The Effect of a 2-Week Pre-clerkship Residency Exploration Program on Specialty Interest and Understanding of Physical Medicine and Rehabilitation

Sheppard, Emily; Smyth, Michael P.; Dow, Todd; Haupt, Thomas Sebastian; McVeigh, Sonja

doi:10.1016/j.arrct.2019.100035

Cited by 5 publications

(4 citation statements)

References 20 publications

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“…Most (n = 12) focused on promoting and understanding intellectual well-being in medical education (Table 2). Five qualitative studies reported favourable outcomes; 3 studies concluded that formal audit is needed 34,79,77 and 2 studies uncovered shortcomings related to postgraduate education content (i.e., intellectual, occupational well-being) 84 and undergraduate medical education leadership (i.e., social, intellectual well-being). 33 A key finding was that well-being among learners is a multidimensional construct that includes 4 components: genuine sense of personal fulfillment and gratification in medical education, grounded understanding of requirements for medical education programs, enhanced peer cohesion and functionality, and promoting cognitive flexibility to strengthen knowledge for diverse perspectives.…”

Section: Qualitative Studiesmentioning

confidence: 99%

Interventions to improve the well-being of medical learners in Canada: a scoping review

Moss¹,

Wollny²,

Amarbayan³

et al. 2021

cmajo

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C oncerns exist about the impact of medical education on learner well-being. [1][2][3][4] Programs housed within medical schools often address intellectual and occupational well-being, focusing specifically on skills related to learning and working; 5,6 however, well-being is a multidimensional construct. Social, mental, and physical wellbeing have been shown to be negatively affected during undergraduate medical education, 7 with increased prevalence of burnout in residency. 8,9 Poor well-being can affect medical learners across the spectrum of programs, including undergraduate health sciences. 10 The Canadian Federation of Medical Students aims to "train healthier physicians to maximize the productivity and quality of health care services for Canadians." 11 Their strategic directions for 2020-2022 include developing health promoting communities, promoting a positive culture in medical education that prioritizes learner well-being, increasing collaboration within the medical community and optimizing student resources. Despite the growing literature as universities implement services to address the well-being of medical learners, earlier reviews on this topic have not evaluated interventions in Canadian medical schools and have found it difficult to define medical learner well-being. 12,13 The Wellness Innovation Scholarship for Health Professions Education and Health Sciences (WISHES) laboratory at the University of Calgary is taking a holistic approach to medical learner well-being. 14 Based on Nussbaum's human capabilities approach 15 and acknowledging that well-being is multi dimensional, 16 WISHES focuses on measurable outcomes within the domains of mental, physical, occupational,

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Section: Qualitative Studiesmentioning

confidence: 99%

Interventions to improve the well-being of medical learners in Canada: a scoping review

Moss¹,

Wollny²,

Amarbayan³

et al. 2021

cmajo

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“…Students with prior electives in cardiology were more likely to select cardiology as a top career choice compared to those without previous clinical time in cardiology. Elective exposure has been previously shown to increase student interest in that specialty, 18,19 However, to our knowledge this is the first Canadian study demonstrating that elective exposure is associated with increased likelihood of medical student selection of cardiology as a top career choice, which is pertinent for Canadian medical students as clerkship selectives are chosen during pre-clerkship training.…”

Section: Ijmsmentioning

confidence: 85%

“…To support early career navigation among medical students, undergraduate medical schools may look toward promoting student-led programs that enable students to gain clinical exposure to medical specialties outside of traditional undergraduate medical curricula, as these initiatives may increase student interest in these specialties. 18,19,27 The strengths of this study include the assessment of career-related factors of cardiology used in previous literature. 16,17 Additionally, the decision to assess the interest and understanding of students at the end of their pre-clerkship curriculum addresses the fact that medical students make career-impacting decisions early in their training without being fully informed.…”

Section: Ijmsmentioning

confidence: 99%

The Impact of Previous Cardiology Electives on Canadian Medical Student Interest and Understanding of Cardiology

