Neurology Clerkship: Predictors of Objective Structured Clinical Examination and Shelf Performance
Background: We sought to determine whether the following factors are associated with stronger performance on the medical school neurology clerkship: (1) structure of the outpatient rotation (working with a single general neurologist or multiple subspecialists), (2) dedicated shelf exam preparation,...
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| Published in: | Journal of medical education and curricular development Vol. 6; p. 2382120519862782 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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London, England
SAGE Publications
01.01.2019
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| ISSN: | 2382-1205, 2382-1205 |
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| Abstract | Background:
We sought to determine whether the following factors are associated with stronger performance on the medical school neurology clerkship: (1) structure of the outpatient rotation (working with a single general neurologist or multiple subspecialists), (2) dedicated shelf exam preparation, and (3) clerkships completed prior to neurology rotation.
Methods:
A total of 439 Feinberg medical students between 2014 and 2016 were analyzed based on the 3 variables of interest listed above. Student performance was evaluated using the National Board of Medical Examiner shelf exam and Objective Structured Clinical Examination/standardized evaluation scores. Univariate and multivariate analyses were conducted.
Results:
The format of the 2-week outpatient rotation did not significantly affect shelf examination (P = .59), or standardized evaluation (P = .34) scores. Taking a shelf pre-test correlated with overall higher standardized evaluation scores (P < .01), and higher shelf examination scores (P < .01). No individual clerkship correlated with better performance; however, the total number of core clerkships was associated with higher shelf examination scores (P = .007). Each additional core clerkship taken prior to neurology was associated with 0.72 points greater shelf examination score.
Conclusions:
Greater attending continuity did not appear to be associated with stronger performance perhaps due to a difference in types of cases observed. Students who took a practice shelf exam did better on both their shelf exam and standardized evaluation, suggesting that acquisition of knowledge translates to a better clinical performance. No individual clerkship offers an advantage, but rather it is the total number of clerkships that is correlated with stronger performance. |
|---|---|
| AbstractList | Background: We sought to determine whether the following factors are associated with stronger performance on the medical school neurology clerkship: (1) structure of the outpatient rotation (working with a single general neurologist or multiple subspecialists), (2) dedicated shelf exam preparation, and (3) clerkships completed prior to neurology rotation. Methods: A total of 439 Feinberg medical students between 2014 and 2016 were analyzed based on the 3 variables of interest listed above. Student performance was evaluated using the National Board of Medical Examiner shelf exam and Objective Structured Clinical Examination/standardized evaluation scores. Univariate and multivariate analyses were conducted. Results: The format of the 2-week outpatient rotation did not significantly affect shelf examination ( P = .59), or standardized evaluation ( P = .34) scores. Taking a shelf pre-test correlated with overall higher standardized evaluation scores ( P < .01), and higher shelf examination scores ( P < .01). No individual clerkship correlated with better performance; however, the total number of core clerkships was associated with higher shelf examination scores ( P = .007). Each additional core clerkship taken prior to neurology was associated with 0.72 points greater shelf examination score. Conclusions: Greater attending continuity did not appear to be associated with stronger performance perhaps due to a difference in types of cases observed. Students who took a practice shelf exam did better on both their shelf exam and standardized evaluation, suggesting that acquisition of knowledge translates to a better clinical performance. No individual clerkship offers an advantage, but rather it is the total number of clerkships that is correlated with stronger performance. We sought to determine whether the following factors are associated with stronger performance on the medical school neurology clerkship: (1) structure of the outpatient rotation (working with a single general neurologist or multiple subspecialists), (2) dedicated shelf exam preparation, and (3) clerkships completed prior to neurology rotation.BACKGROUNDWe sought to determine whether the following factors are associated