A clinical performance assessment for a third-year required clerkship in family medicine. 1993

B G Ferrell, and B L Thompson
Department of Family Medicine, University of Texas Medical Branch, Galveston.

BACKGROUND In planning a new family medicine clerkship, a clinical performance examination (CPE) using focused encounters was included in the student evaluation. This format was believed to best reflect the types of experiences that students would be exposed to during the primarily ambulatory care family medicine clerkship. METHODS Testing scenarios were representative of either the problem-based cases on which the curriculum had been developed or the 20 common problems seen in family medicine. To date, 175 students have taken the CPE, each completing two cases. RESULTS The first year of experience indicates that there are no differences in student performance between periods and that students do not perform differently on the first case than they do on the second. No significant effect for scenarios was found. Examiner effects have been found, however. CONCLUSIONS These effects suggest a need for further work in standardizing the scoring of the examination.

UI MeSH Term Description Entries
D002982 Clinical Clerkship Undergraduate education programs for second- , third- , and fourth-year students in health sciences in which the students receive clinical training and experience in teaching hospitals or affiliated health centers. Clerkship, Clinical,Clerkships, Clinical,Clinical Apprenticeship,Clinical Clerkships,Apprenticeship, Clinical,Apprenticeships, Clinical,Clinical Apprenticeships
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D005194 Family Practice A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family. Family Practices,Practice, Family,Practices, Family
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013781 Texas State bounded on the north by Oklahoma, on the east by Arkansas and Louisiana, on the south by Mexico, and on the west by New Mexico.

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