2021

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Background: Most Canadian medical schools do not have mandatory cardiology rotations. Early exposure to clinical cardiology aids career navigation, but clerkship selectives are chosen during pre-clerkship. This study investigates whether prior elective experiences affect medical student interest as well as understanding of cardiology before clerkship selections. Methods: A literature search was conducted using Google Scholar, Embase and PubMed to create an evidence-based cross-sectional survey. The anonymous questionnaire was administered to 53 second-year medical students at a Canadian medical school via Opinio, an online survey platform. Students were assessed on their interest and understanding of cardiology practice using a 5-point Likert Scale. Descriptive statistics and Chi-Square analysis were applied to assess the relationship between previous elective experience, medical student interest, and understanding of career-related factors pertaining to cardiology. Results: Overall, 26 (49.1%) students reported cardiology interest, while it was a preferred specialty for 9 (17.0%). Medical students reported low understanding of community practice (n=20, 37.7%), duration of patient relationships (n=14, 26.4%), spectrum of disorders (n=13, 24.5%), and in-patient care (n=11, 20.8%) associated with cardiology practice. Students with prior cardiology electives had increased understanding of in-patient care (χ2 = 4.688, Cramer’s V = 0.297, p = 0.030 and were more likely to select cardiology as a top specialty choice (χ2 = 7.983, Cramer’s V = 0.388, p = 0.005). Conclusions: Pre-clerkship medical students have a low understanding of cardiology practice. Increasing pre-clerkship exposure to cardiology may help students determine their interest in the specialty before clerkship selectives are chosen.

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“…Exposure to a PM&R rotation in medical school has been shown to increase understanding of the specialty. 13 However, only 4 of 154 US medical schools (2%) currently have a required clerkship in PM&R and only 64% of US medical schools have an elective PM&R clerkship. 14 One reason for this lack of clerkships and electives may be due to the time constraints of existing faculty.…”

Section: Discussionmentioning

confidence: 99%

Impact of a Hybrid-Virtual Teaching Model on the Physical Examination Skills of Fourth-Year Medical Students

Zeldin

Charles

Tumin

et al. 2022

Am J Phys Med Rehabil

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A required fourth-year advanced core neurology-physical medicine and rehabilitation clerkship was adapted to hybrid format (2-wk remote; 2-wk in-person) during the COVID-19 pandemic. With teaching of the neurological physical examination being shifted to the remote component, we sought to determine whether this negatively affected student performance on an Objective Structured Clinical Examination, particularly the physical examination component. Mean pandemic-era total Objective Structured Clinical Examination scores (n = 79, 85.1 ± 7.3) were similar to prepandemic era (n = 137, 83.5 ± 6.0, P = 0.082). Pandemic-era physical examination scores were slightly higher than prepandemic (86.9 ± 6.5 vs. 84.9 ± 6.6). Despite conversion of the clerkship to a hybrid curriculum, the performance of the students on the Objective Structured Clinical Examination and the physical examination were unchanged. Reasons for this lack of change may include the constructiveness and integration of the case-based virtual demonstrations combined with in-person learning or the flexibility of the virtual course to allow students more time to prepare for the Objective Structured Clinical Examination and the physical examination. Our findings demonstrate that a hybrid-virtual model can be used to teach foundational skills such as the basics of the physical examination, while allowing faculty to address higher-order skills such as integration of clinical data with medical knowledge.

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The Effect of a 2-Week Pre-clerkship Residency Exploration Program on Specialty Interest and Understanding of Physical Medicine and Rehabilitation

Cited by 5 publications

References 20 publications

Interventions to improve the well-being of medical learners in Canada: a scoping review

Interventions to improve the well-being of medical learners in Canada: a scoping review

The Impact of Previous Cardiology Electives on Canadian Medical Student Interest and Understanding of Cardiology

Impact of a Hybrid-Virtual Teaching Model on the Physical Examination Skills of Fourth-Year Medical Students

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