with stronger performance on the medical school neurology clerkship: (1) structure of the outpatient rotation (working with a single general neurologist or multiple subspecialists), (2) dedicated shelf exam preparation, and (3) clerkships completed prior to neurology rotation.A total of 439 Feinberg medical students between 2014 and 2016 were analyzed based on the 3 variables of interest listed above. Student performance was evaluated using the National Board of Medical Examiner shelf exam and Objective Structured Clinical Examination/standardized evaluation scores. Univariate and multivariate analyses were conducted.METHODSA total of 439 Feinberg medical students between 2014 and 2016 were analyzed based on the 3 variables of interest listed above. Student performance was evaluated using the National Board of Medical Examiner shelf exam and Objective Structured Clinical Examination/standardized evaluation scores. Univariate and multivariate analyses were conducted.The format of the 2-week outpatient rotation did not significantly affect shelf examination (P = .59), or standardized evaluation (P = .34) scores. Taking a shelf pre-test correlated with overall higher standardized evaluation scores (P < .01), and higher shelf examination scores (P < .01). No individual clerkship correlated with better performance; however, the total number of core clerkships was associated with higher shelf examination scores (P = .007). Each additional core clerkship taken prior to neurology was associated with 0.72 points greater shelf examination score.RESULTSThe format of the 2-week outpatient rotation did not significantly affect shelf examination (P = .59), or standardized evaluation (P = .34) scores. Taking a shelf pre-test correlated with overall higher standardized evaluation scores (P < .01), and higher shelf examination scores (P < .01). No individual clerkship correlated with better performance; however, the total number of core clerkships was associated with higher shelf examination scores (P = .007). Each additional core clerkship taken prior to neurology was associated with 0.72 points greater shelf examination score.Greater attending continuity did not appear to be associated with stronger performance perhaps due to a difference in types of cases observed. Students who took a practice shelf exam did better on both their shelf exam and standardized evaluation, suggesting that acquisition of knowledge translates to a better clinical performance. No individual clerkship offers an advantage, but rather it is the total number of clerkships that is correlated with stronger performance.CONCLUSIONSGreater attending continuity did not appear to be associated with stronger performance perhaps due to a difference in types of cases observed. Students who took a practice shelf exam did better on both their shelf exam and standardized evaluation, suggesting that acquisition of knowledge translates to a better clinical performance. No individual clerkship offers an advantage, but rather it is the total number of clerkships that is correlated with stronger performance. Background: We sought to determine whether the following factors are associated with stronger performance on the medical school neurology clerkship: (1) structure of the outpatient rotation (working with a single general neurologist or multiple subspecialists), (2) dedicated shelf exam preparation, and (3) clerkships completed prior to neurology rotation. Methods: A total of 439 Feinberg medical students between 2014 and 2016 were analyzed based on the 3 variables of interest listed above. Student performance was evaluated using the National Board of Medical Examiner shelf exam and Objective Structured Clinical Examination/standardized evaluation scores. Univariate and multivariate analyses were conducted. Results: The format of the 2-week outpatient rotation did not significantly affect shelf examination (P = .59), or standardized evaluation (P = .34) scores. Taking a shelf pre-test correlated with overall higher standardized evaluation scores (P < .01), and higher shelf examination scores (P < .01). No individual clerkship correlated with better performance; however, the total number of core clerkships was associated with higher shelf examination scores (P = .007). Each additional core clerkship taken prior to neurology was associated with 0.72 points greater shelf examination score. Conclusions: Greater attending continuity did not appear to be associated with stronger performance perhaps due to a difference in types of cases observed. Students who took a practice shelf exam did better on both their shelf exam and standardized evaluation, suggesting that acquisition of knowledge translates to a better clinical performance. No individual clerkship offers an advantage, but rather it is the total number of clerkships that is correlated with stronger performance. We sought