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A FOUR YEAR LONGITUDINAL STUDY OF A PEDIATRIC CLERKSHIP

Clerkship performance should be evaluated to determine if objectives are achieved and appropriate and to improve the clerkship experience. Medical students (184) had a 12 week clerkship between 1969 and 1973. Emphasis was on data collection, problem solving, pediatric knowledge, and attitude in the clinical setting. Clerkship objectives, content and evaluation method were made known prior to the experience. Evaluation was done in the above emphasis areas. Student attitudes were quantified using pre-established criteria. Students, upon completion of the clerkship and later as housestaff, were asked to permit 2 supervisors to evaluate their performance as housestaff. One hundred fifteen students responded and 153 evaluations were made by housestaff supervisors. Performance was analyzed and comparisons made of emphasis areas as well as between clerkship, housestaff, and National Board performances. Performance was compared to specialty choice and graduates indicated the degree of clerkship influence, if any, on their choice.Achievement was documented by: National Boards (NB) (Pass: Clerkship-99%/HS-97%); evaluation of housestaff (HS)(96% no deficit in ped. knowledge, average or above performance: clerkshlp-79%/NB-99%); and retrospective assessment by HS (objectives highly appropriate-47% and preparation expecially strong-61%). There were notable differences in performances for various objectives and all, except attitude, correlated with specialty choice (ped. HS significantly higher than 2 and 4 of six specialty choices).