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Published in: International Journal of Emergency Medicine 1/2018

Open Access 01-12-2018 | Original Research

The role of emergency medicine clerkship e-Portfolio to monitor the learning experience of students in different settings: a prospective cohort study

Authors: Arif Alper Cevik, Sami Shaban, Margret El Zubeir, Fikri M. Abu-Zidan

Published in: International Journal of Emergency Medicine | Issue 1/2018

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Abstract

Background

Although emergency departments provide acute care learning opportunities for medical students, student exposure to recommended curriculum presentations and procedures are limited. In this perspective, clinical environments providing learning opportunities for students should be monitored as part of an ongoing quality improvement process. This study aims to analyze student exposures and their involvement levels in two different hospitals (Tawam and Al Ain) so as to improve the teaching and learning activities.

Methods

This is a prospective study on all 76 final year medical students’ electronic logbooks (e-Portfolio) of the academic year 2016/2017.

Results

Students recorded 5087 chief complaints and 3721 procedures. The average patient and procedure exposure in a shift per student in Al Ain Hospital compared with Tawam Hospital were 7.2 vs 6.4 and 5.8 vs 4.3, respectively. The highest full involvement with presentations was seen in the pediatric unit (67.1%, P < 0.0001). Urgent care shifts demonstrated the highest area of “full involvement” with procedures for our students (73.2%, P < 0.0001). Students’ highest involvement with presentations and procedures were found during the night shifts (P < 0.0001, 66.5 and 75.1%, respectively).

