The internal medicine subinternship

Sidlow, Robert; Mechaber, Alex J.; Reddy, Shalini; Fagan, Mark J.; Marantz, Paul R.

doi:10.1046/j.1525-1497.2002.11041.x

Cited by 20 publications

(6 citation statements)

References 7 publications

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“…The conclusion of this study was that a unifying, central curriculum would be effective in creating more competent and confident MS4’s (5). Similar structured curricular inconsistencies have been reported from junior residents’ reflections (6), in fourth-year emergency medicine clerkships (7), and in internal medicine sub-internships (8, 9). …”

Section: Discussionsupporting

confidence: 66%

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A National Radiation Oncology Medical Student Clerkship Survey: Didactic Curricular Components Increase Confidence in Clinical Competency

Jagadeesan¹,

Raleigh²,

Koshy³

et al. 2014

International Journal of Radiation Oncology*Biology*Physics

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Purpose/Objectives Students applying to radiation oncology residency programs complete one or more radiation oncology clerkships. This study assesses student experiences and perspectives during radiation oncology clerkships. The impact of didactic components and number of clerkship experiences in relation to confidence in clinical competency and preparation to function as a first year radiation oncology resident are evaluated. Methods and Materials An anonymous, internet-based survey was sent via direct e-mail to all applicants to a single radiation oncology residency program during the 2012–2013 academic year. The survey was composed of three main sections including questions regarding baseline demographic information and prior radiation oncology experience, rotation experiences, and ideal clerkship curriculum content. Results The survey response rate was 37% (70/188). Respondents reported 191 unique clerkship experiences. 27% of respondents (19/70) completed at least one clerkship with a didactic component geared towards their level of training. Completing a clerkship with a didactic component was significantly associated with a respondent’s confidence to function as a first- year radiation oncology resident (Wilcoxon rank-sum p = 0.03). However, the total number of clerkships completed did not correlate with confidence to pursue radiation oncology as a specialty (Spearman’s rho p = 0.48) or confidence to function as a first year resident (Spearman’s rho p = 0.43). Conclusions Based on responses to this survey, rotating students perceive that the majority of radiation oncology clerkships do not have formal didactic curricula. Survey respondents who completed a clerkship with a didactic curriculum reported feeling more prepared to function as a radiation oncology resident. However, completing an increasing number of clerkships does not appear to improve confidence in the decision to pursue radiation oncology as a career or to function as a radiation oncology resident. These results support further development of structured didactic curricula for the radiation oncology clerkship.

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Section: Discussionsupporting

confidence: 66%

“…The fourth-year medical school curriculum is being scrutinized to ensure that curricular components provide strong educational value (1). Multiple studies, including our pilot study in 2012, demonstrate curricular variability in clerkship experiences in radiation oncology and other specialties (2–9). …”

Section: Introductionmentioning

confidence: 99%

A National Radiation Oncology Medical Student Clerkship Survey: Didactic Curricular Components Increase Confidence in Clinical Competency

Jagadeesan¹,

Raleigh²,

Koshy³

et al. 2014

International Journal of Radiation Oncology*Biology*Physics

View full text Add to dashboard Cite

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“…Efforts have been underway in the last decade to standardize the curriculum of medicine sub-Is to further improve quality and consistency. 22 - 24 The quality of the non-sub-I clinical electives could be enhanced by incorporating many of the features of sub-I’s such as actively engaging students in patient care or giving them intern-like responsibility for patients.In addition to sub-I’s and clinical electives, residents suggested providing structured time during the final year for students to review key concepts and skills, participate in focused preparation for internship, and reflect upon and synthesize their medical school experience. Several of the specific content suggestions paralleled essential fourth year competencies identified by program directors (e.g.…”

Section: Discussionmentioning

confidence: 99%

Residents' perspectives on the final year of medical school

2012

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ObjectivesTo characterize junior residents’ perspectives on the purpose, value, and potential improvement of the final year of medical school.MethodsEighteen interviews were conducted with junior residents who graduated from nine different medical schools and who were in internal medicine, surgery, and psychiatry programs at one institution in the United States. Interview transcripts were coded and analyzed inductively for themes.ResultsParticipants’ descriptions of the purpose of their recently completed final year of medical school contained three primary themes: residency-related purposes, interest- or need-based purposes, and transitional purposes. Participants commented on the most valued aspects of the final year. Themes included opportunities to: prepare for residency; assume a higher level of responsibility in patient care; pursue experiences of interest that added breadth of knowledge, skills and perspective; develop and/or clarify career plans; and enjoy a period of respite. Suggestions for improvement included enhancing the learning value of clinical electives, augmenting specific curricular content, and making the final year more purposeful and better aligned with career goals.ConclusionsThe final year of medical school is a critical part of medical education for most learners, but careful attention is needed to ensure that the year is developmentally robust. Medical educators can facilitate this by creating structures to help students define personal and professional goals, identify opportunities to work toward these goals, and monitor progress so that the value of the final year is optimized and not exclusively focused on residency preparation.

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“…SI has not yet gained popularity in Korea, and Korean patients and health care professionals are not accustomed to a system in which medical students take up the role of an intern [ 9 ]. Furthermore, previous articles about SI usually covered SI in only internal medicine [ 3 , 11 , 12 , 13 , 14 ]. Articles about SI in surgery [ 15 , 16 ] are rare and examined only a limited number of issues.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of implementing a surgical student internship program in South Korea

Roh

Kim

et al. 2015

Ann Surg Treat Res

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PurposeDespite recommendations for introducing student internships (SI) in undergraduate medical education in Korea, the feasibility of surgical SIs has not been demonstrated in the Korean context. We thus identified tasks that could be performed by surgical student interns in a Korean education hospital.MethodsThe opinions of surgery clerkship directors of medical schools nationwide, regarding the tasks, symptoms and signs, disease entities, and procedures that student interns could perform in their hospitals, were subjected to descriptive analysis.ResultsOut of the 41 medical schools in Korea, 32 responded. Five implemented an optimal-quality SI program. Two schools considered third-year clerkship as SI. The respondents replied that student interns could be involved in basic nonspecific tasks such as history taking, physical examination, medial recording, reporting patients' status, and assisting during surgery. However, more surgery-specific tasks such as perioperative management or caring for a patient with acute abdominal pain were considered difficult for student interns to encounter in the Korean context.ConclusionSurgical educators should determine a specific role for student interns and encourage them to perform surgery-specific tasks. We recommend societal and system support, and curriculum renovation to establish an SI program in Korea.

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The internal medicine subinternship

Cited by 20 publications

References 7 publications

A National Radiation Oncology Medical Student Clerkship Survey: Didactic Curricular Components Increase Confidence in Clinical Competency

A National Radiation Oncology Medical Student Clerkship Survey: Didactic Curricular Components Increase Confidence in Clinical Competency

Residents' perspectives on the final year of medical school

Feasibility of implementing a surgical student internship program in South Korea

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