Methods of teaching surgery in the outpatient setting and means to measure the effectiveness of these methods have not been defined.
This study was designed to evaluate the impact of number of outpatient encounters on test scores for third-year medical students.
Students rotating on the required third-year surgery clerkship between July 1994 and June 1996 kept a log of their activities including number of patients seen in clinic, number of cases scrubbed, and pages read.
At the end of the rotation the students were given an essay examination and a multiple-choice examination.
The data were analyzed looking for correlation between examination scores and volume of patients seen.
United States Medical Licensing Examination (USMLE) Step 1 scores were used as a baseline measure to compare the rotation groups.
USMLE scores did not differ between groups.
Mean essay examination scores varied significantly between some rotation groups, but did not follow a pattern.
There was no correlation between the number of patients seen in clinic and essay examination scores.
There was a significant correlation between essay score and USMLE Step 1 score (Pearson's r=0.398) and between essay and multiple-choice examination scores (Pearson's r=0.313).
There was a significant negative correlation between number of patients seen in clinic and number of cases scrubbed (Pearson's r=-0.347). (...)
Mots-clés Pascal : Chirurgien, Formation professionnelle, Chirurgie, Apprentissage, Hôpital, Pratique professionnelle, Evolution, Expérience professionnelle, Evaluation performance, Homme, Enseignement
Mots-clés Pascal anglais : Surgeon, Occupational training, Surgery, Learning, Hospital, Professional practice, Evolution, Professional experience, Performance evaluation, Human, Teaching
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0311279
Code Inist : 002B30A09. Création : 27/11/1998.