Conclusions

The electronic portfolio has proven to be a very useful tool in defining the learning activities of final year medical students during their emergency medicine clerkship and in comparing activities in two different clinical settings. Data collected and analyzed using this e-Portfolio has the potential to help medical educators and curriculum designers improve emergency medicine teaching and learning activities.
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Literature
1.
go back to reference Johnson GA, Pipas L, Newman-Palmer NB, Brown LH. The emergency medicine rotation: a unique experience for medical students. J Emerg Med. 2002;22:307–11.CrossRefPubMed Johnson GA, Pipas L, Newman-Palmer NB, Brown LH. The emergency medicine rotation: a unique experience for medical students. J Emerg Med. 2002;22:307–11.CrossRefPubMed
2.
go back to reference Avegno JL, Murphy-Lavoie H, Lofaso DP, Moreno-Walton L. Medical students’ perceptions of an emergency medicine clerkship: an analysis of self-assessment surveys. Int J Emerg Med. 2012;5:25.CrossRefPubMedPubMedCentral Avegno JL, Murphy-Lavoie H, Lofaso DP, Moreno-Walton L. Medical students’ perceptions of an emergency medicine clerkship: an analysis of self-assessment surveys. Int J Emerg Med. 2012;5:25.CrossRefPubMedPubMedCentral
3.
go back to reference Hem-Stokroos HV, Scherpbier AJ, Vleuten CV, et al. How effective is a clerkship as a learning environment? Med Teach. 2001;23:599–604.CrossRef Hem-Stokroos HV, Scherpbier AJ, Vleuten CV, et al. How effective is a clerkship as a learning environment? Med Teach. 2001;23:599–604.CrossRef
4.
go back to reference Avegno J, Leuthauser A, Martinez J, et al. Medical student education in emergency medicine: do students meet the national standards for clinical encounters of selected core conditions? J Emerg Med. 2014;47:328–32.CrossRefPubMed Avegno J, Leuthauser A, Martinez J, et al. Medical student education in emergency medicine: do students meet the national standards for clinical encounters of selected core conditions? J Emerg Med. 2014;47:328–32.CrossRefPubMed
5.
go back to reference McGraw R, Lord JA. Clinical activities during a clerkship rotation in emergency medicine. J Emerg Med. 1997;15:557–62.CrossRefPubMed McGraw R, Lord JA. Clinical activities during a clerkship rotation in emergency medicine. J Emerg Med. 1997;15:557–62.CrossRefPubMed
6.
go back to reference De Lorenzo RA, Mayer D, Geehr EC. Analyzing clinical case distributions to improve an emergency medicine clerkship. Ann Emerg Med. 1990;19:746–51.CrossRefPubMed De Lorenzo RA, Mayer D, Geehr EC. Analyzing clinical case distributions to improve an emergency medicine clerkship. Ann Emerg Med. 1990;19:746–51.CrossRefPubMed
7.
go back to reference Shaban S, Cevik AA, Canakci ME, Kuas C, El Zubeir M, Abu-Zidan F. Do senior medical students meet recommended emergency medicine curricula requirements? BMC Med Educ. 2018;18(1):8.CrossRefPubMedPubMedCentral Shaban S, Cevik AA, Canakci ME, Kuas C, El Zubeir M, Abu-Zidan F. Do senior medical students meet recommended emergency medicine curricula requirements? BMC Med Educ. 2018;18(1):8.CrossRefPubMedPubMedCentral
8.
go back to reference Soler NG, Mast TA, Anderson MB, Kienzler LM. A logbook system for monitoring student skills and experiences. J Med Educ. 1981;56:775–1.PubMed Soler NG, Mast TA, Anderson MB, Kienzler LM. A logbook system for monitoring student skills and experiences. J Med Educ. 1981;56:775–1.PubMed
9.
go back to reference Hunskaar S, Seim SH. The effect of a checklist on medical students’ exposures to practical skills. Med Educ. 1984;18:439–42.CrossRefPubMed Hunskaar S, Seim SH. The effect of a checklist on medical students’ exposures to practical skills. Med Educ. 1984;18:439–42.CrossRefPubMed
10.
go back to reference Penciner R, Siddiqui S, Lee S. Emergency medicine clerkship encounter and procedure logging using handheld computers. Acad Emerg Med. 2007;14:727–31.CrossRefPubMed Penciner R, Siddiqui S, Lee S. Emergency medicine clerkship encounter and procedure logging using handheld computers. Acad Emerg Med. 2007;14:727–31.CrossRefPubMed
11.
go back to reference Manthey DE, Ander DS, Gordon DC, et al. Emergency medicine clerkship curriculum: an update and revision. Acad Emerg Med. 2010;17:638–43.CrossRefPubMed Manthey DE, Ander DS, Gordon DC, et al. Emergency medicine clerkship curriculum: an update and revision. Acad Emerg Med. 2010;17:638–43.CrossRefPubMed
12.
go back to reference Hobgood C, Anantharaman V, Bandiera G, et al. International Federation for Emergency Medicine model curriculum for medical student education in emergency medicine. Emer Med Australas. 2009;21:367–72.CrossRef Hobgood C, Anantharaman V, Bandiera G, et al. International Federation for Emergency Medicine model curriculum for medical student education in emergency medicine. Emer Med Australas. 2009;21:367–72.CrossRef
15.
go back to reference Irby DM, Cooke M, O'brien BC. Calls for reform of medical education by the Carnegie Foundation for the Advancement of Teaching: 1910 and 2010. Acad Med. 2010;85(2):220–7.CrossRefPubMed Irby DM, Cooke M, O'brien BC. Calls for reform of medical education by the Carnegie Foundation for the Advancement of Teaching: 1910 and 2010. Acad Med. 2010;85(2):220–7.CrossRefPubMed
