An internal medicine residency preparatory curriculum for fourth-year medical students

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-12-04 DOI:10.1111/tct.13703

Katelyn Donohue, Natalie Davis, Dara Farber, Norman Retener, Philip Dittmar

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Abstract

Background

Intern preparation courses are often broad in scope; there are few published specialty-specific programs outside of General Surgery and Obstetrics. We designed an internal medicine (IM) residency preparatory course at the University of Maryland School of Medicine, which aimed to prepare graduating medical students for the rigours of IM residency training, mapped to Entrustable Professional Activities (EPAs).

Methods

Fourteen fourth-year medical students who were matriculating into IM residency programs enrolled in a 4-week long residency preparation course. The course was designed to teach skills using case-based learning modules, specialty topic seminars, simulation laboratories, procedure laboratories and clinical practice. Participants were surveyed before and after the course on their perceived knowledge and ability with the skills tested.

Results

With the exception of ‘giving signout to a colleague’, there was a significant difference in the participant's perceived ability for each skill taught within the course (P < 0.03 for each), with mean pre-course scores of 1.4–3.7 (SD = 0.5–1.2) and mean post-course scores of 3.2–4.2 (SD = 0.5–1.3). A second survey on course evaluation and perceived impact, completed 3 months after starting intern year, resulted in all respondents reporting that the information learned during the course had directly affected their care of patients on a daily or weekly basis. The modified Ottawa scale was the primary assessment means for the EPAs, with participants approaching entrustment at the conclusion of the course.

Conclusions

Implementation of an IM-specific residency preparation course is a useful adjunct in the fourth year of medical school.

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为四年级医学生准备的内科住院医师预备课程。

背景:实习准备课程的范围通常很广;在普通外科和产科之外，很少有出版的专科课程。我们在马里兰大学医学院设计了一门内科(IM)住院医师预备课程，旨在为即将毕业的医学生准备严格的内科住院医师培训，并将其映射到可信赖的专业活动(EPAs)中。方法:14名即将进入IM住院医师项目的四年级医学生参加了为期4周的住院医师准备课程。本课程旨在通过案例学习模块、专题研讨会、模拟实验室、程序实验室和临床实践来教授技能。在课程前后，研究人员对参与者的认知知识和能力进行了调查。结果:除了“给同事签到”外，参与者对课程中教授的每种技能的感知能力存在显着差异(P结论:实施针对医学专业的住院医师准备课程是医学院第四年有用的辅助课程。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.