Presentation is loading. Please wait.

Presentation is loading. Please wait.

STFM Predoctoral Education Conference 2010

Published bySpencer Stephens Modified over 6 years ago

Similar presentations

Presentation on theme: "STFM Predoctoral Education Conference 2010"— Presentation transcript:

1 STFM Predoctoral Education Conference 2010
Location, Location, Location: Does it matter for the 3rd year clerkship? Jacob Prunuske, MD, MSPH Teresa Kulie, MD David Deci, MD STFM Predoctoral Education Conference 2010

2 UW 3rd-Year Primary Care Clerkship
Required 150 students/yr 8 weeks FM and Peds/IM Rotation Structure Clinic PBL residency site (22% of students) non-residency site

3 Background Variable anecdotal student feedback regarding site experiences Clerkship desire to optimize educational experiences for students LCME requires equivalent experiences Strengths & weaknesses of residency vs non-residency training sites

4 Objectives Compare instructional quality in residency and non-residency clerkship sites Consider implications of results for student site assignments and faculty development Approved by the University of Wisconsin Educational Research IRB

5 MedEdIQ Validated survey tool 4 domains of instructional quality
Learning opportunities Site environment Student involvement Preceptor actions Items rated on a six-point scale James, PA, Osborne, JW. Family Medicine 21(4) James, PA et al. Academic Medicine 76(10) s33 – s35 Six-point scale strongly disagree, mildly disagree, disagree, mildly agree, agree, strongly agree Involvement No exposure, involved hardly at all, involved to a small, moderate, or high degree

6 MedEdIQ Learning opportunities (6 items) Site environment (6 items)
‘I saw a wide variety of interesting cases’ Site environment (6 items) ‘Things moved too fast for me to really learn anything’

7 MedEdIQ Student involvement (7 items) Preceptor actions (14 items)
‘Performing exams’ Preceptor actions (14 items) ‘Made every patient encounter a learning experience’

8 Results 68 of 77 (88.3%) students completed the MedEdIQ Site survey
19 evals of residency sites 49 at non-residency sites 70 completed evaluations of preceptors 15 students at residency sites 55 at non-residency sites No difference in proportion of students responding from residency or non-residency sites (p = 0.67) 5 peds and 1 int med faculty eval excluded from analysis

9 Learning Opportunities
“The opportunities were too diverse, preventing me from developing proficiency” 31.6% agreed* at residency sites 8.2% agreed* at non-residency sites p = *mildly agree, agree, strongly agree

10 Site Environment “I did not feel like a useful member of the health care team” 31.6 % agreed* at residency sites 8.2 % agreed* at non-residency sites P = “The health care team was not supportive of my learning” 15.8% agreed* at residency sites 0.0% agreed* at non-residency sites P = *mildly agree, agree, strongly agree

11 Participation No differences between residency and community sites
Seven Items History Exam Lab interpretation Radiology Explaining pathophysiology Discussing assessment & diagnosis Planning treatment & patient education

12 Preceptor No differences in 14 items measuring preceptor actions
Trend: Brought to my attention physical findings that I had not previously seen 1.8% agreed* for faculty at non-residency sites 13.3% agreed* for faculty at residency sites P = *mildly agree, agree, strongly agree

13 Project Strengths Project Weaknesses Good survey response rate
Validated survey tool Small numbers Student perceptions vs direct observation, logs or other objective evaluation Project Weaknesses

14 Conclusion While students have comparable levels of clinical participation and faculty instruction, students placed at residency sites may be overwhelmed with diverse opportunities and have a less supportive learning environment than students placed at non- residency sites

15 Next Steps Collect second semester data Refine with focus groups
Improve site preparation for students Consider associating sites with exam performance

16 STFM Predoctoral Education Conference 2010
Thank You Jacob Prunuske, MD, MSPH Terri Kulie, MD David Deci, MD STFM Predoctoral Education Conference 2010

Download ppt "STFM Predoctoral Education Conference 2010"

Similar presentations

CBES Essentials for Residents, Fellows, and Faculty A 10-minute primer on student performance assessment in required clerkships Stanford School of Medicine.

CBES Essentials for Residents, Fellows, and Faculty A 10-minute primer on student performance assessment in required clerkships Stanford School of Medicine.
Continuity Clinics as Medical Home Hawaii Dyson Initiative Louise Iwaishi, MD March 5, 2005 Hawaii Dyson Initiative.

Continuity Clinics as Medical Home Hawaii Dyson Initiative Louise Iwaishi, MD March 5, 2005 Hawaii Dyson Initiative.
Portfolio Assessment in Clerkship Michelle Gibson - Geriatrics (thanks to Chris Frank and Melissa Andrew too)

Portfolio Assessment in Clerkship Michelle Gibson - Geriatrics (thanks to Chris Frank and Melissa Andrew too)
Background: As students complete their clerkships throughout their M3 year they gain in clinical experience and confidence, which may translate into improved.

Background: As students complete their clerkships throughout their M3 year they gain in clinical experience and confidence, which may translate into improved.
MEDICAL STUDENT TRANSITION COURSE Professionalism in the Clinical Environment ANTHONY A. MEYER, MD, PHD CHAIRMAN, DEPARTMENT OF SURGERY UNIVERSITY OF NORTH.