16.
go back to reference Rice S, McKendree J. E-learning. In: Swanwick T, editor. Understanding medical education: evidence, theory and practice, Kindle edition. Chichester: Wiley; 2014. Rice S, McKendree J. E-learning. In: Swanwick T, editor. Understanding medical education: evidence, theory and practice, Kindle edition. Chichester: Wiley; 2014.
17.
go back to reference Launer J. Supervision, mentoring and coaching. In: Swanwick T, editor. Understanding medical education: evidence, theory and practice, Kindle edition. Chichester: Wiley; 2014. Launer J. Supervision, mentoring and coaching. In: Swanwick T, editor. Understanding medical education: evidence, theory and practice, Kindle edition. Chichester: Wiley; 2014.
18.
go back to reference Steadman RH, Coates WC, Huang YM, et al. Simulation-based training is superior to problem-based learning for the acquisition of critical assessment and management skills. Crit Care Med. 2006;34:151–7.CrossRefPubMed Steadman RH, Coates WC, Huang YM, et al. Simulation-based training is superior to problem-based learning for the acquisition of critical assessment and management skills. Crit Care Med. 2006;34:151–7.CrossRefPubMed
19.
go back to reference McCoy CE, Menchine M, Anderson C, et al. Prospective randomized crossover study of simulation vs. didactics for teaching medical students the assessment and management of critically ill patients. J Emerg Med. 2010;40:448–55.CrossRefPubMed McCoy CE, Menchine M, Anderson C, et al. Prospective randomized crossover study of simulation vs. didactics for teaching medical students the assessment and management of critically ill patients. J Emerg Med. 2010;40:448–55.CrossRefPubMed
20.
go back to reference Ten Eyck RP, Tews M, Ballester JM. Improved medical student satisfaction and test performance with a simulation-based emergency medicine curriculum: a randomized controlled trial. Annals EM. 2009;54:684–91.CrossRef Ten Eyck RP, Tews M, Ballester JM. Improved medical student satisfaction and test performance with a simulation-based emergency medicine curriculum: a randomized controlled trial. Annals EM. 2009;54:684–91.CrossRef
21.
go back to reference Chakravarthy B, ter Haar E, Bhat SS, McCoy CE, Denmark TK, Lotfipour S. Simulation in medical school education: review for emergency medicine. West J Emerg Med. 2011;12(4):461.CrossRefPubMedPubMedCentral Chakravarthy B, ter Haar E, Bhat SS, McCoy CE, Denmark TK, Lotfipour S. Simulation in medical school education: review for emergency medicine. West J Emerg Med. 2011;12(4):461.CrossRefPubMedPubMedCentral
22.
go back to reference DeLahunta EA, Bazarian J. University and community hospital medical student emergency medicine clerkship experiences. Acad Emerg Med. 1998;5(4):343–6.CrossRefPubMed DeLahunta EA, Bazarian J. University and community hospital medical student emergency medicine clerkship experiences. Acad Emerg Med. 1998;5(4):343–6.CrossRefPubMed
23.
go back to reference Bernard AW, Dubosh N, O’Connell M, Adkins J, Khandelwal S, Hiestand B. Clinical teaching site does not affect test performance in an emergency medicine clerkship. Acad Emerg Med. 2011;18(7):741–4.CrossRefPubMed Bernard AW, Dubosh N, O’Connell M, Adkins J, Khandelwal S, Hiestand B. Clinical teaching site does not affect test performance in an emergency medicine clerkship. Acad Emerg Med. 2011;18(7):741–4.CrossRefPubMed
24.
go back to reference Goren EN, Leizman DS, La Rochelle J, Kogan JR. Overnight hospital experiences for medical students: results of the 2014 clerkship directors in internal medicine national survey. J Gen Intern Med. 2015;30(9):1245–50.CrossRefPubMedPubMedCentral Goren EN, Leizman DS, La Rochelle J, Kogan JR. Overnight hospital experiences for medical students: results of the 2014 clerkship directors in internal medicine national survey. J Gen Intern Med. 2015;30(9):1245–50.CrossRefPubMedPubMedCentral
25.
go back to reference Kiris S, Yuzugullu N, Ergun N, Cevik AA. A knowledge-based scheduling system for emergency departments. Knowl-Based Syst. 2010;23(8):890–900.CrossRef Kiris S, Yuzugullu N, Ergun N, Cevik AA. A knowledge-based scheduling system for emergency departments. Knowl-Based Syst. 2010;23(8):890–900.CrossRef
26.
go back to reference Denton GD, Hoang T, Prince L, Moores L, Durning S. Accuracy of medical student electronic logbook problem list entry. Teach Learn Med. 2007;19(4):347–51.CrossRefPubMed Denton GD, Hoang T, Prince L, Moores L, Durning S. Accuracy of medical student electronic logbook problem list entry. Teach Learn Med. 2007;19(4):347–51.CrossRefPubMed
Metadata
Title
The role of emergency medicine clerkship e-Portfolio to monitor the learning experience of students in different settings: a prospective cohort study
Authors
Arif Alper Cevik
Sami Shaban
Margret El Zubeir
Fikri M. Abu-Zidan
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Emergency Medicine / Issue 1/2018
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI
https://doi.org/10.1186/s12245-018-0184-9

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