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Does Participation in Ob-gyn Subspecialties Improve Clerkship Clinical Scores, NBME Exam Scores, or Final Grades?
Purpose: The primary objective
is to determine if participation in subspecialty rotations during Ob/Gyn core
clerkships improves student performance as measured by National Board of
Medical Examiners (NBME) scores, clinical evaluations and final clerkship
summative grade when compared to students without focused subspecialty time.
Background: There is
limited research evaluating the effect of subspecialty rotation experience
during Ob/Gyn clerkships on student performance, however similar research in
general surgery indicates adequate medical student competency and improvements
in medical knowledge
data was identified for 474 students during this study period. There was no
significant difference in NMBE scores or final clerkship summative grade when
comparing general track students to the subspecialty track. There was a
significant difference in the clinical evaluation scores between general track
and sub-specialty track students (p<0.002). 45 of the 474 students
pursued an Ob/Gyn residency, 75% of whom participated in a subspecialty track.
Discussions: Exposure to
subspecialty fields is not uniform during core clerkships. Our study indicates
that using core clerkship time for early subspecialty exposure does not
negatively impact student outcomes, and potentially improves clinical
CREOG & APGO Annual Meeting, 2019, Student, Clerkship Director, Clerkship Coordinator, Medical Knowledge, UME, Team-Based Learning, Gynecologic Oncology, Maternal-Fetal Medicine, General Ob-Gyn,