Does Participation in Obstetrics and Gynecology Subspecialties Improve Clerkship Outcomes?
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ORIGINAL RESEARCH
Does Participation in Obstetrics and Gynecology Subspecialties Improve Clerkship Outcomes? Merima Ruhotina 1,2,3
&
Brittany Star Hampton 3
# International Association of Medical Science Educators 2020
Abstract Objective The primary objective is to determine if participation in subspecialty rotations during Ob/Gyn core clerkships improves student performance as measured by National Board of Medical Examiners (NBME) Ob/Gyn clinical science subject exam scores, clinical evaluations, and final clerkship summative grades when compared to students without focused subspecialty time. Methods This is a retrospective study of third-year Alpert Medical School of Brown University (AMS) Ob/Gyn core clerkship students at a single institution (Women and Infants Hospital in Providence, RI) from 2012 to 2017. Participation in Maternal Fetal Medicine (MFM) and/or Gynecologic oncology (Gyn Onc) subspecialty track (a one-week focused experience), NBME Ob/Gyn clinical science subject exam raw score, clinical evaluation score, final clerkship summative grade, and decision to pursue Ob/ Gyn as a career were analyzed. Results There was no significant difference in NBME scores or final clerkship summative grade when comparing general track students to the subspecialty track. There was a significant difference in the clinical evaluation scores between general track and sub-specialty track students (p < 0.002). Of the students who pursued an Ob/Gyn residency, 75% participated in a subspecialty track. Conclusion Exposure to subspecialty fields is not uniform during core clerkships. Our study indicates that using core clerkship time for early subspecialty exposure does not negatively impact student outcomes, and potentially improves clinical evaluations. Keywords Medical education . Curriculum development . Obstetrics and gynecology
Introduction Traditional medical school curriculum consists of two years of classroom-based basic science training and two years of hands-on clinical training. The core clerkship rotations, generally in the third year of medical school, usually serve as the first exposure for students to subspecialties. It is evident that clerkship rotations are a critical part of medical students’
* Merima Ruhotina [email protected] 1
Women and Infants Ob/Gyn Residency, The Warren Alpert Medical School of Brown University, Providence, RI, USA
2
101 Dudley Street, Providence, USA
3
Department of Obstetrics and Gynecology, The Warren Alpert Medical School of Brown University, Providence, RI, USA
training and can be a formative time for decision making regarding future specialty choice. Studies examining medical student specialty selection have noted that clerkships influence students’ decisions to pursue a career in that field [1]. At Alpert Medical School of Brown University(AMS) clerkship performance is assessed through a combination of National Board of Medical Examiners (NBME) Ob/Gyn clinical science subject examination scores, faculty/resident evaluations, and Objective Structured Clinical Exami
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