Student Factors That Influence Clerkship Grades and Matching Into a Surgical Residency

Schuman, Ari D.; Heisel, Curtis J.; Black, Kristian M; Matusko, Niki; Gilbert, Catherine; James, Chrystina; Reddy, Rishindra M.

doi:10.1016/j.jsurg.2018.08.023

Cited by 5 publications

(4 citation statements)

References 21 publications

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“…As a component of disruptive innovation, some medical schools have completely abolished grades and implemented pass-fail systems. However, most medical schools, including some who have tried the purely pass-fail approach, have arrived at a system of Honors, High Pass, Pass, Marginal Pass and Fail -- essentially the A through F system used in K-12 education [73].…”

Section: Discussionmentioning

confidence: 99%

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Medical education today: all that glitters is not gold

2019

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Background The medical education system based on principles advocated by Flexner and Osler has produced generations of scientifically grounded and clinically skilled physicians whose collective experiences and contributions have served medicine and patients well. Yet sweeping changes launched around the turn of the millennium have constituted a revolution in medical education. In this article, a critique is presented of the new undergraduate medical education (UME) curricula in relationship to graduate medical education (GME) and clinical practice. Discussion Medical education has changed and will continue to change in response to scientific advances and societal needs. However, enthusiasm for reform needs to be tempered by a more measured approach to avoid unintended consequences. Movement from novice to master in medicine cannot be rushed. An argument is made for a shoring up of biomedical science in revised curricula with the beneficiaries being nascent practitioners, developing physician-scientists --and the public. Conclusion Unless there is further modification, the new integrated curricula are at risk of produce graduates deficient in the characteristics that have set physicians apart from other healthcare professionals, namely high-level clinical expertise based on a deep grounding in biomedical science and understanding of the pathologic basis of disease. The challenges for education of the best possible physicians are great but the benefits to medicine and society are enormous.

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Section: Discussionmentioning

confidence: 99%

“…An undue emphasis on a single high stakes summative evaluation creates a dilemma for medical educators and students [73]. An excessive focus develops on preparing students for the USMLE Step 1 examination and “teaching to the test” [20, 74].…”

Section: Discussionmentioning

confidence: 99%

Medical education today: all that glitters is not gold

2019

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“…One potential hypothesis is that students who are interested in highly competitive specialties such as neurological surgery, plastic surgery, dermatology, otolaryngology, radiation oncology, orthopedic surgery, ophthalmology, and urology [ 32 ] may be more likely to engage in extracurricular activities. According to the National Resident Matching Program (NRMP) Charting Outcomes, a biennial descriptive report highlighting the characteristics of students’ performance in the NRMP match, students who successfully match into highly competitive specialties tend to engage in more extracurricular activities and demonstrate higher academic performance [ 33 , 34 ]. This could explain the correlation between SCR participation and GPA and board scores found in Vaikunth et al's study [ 21 ], as the relationship may be impacted by confounding factors like the specialty of pursuit.…”

Section: Reviewmentioning

confidence: 99%

“…The overall trend in the literature we reviewed demonstrates that a relationship between SRC participation, including primary care specialties, may not exist. This may be the result of a lack of data granularity in the included studies; factors such as mentorship experiences, perceived personal ability, rigor and length of training, and academic performance may have a heavier impact on specialty choice [ 10 , 33 ]. Additionally, the educational structure and environment unique to each college of medicine may shape students’ specialty of choice decisions.…”

Section: Reviewmentioning

confidence: 99%

Impact of Medical Student Participation in Student-Run Clinics on Education, Residency Selection, and Patient Care: A Review of Selected Articles

McCray¹,

Atkinson²,

McCray³

et al. 2022

Cureus

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Student-run clinics (SRCs) are becoming increasingly popular at medical schools in the United States. These clinics have provided a variety of benefits, including serving disadvantaged populations and providing early clinical exposure for students. There has been no consensus on the impact of SRCs on medical education, specialty selection, and patient care. This review provides a thorough overview of student and patient outcomes as a function of medical students volunteering at SRCs. We queried PubMed for original literature published in English between the years 2000 and 2020. Inclusion criteria included primary research articles evaluating the impact of medical student participation in SRCs on education, specialty selection, and patient care. All articles included in the final review were agreed upon by three reviewers, and the pertinent data were extracted. Of 10,200 initial search results, seven papers were included in this review. These included two studies evaluating medical education, five studies evaluating residency selection, and three studies analyzing patient care. Three studies were included in multiple evaluations. The relationship between volunteering at SRCs and academic performance is unclear. Clinic volunteers had increased retention of empathy compared to non-volunteers. Additionally, clinic volunteers provided satisfactory care as determined by patient-reported outcomes, and were not more likely to pursue primary care specialties. As SRCs are increasing in number, research into the impact on medical students and patients is necessary to understand how these clinics may affect the field of health care. It is important to further evaluate how medical student involvement in SRCs can further improve patient care and outcomes.

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