Evaluation of an innovative pediatric clerkship structure using multiple outcome variables including career choice.
J Hosp Med
; 2(6): 401-8, 2007 Nov.
Article
em En
| MEDLINE
| ID: mdl-18081170
ABSTRACT
BACKGROUND:
Few studies have examined alternative structures for inpatient clerkships.OBJECTIVE:
Compare 2 inpatient clerkship structures using multiple outcome variables.DESIGN:
Prospective, randomized controlled trial.SETTING:
Tertiary-care, freestanding children's hospital.SUBJECTS:
All medical students enrolled in the third-year pediatric clerkship in the 2001-2003 academic years. INTERVENTION A clerkship structure consisting of an academic attending, a third-year pediatric resident, and 4 third-year medical students, but no interns. MEASUREMENTS Student end-of-rotation examinations, evaluations, a questionnaire, and career choices were used to evaluate the intervention. Patient logs and resource utilization were also assessed. Statistical analysis included evaluating differences between groups and measuring effect size.RESULTS:
Two hundred and three students were randomized. Compared with those on the traditional services, students on the intervention service encountered more key diagnoses in the patients they cared for (4.4 vs. 3.6, P < .01). These students also gave higher ratings to their overall attitude (4.48 vs. 4.26, P = .02) and input into patient care decisions (4.45 vs. 3.98, P < .01). More than twice as many students on the intervention service matched in pediatrics (OR 2.52, 95% confidence interval 0.99-6.38). Multivariate analysis of length of stay and total charges for selected patients revealed similar outcomes.CONCLUSIONS:
A third-year pediatric clerkship that focuses on students is associated with increased satisfaction, higher interest in pediatrics, and consistent resource utilization. The intervention, therefore, merits continuation, whereas further research is required to identify which aspects of the intervention are responsible for its positive effects.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pediatria
/
Escolha da Profissão
/
Estágio Clínico
Tipo de estudo:
Clinical_trials
/
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Hosp Med
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Estados Unidos