to determine whether the following factors are associated with stronger performance on the medical school neurology clerkship: (1) structure of the outpatient rotation (working with a single general neurologist or multiple subspecialists), (2) dedicated shelf exam preparation, and (3) clerkships completed prior to neurology rotation. A total of 439 Feinberg medical students between 2014 and 2016 were analyzed based on the 3 variables of interest listed above. Student performance was evaluated using the National Board of Medical Examiner shelf exam and Objective Structured Clinical Examination/standardized evaluation scores. Univariate and multivariate analyses were conducted. The format of the 2-week outpatient rotation did not significantly affect shelf examination ( = .59), or standardized evaluation ( = .34) scores. Taking a shelf pre-test correlated with overall higher standardized evaluation scores ( < .01), and higher shelf examination scores ( < .01). No individual clerkship correlated with better performance; however, the total number of core clerkships was associated with higher shelf examination scores ( = .007). Each additional core clerkship taken prior to neurology was associated with 0.72 points greater shelf examination score. Greater attending continuity did not appear to be associated with stronger performance perhaps due to a difference in types of cases observed. Students who took a practice shelf exam did better on both their shelf exam and standardized evaluation, suggesting that acquisition of knowledge translates to a better clinical performance. No individual clerkship offers an advantage, but rather it is the total number of clerkships that is correlated with stronger performance. |
| Author | O’Brien, Celia Zadikoff, Cindy Sampat, Ajay Rouleau, Gerald |
| AuthorAffiliation | 1 Department of Neurology, UC Davis School of Medicine, Sacramento, CA, USA 4 The Ken and Ruth Davee Department of Neurology and Clinical Neurological Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA 3 Department of Medical Education, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA 2 College of Medicine, University of Cincinnati, Cincinnati, OH, USA |
| AuthorAffiliation_xml | – name: 3 Department of Medical Education, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA – name: 2 College of Medicine, University of Cincinnati, Cincinnati, OH, USA – name: 1 Department of Neurology, UC Davis School of Medicine, Sacramento, CA, USA – name: 4 The Ken and Ruth Davee Department of Neurology and Clinical Neurological Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA |
| Author_xml | – sequence: 1 givenname: Ajay orcidid: 0000-0003-1854-3241 surname: Sampat fullname: Sampat, Ajay email: acsampat@ucdavis.edu, sampat.ajay@gmail.com – sequence: 2 givenname: Gerald orcidid: 0000-0002-7216-0949 surname: Rouleau fullname: Rouleau, Gerald – sequence: 3 givenname: Celia surname: O’Brien fullname: O’Brien, Celia – sequence: 4 givenname: Cindy surname: Zadikoff fullname: Zadikoff, Cindy |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31384669$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_revmed_2022_02_007 crossref_primary_10_1186_s12909_024_06239_8 crossref_primary_10_1371_journal_pone_0236484 crossref_primary_10_1097_ACM_0000000000004952 crossref_primary_10_1136_bmjno_2025_001107 crossref_primary_10_7759_cureus_86165 |
| Cites_doi | 10.1016/j.jocn.2015.12.020 10.1016/j.jss.2008.03.028 10.1007/s11606-015-3337-z 10.1176/appi.ap.33.2.120 10.1212/WNL.0000000000000333 10.1212/WNL.0000000000001731 10.1186/s12909-016-0652-y 10.1097/ACM.0b013e31826a13bd 10.1001/jama.2010.1184 10.1212/01.wnl.0000343000.20272.32 10.1212/WNL.0b013e3182648ba1 10.1176/appi.ap.12040074 10.1212/WNL.0b013e318294b1cf 10.1097/ACM.0b013e3181a858ef 10.1097/ACM.0b013e3181a82013 |
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| Keywords | curriculum development OSCE medical education clerkship shelf exam neurology |
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| Snippet | Background:
We sought to determine whether the following factors are associated with stronger performance on the medical school neurology clerkship: (1)... We sought to determine whether the following factors are associated with stronger performance on the medical school neurology clerkship: (1) structure of the... Background: We sought to determine whether the following factors are associated with stronger performance on the medical school neurology clerkship: (1)... |
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| SubjectTerms | Academic Achievement Measurement Techniques Medical students Neurology Original Research Test Preparation |
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| Title | Neurology Clerkship: Predictors of Objective Structured Clinical Examination and Shelf Performance |
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