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Are we optimizing medical students’ preparation for clerkship? A content analysis of narrative comments on clinical skills during preclinical training

Bergeron Linda, Blanchette Patricia, Chakroun Molk, Boileau Élisabeth, Boulais Isabelle, Chamberland Martine et St-Onge Christina. (2025). Are we optimizing medical students’ preparation for clerkship? A content analysis of narrative comments on clinical skills during preclinical training. Canadian Medical Education Journal, 16, (2), p. 32-37.

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URL officielle: https://doi.org/10.36834/cmej.78569

Résumé

Introduction: The progression from preclinical medical training to clerkship is a pivotal yet steep transition for medical students. Effective feedback on clinical skills during preclinical training can better equip students for clerkship and allows time for them to address difficulties promptly. The goal of this study was to explore whether and how narrative comments at this stage were being leveraged to achieve this transition.

Methods: We conducted a content analysis to categorize narrative comments on the clinical skills of two cohorts of third-year preclinical students at one academic institution.

Results: Teachers made narrative comments for 272 students. Each comment was divided into analysis units (n = 1,314 units). Comments were either general (n = 187) or focused on attitude (n = 628), knowledge and cognitive processes (n = 357), or clinical reasoning (n = 142). They were abundantly positive (n = 1,190) and marginally negative (n = 39). Few (6%) contained suggestions for improvement.

Discussion: In this study, narrative comments on clinical skills before clerkship seemed minimally helpful, as they were overwhelmingly positive and seldom offered suggestions. This could suggest missed opportunities for early interventions. Pre-clerkship narrative comments could potentially be optimized by increasing emphasis on clinical reasoning, addressing challenges early and providing actionable steps for improvement.

Type de document:Article publié dans une revue avec comité d'évaluation
ISSN:1923-1202
Volume:16
Numéro:2
Pages:p. 32-37
Version évaluée par les pairs:Oui
Date:28 Janvier 2025
Identifiant unique:10.36834/cmej.78569
Sujets:Sciences sociales et humaines > Sciences de l'éducation
Sciences de la santé
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé
Mots-clés:clerkship, medical student, clinical training, preclinical training, externat, étudiants en médecine, compétences cliniques, formation préclinique
Déposé le:28 mai 2025 18:06
Dernière modification:28 mai 2025 18:06
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