The impact of the location and structure of an ambulatory rotation on cognitive knowledge and performance

David J. Solomon, Curtis J. Rosebraugh, Alice J. Speer, Mark Holden, Karen Szauter

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

With the increasing shift to community-based ambulatory education, it is essential to gain a better understanding of the impact of these changes. To assess the impact of the location and structure of an ambulatory internal medicine clerkship rotation on cognitive knowledge and clinical performance, students were assigned to one of the following: (a) a multidisciplinary ambulatory clerkship (MAC), (b) the office of a community-based general internist, or (c) a university-based internal medicine ambulatory clinic. The groups were compared on the internal medicine clerkship examination and preceptor ratings controlling for introduction to clinical medicine course performance via analysis of covariance. MAC students were rated lower than the other two groups by their preceptors. There were no other statistically significant differences. The structure and location of the rotation had little impact on cognitive knowledge. The impact of the structure of the rotation on clinical performance is less clear suggesting that further research is needed.

Original languageEnglish (US)
Pages (from-to)197-207
Number of pages11
JournalEvaluation and the Health Professions
Volume22
Issue number2
DOIs
StatePublished - Jun 1999
Externally publishedYes

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Internal Medicine
medicine
Students
knowledge
performance
Clinical Medicine
community
Education
Group
student
rating
Research
examination
university
education

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

The impact of the location and structure of an ambulatory rotation on cognitive knowledge and performance. / Solomon, David J.; Rosebraugh, Curtis J.; Speer, Alice J.; Holden, Mark; Szauter, Karen.

In: Evaluation and the Health Professions, Vol. 22, No. 2, 06.1999, p. 197-207.

Research output: Contribution to journalArticle

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