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How Do Graduates of Longitudinal Integrated Clerkships Fare on the Medical Council of Canada Qualifying Exam Part ll?

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DOI: 10.4236/ce.2014.521208    2,284 Downloads   2,598 Views   Citations

ABSTRACT

The longitudinal integrated clerkship (LIC) model has recently become a popular educational model for training clinical clerks. LICs permit students to train in multiple disciplines concurrently and typically in rural practice sites. Because little is known about how graduates of LIC programs fare in residency, the purpose of this study was to compare the clinical performance of residents who graduated from rural longitudinal integrated and urban rotation-based clerkships on the Medical Council of Canada Qualifying Exam Part ll (MCCQE Part ll) taken 16 months into residency. Participants included medical school graduates from the classes of 2009, 2010 and 2011 at the University of Calgary. Each of the 34 LIC students were prospectively matched (first on Medical Skills ll course performance, then grade point average) with 4 students from the traditional rotation-based (RB) stream to serve as controls (n = 136). A dataset containing 170 graduates was forwarded to the Medical Council of Canada (MCC) who subsequently supplied MCCQE Part ll pass/ fail status and total score for each resident, and returned the dataset for our analysis. Data were analyzed using chi-square and analysis of variance. The final dataset for analysis consisted of 30 (88%) LIC graduates and 115 (85%) RB graduates. Analysis revealed a similar MCCQE Part ll pass rate for LIC (28/30; 93.3%) and RB (107/115; 93.0%) graduates, p > 0.05. The MCCQE Part ll mean total score for the LIC graduates (M = 527.4; SD = 64.3) did not differ from the mean total score (M = 529.9; SD = 61.4) reported by the RB graduates, F = 0.04, p = 0.85. Completing the majority of clerkship in a rural community over an extended period allowed LIC graduates to perform as well as their peers on a measure of clinical skills taken 16 months into residency.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Woloschuk, W. , Myhre, D. , Jackson, W. , McLaughlin, K. and Wright, B. (2014) How Do Graduates of Longitudinal Integrated Clerkships Fare on the Medical Council of Canada Qualifying Exam Part ll?. Creative Education, 5, 1869-1872. doi: 10.4236/ce.2014.521208.

References

[1] Fraser, R. C. (1991). Undergraduate Medical Education: Present State and Future Needs. British Medical Journal, 303, 41-43.
http://dx.doi.org/10.1136/bmj.303.6793.41
[2] Hauer, K. E., Hirsh, D., Ma, I., Hansen, L., Ogur, B., Poncelet, A. N. et al. (2012). The Role of Role: Learning in Longitudinal Integrated and Traditional Block Clerkships. Medical Education, 46, 698-710.
http://dx.doi.org/10.1111/j.1365-2923.2012.04285.x
[3] Myhre, D., Woloschuk, W., Jackson, W., & McLaughlin, K. (2014). Academic Performance of Students on Longitudinal Integrated Clerkship vs. Rotation-Based Clerkship: A Matched Cohort Study. Academic Medicine, 89, 292-295.
http://dx.doi.org/10.1097/ACM.0000000000000110
[4] Reznick, R. K., Blackmore, D., Cohen, R., Baumber, J., Rothman, A., Smee, S. et al. (1993). An Objective Structured Clinical Examination for the Licentiate of the Medical Council of Canada: From Research to Reality. Academic Medicine, 68, S4-S6.
http://dx.doi.org/10.1097/00001888-199310000-00028
[5] Walters, L., Greenhill, J., Richards, J., Ward, H., Campbell, N., Ash, J., & Schuwirth, L. W. T. (2012). Outcomes of Longitudinal Integrated Clinical Placements for Students, Clinicians and Society. Medical Education, 46, 1028-1041.
http://dx.doi.org/10.1111/j.1365-2923.2012.04331.x
[6] Woloschuk, W., Myhre, D., Jackson, W., McLaughlin, K., & Wright, B. (2014). Comparing the Performance in Family Medicine Residencies of Graduates from Longitudinal Integrated Clerkships and Rotation-Based Clerkships. Academic Medicine, 89, 296-300.
http://dx.doi.org/10.1097/ACM.0000000000000113

  
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