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Does Participation in Ob-gyn Subspecialties Improve Clerkship Clinical Scores, NBME Exam Scores, or Final Grades?

Purpose: The primary objective is to determine if participation in subspecialty rotations during Ob/Gyn core clerkships improves student performance as measured by National Board of Medical Examiners (NBME) scores, clinical evaluations and final clerkship summative grade when compared to students without focused subspecialty time.


Background: There is limited research evaluating the effect of subspecialty rotation experience during Ob/Gyn clerkships on student performance, however similar research in general surgery indicates adequate medical student competency and improvements in medical knowledge.

Results: Complete data was identified for 474 students during this study period. There was no significant difference in NMBE scores or final clerkship summative grade when comparing general track students to the subspecialty track. There was a significant difference in the clinical evaluation scores between general track and sub-specialty track students (p<0.002).  45 of the 474 students pursued an Ob/Gyn residency, 75% of whom participated in a subspecialty track.


Discussions: Exposure to subspecialty fields is not uniform during core clerkships. Our study indicates that using core clerkship time for early subspecialty exposure does not negatively impact student outcomes, and potentially improves clinical evaluations.

Topics: CREOG & APGO Annual Meeting, 2019, Student, Clerkship Director, Clerkship Coordinator, Medical Knowledge, UME, Team-Based Learning, Gynecologic Oncology, Maternal-Fetal Medicine, General Ob-Gyn,

General Information

Student,Clerkship Director,Clerkship Coordinator,
Medical Knowledge,
Team-Based Learning,
Clinical Focus
Gynecologic Oncology,Maternal-Fetal Medicine,General Ob-Gyn,

Author Information

Merima Ruhotina, MD, Women and Infants Hospital Brown University Ob/gyn Residency; B. Star Hampton, MD

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