Morgan Helen, Skinner Bethany, Marzano David, Fitzgerald James, Curran Diana, Hammoud Maya
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.
Department of Learning Health Services, University of Michigan, Ann Arbor, Michigan, USA.
Clin Teach. 2017 Oct;14(5):340-343. doi: 10.1111/tct.12576. Epub 2016 Nov 22.
In response to calls to improve the continuum between undergraduate and graduate medical education, many medical schools are creating electives designed to prepare students for residency training. There is a need for data that link improvements from these residency preparation courses to residency itself. Data is needed that links improvements from these residency preparation courses to residency OBJECTIVE: To examine senior medical student performance on the Association of Professors of Gynecology and Obstetrics (APGO) Preparation for Residency Knowledge Assessment before and after an obstetrics and gynaecology residency preparation elective, and to determine whether the knowledge improvements persisted to the start of the residency.
All 13 students enrolled in the course completed the APGO knowledge assessment on the first and last day of the elective. Three months later, the students were asked to re-take the assessment immediately prior to the start of their residency.
There was improvement in mean scores from the pre-test score of 66.4 per cent to the post-test score of 77.4 per cent. At the time of the pre-test, three of the 13 students (23%) had passing scores (70% or greater), and at the time of the post-test, 11 of the 13 (85%) had passing scores. Nine of the 13 students (69%) completed the APGO knowledge assessment immediately prior to the start of their residency. Those nine students had a mean pre-residency score of 76.4 per cent. Eight of the nine students (89%) passed the pre-residency test.
Our data support the value of residency preparation electives for improving knowledge, and suggest that senior medical school electives can help to bridge the continuum between undergraduate and graduate medical education.
为响应改善本科医学教育与研究生医学教育衔接的呼声，许多医学院校正在开设选修课程，旨在让学生为住院医师培训做好准备。需要有数据将这些住院医师培训准备课程的改进与住院医师培训本身联系起来。
研究高年级医学生在妇产科住院医师培训准备选修课程前后，在妇产科教授协会（APGO）住院医师培训知识评估中的表现，并确定知识的提升是否持续到住院医师培训开始。
该课程招收的所有13名学生在选修课程的第一天和最后一天完成了APGO知识评估。三个月后，要求学生在住院医师培训开始前立即重新参加评估。
平均分数从预测试的66.4%提高到后测试的77.4%。预测试时，13名学生中有3名（23%）达到及格分数（70%或更高），后测试时，13名学生中有11名（85%）达到及格分数。13名学生中有9名（69%）在住院医师培训开始前立即完成了APGO知识评估。这9名学生住院医师培训前的平均分数为76.4%。9名学生中有8名（89%）通过了住院医师培训前测试。
我们的数据支持住院医师培训准备选修课程在提高知识方面的价值，并表明医学院高年级选修课程有助于弥合本科医学教育与研究生医学教育之间的衔接。
