Abstract
Background: Medical students and Emergency medicine (EM) faculty may have differing
opinions on the ideal curriculum during the preclinical years. Objectives: To assess
the perceived needs of preclinical medical students exploring EM and compare them
with those of EM faculty regarding appropriate educational interventions. Methods:
A survey instrument listing 15 workshops related to EM was administered to preclinical
medical students in our Emergency Medicine Interest Group (EMIG), and to EM faculty.
Respondents graded the perceived utility of each workshop offered at our medical school
and those identified via a web search for EMIG. No recommendations for EMIG curriculum
were identified through PubMed. Fisher's exact tests were computed using SPSS (SPSS
Inc., Chicago, IL) with α = 0.05. Results: There were 48 medical students and 15 faculty
members who completed the survey. Students strongly desired workshops in suturing
(48/48; 100%), splinting (47/48; 97.9%), and basic electrocardiogram (ECG) interpretation
(47/48; 97.9%). Least desired topics were history of EM (16/48; 33.3%), getting involved
in EM organizations (20/48; 41.7%), and wellness (21/48; 43.8%). Women chose the domestic
violence workshop more than men (p = 0.036). Faculty strongly supported workshops in conducting focused history and
physical examination (14/15; 93.3%), the specialty of EM (14/15; 93.3%), and basic
ECG interpretation (12/15; 80.0%). The lowest rated faculty preferences were ultrasound
(5/15; 33.3%), history of EM (7/15; 46.7%), and emergency radiology (7/15; 46.7%).
Conclusions: Preclinical students and faculty opinions of important educational workshops
differed. Faculty favored the approach to the undifferentiated patient and an introduction
to the specialty, whereas students preferred hands-on workshops. Both groups agreed
that basic ECG interpretation was useful. These data may be useful for designing an
educational program that is interesting to preclinical students while still meeting
the needs as perceived by medical student educators.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- What did we learn about early clinical experience?.Acad Med. 2001; 76: S49-S54
- First early patient contact for medical students in Prague.Fam Pract. 1997; 14: 394-396
- What can experience add to early medical education?.BMJ. 2004; 329: 834-837
- LCME accreditation standards.(Accessed May 5, 2009)
- Motivations for a career in emergency medicine; a profile of the 1996 US applicant pool.CJEM. 2001; 3: 99-104
- Early practical experience and the social responsiveness of clinical education: systematic review.BMJ. 2003; 331: 387-391
- The impact of preclinical preceptorships on learning the fundamentals of clinical medicine and physical diagnosis skills.Acad Med. 2006; 81: 342-346
- Medical students' career indecision and specialty rejection: roads not taken.Acad Med. 1995; 70: 938-943
- Why medical students switch careers: changing course during the preclinical years of medical school.Can Fam Physician. 2007; 53: 94-95
- Insights into medical students' career choices based on third-and fourth-year students' focus-group discussion.Acad Med. 1997; 72: 635-640
- AAMC medical school graduation questionnaire, 2002–2004.Association of American Medical Colleges, Washington, DC2005
- Selection and change of specialties by medical school graduates.J Med Educ. 1986; 61: 790-796
- A comprehensive medical student career development program improves medical student satisfaction with career planning.Teach Learn Med. 2007; 19: 55-60
- Medical school curricular reform: fourth-year colleges improve access to career mentoring and overall satisfaction.Acad Med. 2008; 83: 754-760
Article info
Publication history
Published online: February 01, 2010
Accepted:
October 17,
2009
Received in revised form:
September 11,
2009
Received:
July 2,
2009
Identification
Copyright
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.