From the Office of Medical Education, Brody School of Medicine at East Carolina University, Greenville, North Carolina (CMC, SCC, LEL); Department of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center (UPMC), Pittsburgh, Pennsylvania (JEE); Department of Pathology, Brody School of Medicine at East Carolina University, Greenville, North Carolina (PJB); Department of Anatomy and Cell Biology, Brody School of Medicine at East Carolina University, Greenville, North Carolina (KMH); Division of Stroke and Neurocritical Care, Vidant Medical Center, Greenville, North Carolina (MM); and Department of Physical Medicine and Rehabilitation, Brody School of Medicine at East Carolina University, Greenville, North Carolina (JWN).
Am J Phys Med Rehabil. 2021 Feb 1;100(2S Suppl 1):S17-S22. doi: 10.1097/PHM.0000000000001491.
This study evaluated the impact of a 4-wk mandatory neurology-physical medicine and rehabilitation advanced-core clerkship for fourth-year medical students. The combined clerkship encouraged an interdisciplinary and function-based approach to the management of common neurologic, musculoskeletal, and pain complaints. Seventy-three fourth-year medical students participated in the rotation over 1 yr. A survey assessing knowledge and skill set topics was conducted before and after the clerkship. Qualitative feedback regarding the rotation was provided by the students and analyzed. Significant gaps in knowledge and skill sets were identified before the clerkship and successfully addressed by combined teaching modalities. These data demonstrate that an integrated neurology-physical medicine and rehabilitation clerkship can improve students' confidence in multiple domains. Integrating physical medicine and rehabilitation into core clerkships at other medical schools may provide an avenue to address curriculum gaps.
本研究评估了为期 4 周的强制性神经病学-物理医学与康复高级核心实习对四年级医学生的影响。该联合实习鼓励采用跨学科和基于功能的方法来管理常见的神经、肌肉骨骼和疼痛问题。在 1 年的时间里,有 73 名四年级医学生参加了该轮转。在实习前后进行了一项评估知识和技能主题的调查,并对调查结果进行了分析。在实习前发现了知识和技能方面的显著差距,并通过综合教学模式成功解决。这些数据表明,综合神经病学-物理医学与康复实习可以提高学生在多个领域的信心。将物理医学与康复纳入其他医学院的核心实习课程可能为解决课程差距提供了途径。