clinical Skills Teaching Program Designed for the Pediatric Clerkship

Frisby¹,

Lane²,

Carr³

et al. 2006

Teaching and Learning in Medicine

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Section: Discussionmentioning

confidence: 97%

Development and Evaluation of an Interactive Multimedia Clinical Skills Teaching Program Designed for the Pediatric Clerkship

Frisby¹,

Lane²,

Carr³

et al. 2006

Teaching and Learning in Medicine

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“…22 The cases required that students perform rectal examinations using a Rectal Examination Model (manufactured by Life/form), insert IVs using a Multi-venous IV Training Arm (manufactured by Laerdal), insert nasogastric tubes using an NG Tube and Tracheostomy Care Simulator (manufactured by Laerdal), insert a urinary catheter using the Advanced Catheterization Trainer (manufactured by Limbs and Things) and perform suturing using a Suture Pad (manufactured by Limbs and Things).…”

Section: Methodsmentioning

confidence: 99%

Evaluation of the use of patient-focused simulation for student assessment in a surgery clerkship

Isenberg

Berg

Veloski

et al. 2011

The American Journal of Surgery

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“…Medical students reported an average of 83 patient encounters (defined as taking a history and completing a physical examination) during a 6-week clerkship in family practice, 104 patient encounters during a 6-week pediatric clerkship, and 170 patient encounters during a 12-week internal medicine clerkship. 35 Furthermore, virtually all the medical students recognized that constructive feedback played an integral role. Authors of several studies concur that the CI should be available to ATSs to suggest different ways of performing clinical proficiencies or positively reinforcing desired clinical skills.…”

Section: Engaged Clinical Experiencesmentioning

confidence: 99%

Clinical Instructors' and Athletic Training Students' Perceptions of Teachable Moments in an Athletic Training Clinical Education Setting

Rich

2009

Journal of Athletic Training

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Context: For some time, educators have advised clinical instructors (CIs) to capture the elusive teachable moment in clinical education. However, a universal definition of a teachable moment does not exist. Without a clear understanding of this concept, CIs and athletic training students (ATSs) may have difficulty facilitating the teachable moment.Objective: To recognize and define a teachable moment as it relates to the athletic training clinical education setting and to identify potential barriers to creating the teachable moment.Design: Mixed-methods design employing grounded theory and quantitative analysis.Setting: Collegiate sports medicine clinic affiliated with a Commission on Accreditation of Allied Health Education Programs-accredited athletic training education program.Patients or Other Participants: 11 CIs (6 men, 5 women) and 11 ATSs (3 men, 8 women).Data Collection and Analysis: Participants completed a teachable moment questionnaire to define and identify teachable moments. Follow-up semistructured interviews were conducted after data collection. A qualitative analysis was conducted on responses using open, axial, and selective coding. Member checking was conducted to establish trustworthiness. Qualitative data were quantified to descriptively report the findings.Results: Engaged clinical experiences were the overarching theme. Three major themes that defined a teachable moment emerged: (1) professional discourse about skills, techniques, research, and special cases; (2) authentic experience or actual hands-on experience; and (3) skill development or time for skill instruction, practice, role playing, and simulations. Participants reported 158 teachable moments (CIs 5 75, ATSs 5 83). Lack of time and other duties were examples of barriers hindering the teachable moment.Conclusions: The teachable moment occurs when a CI and an ATS actively participate and interact with each other to enhance learning and foster intellectual curiosity in the clinical education environment. An underlying barrier to the teachable moment is perceived to be the CI's day-to-day responsibilities.Key Words: athletic training education, instructional strategies Key Points N A teachable moment occurs when a clinical instructor and an athletic training student work together to enhance learning and foster intellectual curiosity in the clinical education environment.N Professional discourse, authentic experience, and skill development emerged as critical concepts illustrating the definition of a teachable moment and are strategies to keep athletic training students engaged in clinical experiences.N The daily responsibilities of the clinical instructor are perceived barriers to the teachable moment. N The clinical instructors and athletic training students recognized identical situations as teachable moments only 22% of the time.N Participants became increasingly aware of and actively sought out teachable moments.

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Documenting and Comparing Medical Students' Clinical Experiences

Abstract: An instrument that facilitates students' documentation of clinical experiences can provide data on important differences among students' clerkship experiences. Data from this instrument can be used to assess the nature of students' clinical education.

Cited by 58 publications

References 27 publications

Development and Evaluation of an Interactive Multimedia Clinical Skills Teaching Program Designed for the Pediatric Clerkship

Development and Evaluation of an Interactive Multimedia Clinical Skills Teaching Program Designed for the Pediatric Clerkship

Evaluation of the use of patient-focused simulation for student assessment in a surgery clerkship

Clinical Instructors' and Athletic Training Students' Perceptions of Teachable Moments in an Athletic Training Clinical Education Setting

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