A drop in pediatric subject examination scores after curriculum changes that emphasize general pediatric topics.
To determine whether emphasizing a limited number of general pediatric objectives and using a test based on them would improve student knowledge of the topic areas.
Community-based medical school.
Third-year medical students on a required clerkship in pediatrics.
Six core objectives : recognizing the seriously ill child, stabilizing such a child, fluid and electrolyte requirements and therapy, newborn care, well child care, and variability of normal vital signs in children based on their age were defined and a modified essay examination was constructed.
The test was given to pediatric students close to the end of their clerkship.
In study year 1, no warning was given about the examination and results did not affect student grades.
In study year 2, passing all items was a requirement and failure required remedial oral examination of any missed items.
All students completed the National Board of Medical Examiners pediatric subject examination.
For 7 of 8 essay items, significant increases in numbers of students passing were seen in study year 2, but students scored 51 points lower on the National Board of Medical Examiners pediatric subject examination (P=002).
The decrease in scores was not seen in any other clerkship or among pediatric students from a different campus of the medical school. (...)
Mots-clés Pascal : Pédiatrie, Enseignement, Objectif, Evaluation performance, Etudiant, Etats Unis, Amérique du Nord, Amérique, Amélioration, Médecin
Mots-clés Pascal anglais : Pediatrics, Teaching, Objective, Performance evaluation, Student, United States, North America, America, Improvement, Physician
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0492682
Code Inist : 002B30A09. Création : 03/02/1998.