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Care Across the Life Cycle: Results of an Integrated Pediatric, Obstetrics and Gynecology, and Geriatric Medical Student Clerkship
Purpose: The authors explore medical knowledge attainment and
course evaluation data in Pediatrics and Obstetrics and Gynecology after the
implementation of a novel, three-phase undergraduate medical school education
curriculum called ForWard. In ForWard, the two clerkships were shortened from
six to four weeks and combined with geriatrics to form an integrated 12-week
Background: The traditional structure for clinical clerkships are
specialty specific rotations. Due to evolving needs of both patients and
learners, there has been interest in integrating the clinical fields during
delivery of undergraduate medical education. With any curricular change, it is
important to evaluate the learning outcomes.
Methods: Pediatric and Obstetrics and Gynecology NBME subject
exam scores were compared prior to (n=180) and after (n=162) the implementation
of the ForWard curriculum using an analysis of variance with covariate
(ANCOVA). Student satisfaction with the traditional and ForWard
curriculum were determined based on post-clerkship evaluation forms and
compared using unpaired t-tests.
Results: The unadjusted mean NBME Pediatrics and Obstetrics and
Gynecology subject examination scores were 77.1 and 80.0 in the traditional
curriculum and 76.9 and 79.3 in the ForWard curriculum (p=0.83) and (p=0.37).
The mean Pediatric and Obstetrics and Gynecology clerkship evaluation scores in
the traditional curriculum were 77.1 (SD 7.6) and 80.0 (SD 6.9) compared
to 76.9 (SD 7.9) (95%CI -1.84-1.47) and 79.3 (SD 7.7) (95%CI -2.26-0.85) in the
Despite shortened Pediatric and Obstetrics and Gynecology
clerkship experiences, performance on the NBME subject examinations in both
subjects was unchanged and student satisfaction was maintained.
CREOG & APGO Annual Meeting, 2020, Student, Resident, Faculty, Clerkship Director, Clerkship Coordinator, Osteopathic Faculty, Medical Knowledge, UME, Assessment, General Ob-Gyn,