Evaluation of a Preceptorship Model on the Third Year General Surgery Clerkship
*Alaina D Geary, *Luise IM Pernar, *Cullen O Carter
Boston Medical Center, Boston, MA
Objective: Evaluation of student performance after introduction of preceptorship model
Design: Case-control study
Setting: 3rdyear surgical clerkship sites associated with Boston Medical Center
Participants: Subjects drawn from a convenience sample of 3rdyear medical students rotating on the surgical clerkship
Intervention: A preceptorship model was introduced at two of seven core general surgery clerkship sites between 05/2017 and 05/2018. In contrast to the standard structure, where students are assigned to cases and clinics, preceptorship students are assigned to attendings and follow the attending’s schedules for the rotation.
Main Outcome Measures: Student performance data including final grades, clinical evaluations, and end-of-rotation shelf examination scores, were collected from 05/2016 to 11/2018. End-of-rotation formative and summative comments were also collected. Preceptorship performance was compared to the standard structure overall and in quartiles. Comments were assessed for length. All quantitative analyses were performed in R-studio. Results: 276 students were included; 41 rotated on a clerkship with a preceptorship. Overall, there was no difference in student performance across the two clerkship structures. When assessed by quartile, below average preceptorship students had higher clinical grades than standard structure students (45 vs. 44 p< 0.04). Above and below average preceptorship students had higher shelf exam scores than standard clerkship students (80 vs. 79 p<0.02, 76 vs. 73 p <0.001). Formative and summative evaluations for preceptorship students were noted to be longer (46 words vs. 22 words p<0.001, 137 vs. 71 p<0.001).
Conclusions: This study supports that average performing students benefit from direct attending surgeon attention. This model may be useful in captivating students that may not have otherwise been engaged.
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