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A new emergency medicine clerkship program: students' perceptions of what works

Published online by Cambridge University Press:  21 May 2015

Marianne Yeung*
Affiliation:
Department of Emergency Medicine, University of Ottawa, Ottawa, Ont.
Jennifer Beecker
Affiliation:
Department of Emergency Medicine, University of Ottawa, Ottawa, Ont.
Meridith Marks
Affiliation:
Department of Emergency Medicine, University of Ottawa, Ottawa, Ont. Academy for Innovation in Medical Education, Faculty of Medicine, University of Ottawa, Ottawa, Ont.
Janet Nuth
Affiliation:
Department of Emergency Medicine, University of Ottawa, Ottawa, Ont.
Brian Weitzman
Affiliation:
Department of Emergency Medicine, University of Ottawa, Ottawa, Ont.
A. Curtis Lee
Affiliation:
Department of Emergency Medicine, University of Ottawa, Ottawa, Ont.
Jason R. Frank
Affiliation:
Department of Emergency Medicine, University of Ottawa, Ottawa, Ont.
*
Emergency Department, The Ottawa Hospital, Civic Campus, 1053 Carling Ave., Ottawa ON K1Y 4E9; [email protected]

Abstract

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Objective:

Emergency medicine is an evolving discipline in Canadian medical schools. Little has been published regarding student preferences for emergency medicine training during the clerkship phase of MD programs. We assessed medical students' perceptions of a newly developed emergency medicine clerkship rotation involving multiple learning modalities. The evaluation process included assessment of the rotation's instructional elements and overall educational value.

Methods:

The first cohort of medical students to complete this new emergency medicine clerkship was invited to answer a questionnaire just before graduation. Students rated their preferences for components of the rotation using paired comparisons. Open-ended questions explored students' satisfaction with the emergency medicine clerkship as well as perceptions of the rotation's impact on career development.

Results:

Of the 94 students in the first clerkship cohort, 81 (86%) responded to the survey. Students found the emergency medicine clerkship highly valuable, citing the broad range of cases seen, close supervision, and opportunities to develop clinical assessment, decision-making and procedural skills. Students' curricular preferences were for advanced cardiac life support (ACLS) (26.4%), clinical shifts (20.6%), supervised clinical shifts (17.8%), procedural skills laboratories (14.8%), tutorials (10.8%) and preceptor-assisted learning sessions (9.8%).

Conclusion:

This new emergency medicine clerkship program incorporated multiple learning methods within a 4-week rotation and was highly rated by students. Although clinical shifts and ACLS were generally preferred activities, students had varying individual preferences for specific learning activities. Multiple learning methods allowed all students to benefit from the rotation. This study makes a compelling case for including an emergency medicine rotation with multiple learning modalities as a core element of clerkship at every medical school.

Type
Education • Enseignement
Copyright
Copyright © Canadian Association of Emergency Physicians 2010

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