The impact of early clinical training in medical education

A multi- institutional assessment

Patricia A. Carney, Miriam E. Bar-on, Martha S. Grayson, Martin Klein, Nan Cochran, M. Scottie Eliassen, Steven R. Gambert, Krishan L. Gupta, Mary C. Labrecque, Paul J. Munson, David W. Nierenberg, Joseph F. O'Donnell, Michelle Whitehurst-Cook, Rita M. Willett

Research output: Contribution to journalArticle

Abstract

With funding from The Robert Wood Johnson Foundation's Generalist Physician Initiative, Dartmouth Medical School (DMS), New York Medical College (NYMC), and Virginia Commonwealth University School of Medicine (VCU- SOM) adopted early community-based training models for longitudinal clinical experiences. These schools developed different evaluation strategies to assess these models. This paper describes each program, the method used to evaluate an aspect of the program, lessons learned about early clinical teaching and learning, and challenges encountered. Each program use cross- sectional evaluation, and the analysis methods included descriptive statistics, chi square, t-tests, analysis of variance, and generalized- linear models. Dartmouth determined that the type of preceptor does not greatly influence the development of clinical skills, although case-specific differences were discovered. NYMC learned that students taught clinical skills in community-based settings performed as well as or better than their peers who received early patient experience on hospital wards. Virginia Commonwealth discovered that community experiences contributed positively to students' education, critical thinking, and problem-solving skills. Students value early clinical experiences and make important achievements in clinical skills and knowledge development, although logistic challenges exist in conducting these courses. Evaluations are critical to ensure competency, and faculty development must be linked to the evaluation process.

Original languageEnglish (US)
JournalAcademic Medicine
Volume74
Issue number1 SUPPL.
StatePublished - Jan 1999
Externally publishedYes

Fingerprint

Medical Education
Clinical Competence
Students
evaluation
education
experience
school
community
student
Chi-Square Distribution
linear model
descriptive statistics
Medical Schools
analysis of variance
Linear Models
Analysis of Variance
Teaching
Cross-Sectional Studies
funding
logistics

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health
  • Education

Cite this

Carney, P. A., Bar-on, M. E., Grayson, M. S., Klein, M., Cochran, N., Eliassen, M. S., ... Willett, R. M. (1999). The impact of early clinical training in medical education: A multi- institutional assessment. Academic Medicine, 74(1 SUPPL.).

The impact of early clinical training in medical education : A multi- institutional assessment. / Carney, Patricia A.; Bar-on, Miriam E.; Grayson, Martha S.; Klein, Martin; Cochran, Nan; Eliassen, M. Scottie; Gambert, Steven R.; Gupta, Krishan L.; Labrecque, Mary C.; Munson, Paul J.; Nierenberg, David W.; O'Donnell, Joseph F.; Whitehurst-Cook, Michelle; Willett, Rita M.

In: Academic Medicine, Vol. 74, No. 1 SUPPL., 01.1999.

Research output: Contribution to journalArticle

Carney, PA, Bar-on, ME, Grayson, MS, Klein, M, Cochran, N, Eliassen, MS, Gambert, SR, Gupta, KL, Labrecque, MC, Munson, PJ, Nierenberg, DW, O'Donnell, JF, Whitehurst-Cook, M & Willett, RM 1999, 'The impact of early clinical training in medical education: A multi- institutional assessment', Academic Medicine, vol. 74, no. 1 SUPPL..
Carney PA, Bar-on ME, Grayson MS, Klein M, Cochran N, Eliassen MS et al. The impact of early clinical training in medical education: A multi- institutional assessment. Academic Medicine. 1999 Jan;74(1 SUPPL.).
Carney, Patricia A. ; Bar-on, Miriam E. ; Grayson, Martha S. ; Klein, Martin ; Cochran, Nan ; Eliassen, M. Scottie ; Gambert, Steven R. ; Gupta, Krishan L. ; Labrecque, Mary C. ; Munson, Paul J. ; Nierenberg, David W. ; O'Donnell, Joseph F. ; Whitehurst-Cook, Michelle ; Willett, Rita M. / The impact of early clinical training in medical education : A multi- institutional assessment. In: Academic Medicine. 1999 ; Vol. 74, No. 1 SUPPL.
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