MEDICAL STUDENT TRANSITION COURSE Professionalism in the Clinical Environment ANTHONY A. MEYER, MD, PHD CHAIRMAN, DEPARTMENT OF SURGERY UNIVERSITY OF NORTH.
CBEI Essentials for residents, fellows, and faculty A 10-minute primer on the Criterion-Based Evaluation Initiative and student performance assessment.

CBEI Essentials for residents, fellows, and faculty A 10-minute primer on the Criterion-Based Evaluation Initiative and student performance assessment.
The Electronic Health Record Lab: A Comprehensive Educational Intervention for Outpatient Electronic Records Bruce Britton M.D. Cy Cedar MS4 Christine.

The Electronic Health Record Lab: A Comprehensive Educational Intervention for Outpatient Electronic Records Bruce Britton M.D. Cy Cedar MS4 Christine.
Masters in Family Medicine in Laos: A Pilot Distance Learning Program Laura Goldman MD Jeff Markuns MD EdM Phoutone Vangkonevilay MD Ketkesone Phrasisombath.

Masters in Family Medicine in Laos: A Pilot Distance Learning Program Laura Goldman MD Jeff Markuns MD EdM Phoutone Vangkonevilay MD Ketkesone Phrasisombath.
Results of CERA Clerkship Director Survey: Practice Based Learning and Improvement in Family Medicine Clerkships Deanna R Willis, MD, MBA Betsy G Jones,

Results of CERA Clerkship Director Survey: Practice Based Learning and Improvement in Family Medicine Clerkships Deanna R Willis, MD, MBA Betsy G Jones,
KENIA MANSILLA-RIVERA, MD UNIVERSITY OF CONNECTICUT STFM MSE JANUARY 2016 You have a message in your box! Using email to evaluate and train different skills.

KENIA MANSILLA-RIVERA, MD UNIVERSITY OF CONNECTICUT STFM MSE JANUARY 2016 You have a message in your box! Using to evaluate and train different skills.
To Scribe or Not to Scribe: Effective Utilization of Scribes in a Family Medicine Residency Center John Gazewood, MD, MSPH; Rebekah Compton, RN, DNP, FNP-C;

To Scribe or Not to Scribe: Effective Utilization of Scribes in a Family Medicine Residency Center John Gazewood, MD, MSPH; Rebekah Compton, RN, DNP, FNP-C;
Qualitative Analysis of Student- Patient Interviews in Underserved Clinics William B. Shore, MD Jessica Muller, PhD George Saba, PhD UCSF-Family and Community.

Qualitative Analysis of Student- Patient Interviews in Underserved Clinics William B. Shore, MD Jessica Muller, PhD George Saba, PhD UCSF-Family and Community.
Coordinating the Goals and Objectives of Family, Rural, and Community Medicine through a Rotation Merger James Leeper, PhD Professor, Community and Rural.

Coordinating the Goals and Objectives of Family, Rural, and Community Medicine through a Rotation Merger James Leeper, PhD Professor, Community and Rural.
Practice CSE-3: A Formative, Low Stakes Experience for Third Year Family Medicine Clerkship Students Jeri R. Reid, MD Donna M. Roberts, MD Mary B. Carter,

Practice CSE-3: A Formative, Low Stakes Experience for Third Year Family Medicine Clerkship Students Jeri R. Reid, MD Donna M. Roberts, MD Mary B. Carter,
University of california, san francisco school of medicine Longitudinal Integrated Clerkships STFM 2011 Conference on Medical Student Education.

University of california, san francisco school of medicine Longitudinal Integrated Clerkships STFM 2011 Conference on Medical Student Education.
From Hospital to Home: Medical Students Observe Patients in Transition Martha S. Terry, MD Assistant Professor of Clinical Family and Community Medicine.

From Hospital to Home: Medical Students Observe Patients in Transition Martha S. Terry, MD Assistant Professor of Clinical Family and Community Medicine.
The Number Needed to Teach: Eliminating the Statistics Fear Factor and Improving Data Literacy Thomas Hahn, MD University of Wisconsin Department of Family.

The Number Needed to Teach: Eliminating the Statistics Fear Factor and Improving Data Literacy Thomas Hahn, MD University of Wisconsin Department of Family.
Patrick Huffer MD, Thomas Hahn MD, Jensena Carlson MD University of Wisconsin, Madison Department of Family Medicine and Community Health May 2, 2016 GOAL-ORIENTED.

Patrick Huffer MD, Thomas Hahn MD, Jensena Carlson MD University of Wisconsin, Madison Department of Family Medicine and Community Health May 2, 2016 GOAL-ORIENTED.
Family Medicine Online Penn State College of Medicine Shou Ling Leong, MD Department of Family and Community Medicine Penn State College of Medicine.

Family Medicine Online Penn State College of Medicine Shou Ling Leong, MD Department of Family and Community Medicine Penn State College of Medicine.
Comparison of graduates from the longitudinal integrated and rotation based clerkships Performance in family medicine residency: W. Woloschuk, D Myhre.

Comparison of graduates from the longitudinal integrated and rotation based clerkships Performance in family medicine residency: W. Woloschuk, D Myhre.

Similar presentations

Ads by Google