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Can Less Be More in the OBG Clerkship?

Purpose: Determine how new “shift scheduling” for OBG clerkship would affect student clinical experience and learning.

Background: Increasing numbers of learners and shortage of clinical sites require innovative strategies to address demand. A potential approach would be to assign students specific shifts with varied assignments that cover the breadth of OBGYN over the course of a clerkship. Potential barriers would be decreased ability for the student to meet required encounters, decreased satisfaction, lack of engagement with the team and less clinical exposure.

Methods: A 32 -question survey adapted from the validated Dundee Ready Education Environment Measure (DREEM) was piloted and distributed to 365 third- year medical students (classes of 2019 and 2020). Topics included workload, opportunities to interact with patients, ability to complete required clinical encounters, perception of belonging and being meaningful participants in the clinical team, learning environment, study time, NBME exam preparation and performance.

Results: 180 surveys were completed (response rate 49.3%). 50.8 % were male and 49.2% were female. 93 (42.27%) were from the class of 2019 and 92 (63.4%) were from the class of 2020. Statistically significant improvement was noted in NBME score, perception of workload and time to study.  All participants were satisfied with the quality of the clerkship, the learning environment, were able to meet required encounters, and reported a good clinical experience. Students perceived higher levels of engagement and belonging with the shift schedule, though these did not reach statistical significance.

Discussions: Shift schedule allows accommodation of more students in the clinical environment while maintaining clerkship quality and clinical experiences.

Topics: CREOG & APGO Annual Meeting, 2020, Student, Faculty, Clerkship Director, Medical Knowledge, UME,

General Information

Student,Faculty,Clerkship Director,
Medical Knowledge,
Clinical Focus

Author Information

Erin Nelson, MD; University of Texas School of Medicine at San Antonio; Veronica Riggs; Keri Rowley, Medical Student

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