May 29th, 2022

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The Clerkship Passport Increases Student Participation in the Third-Year Medical Student Obstetrics Clerkship
Authors:  Dora J. Melber, M.D., and D. Yvette LaCoursiere, M.D., M.P.H.
  OBJECTIVE: To assess the impact of an educational tool, the “Clerkship Passport.” This activity checklist defines 9 core experiences to be completed on the Labor and Delivery rotation with the goal of defining expectations and facilitating formative feedback.

STUDY DESIGN: A pre–post-implementation study was used to assess third-year medical students during the two-week Labor and Delivery rotation. Both anonymous surveys and self-identified Clerkship Passports were analyzed to determine the impact of this intervention.

RESULTS: Seventy-nine of 84 (94%) students participated in the study. Clinical participation rates as determined by an anonymous survey increased from 68.0% to 87.4% (p<0.001). After controlling for academic quarter and reported interest in the field, the Clerkship Passport still increased participation by 70% (aOR 1.7 [1.1–2.3]). Despite increased participation, satisfaction with “amount of hands-on experience” decreased (p=0.03). The remainder of satisfaction scores were positive but remained statistically unchanged. Students and residents qualitatively support the use of this tool.

CONCLUSION: An easy-to-use checklist can effectively direct and improve student participation in the Obstetrics clerkship. Tasks that independently reached statistical significance were those that require the most teaching effort and/or student initiative; the Clerkship Passport may help catalyze this activation energy.
Keywords:  checklist; clinical clerkship; clinical competence; educational measurement; feedback; gynecology/education; learning; models, educational; obstetrics; obstetrics/education; physical examination; students, medical
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