University and Community Hospital Medical Student Emergency Medicine Clerkship Experiences
Article first published online: 28 JUN 2008
Academic Emergency Medicine
Volume 5, Issue 4, pages 343–346, April 1998
How to Cite
DeLahunta, E. A. and Bazarian, J. (1998), University and Community Hospital Medical Student Emergency Medicine Clerkship Experiences. Academic Emergency Medicine, 5: 343–346. doi: 10.1111/j.1553-2712.1998.tb02717.x
- Issue published online: 28 JUN 2008
- Article first published online: 28 JUN 2008
- Received August 21, 1997 revised October 29, 1997 accepted November 15, 1997; updated: December 1, 1997.
- emergency medicine;
- medical student;
- teaching hospital;
- medical education
Objective: To determine whether there is a significant difference between educational opportunities for fourth-year medical students rotating at a university hospital (UH) compared with several community hospitals (CHs) during a mandatory emergency medicine (EM) clerkship.
Methods: A self-reported clinical tool was completed in real time by each student rotating for 2 weeks at the UH and 2 weeks at 1 of 4 CHs (3 affiliated and 1 unaffiliated). Students are required to document the number of patients seen and the number of procedures performed on each of 20 six-hour shifts. They rated the EM attending clinical teaching by site using a 5-point scale at the end of the clerkship.
Results: Most (95%) of the 87 students in the 7 clerkship blocks of the 1996–97 academic year rotated at the UH and a CH. Most (71%) students rated both the UH and the CH for the quality of teaching by attendings. There was a significant difference in the mean number of patients evaluated/shift (2.2 ± 0.10 vs 2.8 ± 0.10, UH vs CH; p < 0.001) and the mean number of procedures performed/shift (0.36 ± 0.04 vs 0.56 ± 0.05, UH vs CH; p < 0.001). Attending clinical teaching scores were significantly higher (p = 0.03) at the CHs.
Conclusions: The educational opportunities for students in an EM clerkship to evaluate patients and perform procedures were significantly greater at the community hospitals. Inclusion of community hospital settings in a medical student EM clerkship may optimize the clinical experience.