Journal of Educational Evaluation for Health Professions

Brief report

Feasibility of clinical performance assessment of medical students on a virtual sub-internship in the United States: John Woller, Sean Tackett, Ariella Apfel, Janet Record, Danelle Cayea, Shannon Walker, Amit Pahwa; J Educ Eval Health Prof. 2021;18:12. Published online June 22, 2021; DOI: https://doi.org/10.3352/jeehp.2021.18.12

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We aimed to determine whether it was feasible to assess medical students as they completed a virtual sub-internship. Six students (out of 31 who completed an in-person sub-internship) participated in a 2-week virtual sub-internship, caring for patients remotely. Residents and attendings assessed those 6 students in 15 domains using the same assessment measures from the in-person sub-internship. Raters marked “unable to assess” in 75/390 responses (19%) for the virtual sub-internship versus 88/3,405 (2.6%) for the in-person sub-internship (P=0.01), most frequently for the virtual sub-internship in the domains of the physical examination (21, 81%), rapport with patients (18, 69%), and compassion (11, 42%). Students received complete assessments in most areas. Scores were higher for the in-person than the virtual sub-internship (4.67 vs. 4.45, P<0.01) for students who completed both. Students uniformly rated the virtual clerkship positively. Students can be assessed in many domains in the context of a virtual sub-internship.

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Association of Virtual Away Rotations With Residency Applicant Outcomes in Otolaryngology
Nicholas R. Lenze, William J. Benjamin, Lauren A. Bohm, Marc C. Thorne, Michael J. Brenner, Angela P. Mihalic, Robbi A. Kupfer
OTO Open.2023;[Epub] CrossRef

Research article

Evaluation of a course to prepare international students for the United States Medical Licensing Examination step 2 clinical skills exam: Rachel B. Levine, Andrew P. Levy, Robert Lubin, Sarah Halevi, Rebeca Rios, Danelle Cayea; J Educ Eval Health Prof. 2017;14:25. Published online October 24, 2017; DOI: https://doi.org/10.3352/jeehp.2017.14.25

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Abstract PDF

Purpose
United States (US) and Canadian citizens attending medical school abroad often desire to return to the US for residency, and therefore must pass US licensing exams. We describe a 2-day United States Medical Licensing Examination (USMLE) step 2 clinical skills (CS) preparation course for students in the Technion American Medical School program (Haifa, Israel) between 2012 and 2016.
Methods
Students completed pre- and post-course questionnaires. The paired t-test was used to measure students’ perceptions of knowledge, preparation, confidence, and competence in CS pre- and post-course. To test for differences by gender or country of birth, analysis of variance was used. We compared USMLE step 2 CS pass rates between the 5 years prior to the course and the 5 years during which the course was offered.
Results
Ninety students took the course between 2012 and 2016. Course evaluations began in 2013. Seventy-three students agreed to participate in the evaluation, and 64 completed the pre- and post-course surveys. Of the 64 students, 58% were US-born and 53% were male. Students reported statistically significant improvements in confidence and competence in all areas. No differences were found by gender or country of origin. The average pass rate for the 5 years prior to the course was 82%, and the average pass rate for the 5 years of the course was 89%.
Conclusion
A CS course delivered at an international medical school may help to close the gap between the pass rates of US and international medical graduates on a high-stakes licensing exam. More experience is needed to determine if this model is replicable.

Citations

Citations to this article as recorded by

Cultural Considerations in the Formal Process of Simulation Curriculum Adaptation: A Scoping Review
Matthew D. Charnetski, Maryam Asoodar, Hao Yu, Walther van Mook
Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare.2023;[Epub] CrossRef
Immigrant Neurologists in the United States
Abhimanyu Mahajan, Zachary London, Andrew M. Southerland, Jaffar Khan, Erica A. Schuyler
Neurology.2021; 96(8): 378. CrossRef
Three Decades Later: A Scoping Review of the Literature Related to the United States Medical Licensing Examination
Hanin Rashid, Kristen M. Coppola, Robert Lebeau
Academic Medicine.2020; 95(11S): S114. CrossRef
Improving Passage Rate on USMLE Step 2 Clinical Skills: Results from a Pilot Program
Michael S. Ryan, Melissa Bradner, Fidelma Rigby, Bennett Lee, Elizabeth Waterhouse, Catherine Grossman
Medical Science Educator.2019; 29(3): 709. CrossRef

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