A study investigated the relationships among nine instruments designed to measure clinical knowledge and performance in a third-year surgery clerkship. Results suggest that various types of measures are necessary for broad evaluation of clinical performance. Instruments clustered into two groups: measures of medical knowledge and clinical…

An innovative internal medicine clerkship provides a one-month ambulatory care component followed by two months of traditional inpatient experience. Assessment of the changes in student ability to diagnose in a variety of brief cases found knowledge gains in the shorter ambulatory care segment were double those in the longer segment. (MSE)

Programs in emergency medicine are expected to become increasingly organized with the development of emergency medicine teaching faculties. A clerkship design with clinical instruction, classroom instruction, and evaluation is described. (Author/MLW)

Interrater reliability in numerical ratings of clerkship performance (n=1,482 students) in five surgery programs was studied. Raters were classified as accurate or moderately or significantly stringent or lenient. Results indicate that increasing the proportion of accurate raters would substantially improve the precision of class rankings. (MSE)

A remedial program was designed for Oregon Health Sciences University clerkship students demonstrating adequate clinical skills but inadequate knowledge. In two years, six students were enrolled in the tutorial program. The experience was highly successful for all but one. Participants saw it as one of their best medical school experiences.…

Analysis of the first- and fifth-week clerkship activities of six doctoral pharmacy students focused on student-instructor contact time and the significance of student contributions to patient care. Results indicate both costs and benefits to clerkship instruction and provide a framework for future studies evaluating such instruction. (Author/MSE)

Analysis of data from an annual graduating medical students' survey revealed that a required third-year family medicine clerkship of at least four weeks is associated with a higher percentage of students choosing training and specialty certification in family practice. Whether clerkship inspires or reinforces preexisting choices is not indicated.…

Pharmaceutical education and pharmaceutical practice began to diverge in the early twentieth century for socioeconomic reasons and have since grown along separate paths. The movement toward clinical pharmacy, emerging about 1970, may reunite the two but it first faces new challenges. (MSE)

A study supported use of the objective structured clinical examination for screening foreign medical graduates (n=67) wishing to enter a preinternship program in at the University of Toronto. However, it also showed that appropriate training for the candidates was the internship, not preinternship, program. (MSE)

The impact of changing health care systems on the content of pharmaceutical education is examined, including the relationship between basic and applied sciences and between the applied sciences and skill and attitude formation, in both academic and clinical education. The role of pharmacy administration in the curriculum is discussed. (MSE)

A study compared results of 2 teaching methods, traditional Socratic method (22 students) and a problem-based curriculum (35 students) in a University of Kentucky medical school surgery clerkship. Results showed the problem-based method resulted in similar knowledge level but improved clinical problem-solving skills. (Author/MSE)

The McMaster University (Canada) undergraduate medical program participated in a nine-school self-study of clinical evaluation. Comparison of top-ranked problems found lack of transmission of evaluative information from one clerkship unit to subsequent ones to be a common problem. Faculty unwillingness to record negative evaluations was exclusive…

A study of medical clerkship students' time allocations found the greatest time expenditures in personal activities, then organized educational activities (rounds, conferences, lectures, chartwork, patient contact, examination study, ancillary activities, procedures, and directed study. Students slept 5.8 hours per night. Better balance of patient…

Despite some efforts, dental education is not succeeding at creating socially responsible, service-oriented professionals. Further research should be undertaken on the effectiveness of various forms of community health services, improving service to underserved populations, the perceptions of the underserved, clinical experience with health teams,…

A survey gathered information on methods of class II amalgam preparation taught in 59 dental schools. Focus was on the teaching and testing of proximal retention groove use, stated rationale for placing retention grooves, and the relationship of the instruction to board criteria for cavity preparation. (MSE)