Early experience with a combined surgical and obstetrics/gynecology clerkship: We do get along

Sherif Abdel-Misih; Nicole Verbeck; Curtis Walker; Wanjiku Musindi; Katherine Strafford; Lori Meyers; Kimberly Tartaglia; Alan Harzman

doi:10.1016/j.amjsurg.2018.02.012

Early experience with a combined surgical and obstetrics/gynecology clerkship: We do get along

Am J Surg. 2018 Nov;216(5):1016-1021. doi: 10.1016/j.amjsurg.2018.02.012. Epub 2018 Feb 16.

Authors

Sherif Abdel-Misih¹, Nicole Verbeck², Curtis Walker³, Wanjiku Musindi⁴, Katherine Strafford⁵, Lori Meyers⁶, Kimberly Tartaglia⁷, Alan Harzman⁸

Affiliations

¹ The Ohio State University Wexner Medical Center, Department of Surgery, 320 W. 10th Ave., M256 Starling Loving Hall, Columbus OH 43210, USA. Electronic address: sherif.abdel-misih@osumc.edu.
² The Ohio State University College of Medicine, 370 W. 9th Ave., 209, Columbus OH 43210, USA. Electronic address: nicole.verbeck@osumc.edu.
³ OhioHealth Care, Special Projects and Healthcare Policy Consultant, 370 W. 9th Ave., 203, Columbus OH 43210, USA. Electronic address: curtis.walker@ohiohealth.com.
⁴ Mt. Carmel Health, Department of Obstetrics/Gynecology, Mount Carmel St. Ann's OB/Gyn Clinic, 500 S. Cleveland Ave, 1st Floor Women's Pavilion OB/Gyn Clinic, Westerville, OH 43081, USA. Electronic address: wanjiku.kabiru-musindi@mchs.com.
⁵ The Ohio State University Wexner Medical Center, Department of Obstetrics & Gynecology, 395 W. 12th Ave., Room 520, Columbus OH 43210-1267, USA. Electronic address: katherine.strafford@osumc.edu.
⁶ The Ohio State University Wexner Medical Center, Department of Anesthesia, 410 W. 10th Ave., N411 Doan Hall, Columbus OH 43210-1267, USA. Electronic address: lori.meyers@osumc.edu.
⁷ The Ohio State University Wexner Medical Center, Department of Internal Medicine, 320 W. 10th Ave., M112 Starling Loving Hall, Columbus OH 43210, USA. Electronic address: kimberly.tartaglia@osumc.edu.
⁸ The Ohio State University Wexner Medical Center, Department of Surgery, 410 W. 10th Ave., N749 Doan Hall, Columbus OH 43210, USA. Electronic address: alan.harzman@osumc.edu.

PMID: 29471965
DOI: 10.1016/j.amjsurg.2018.02.012

Abstract

Background: In 2012, the Ohio State University College of Medicine (OSUCOM) implemented a new undergraduate medical curriculum. We compare outcomes of a third year traditional clerkship format to a combined Surgery and Obstetrics/Gynecology 'ring'.

Methods: Performance outcomes of 4 consecutive classes were compared between pre- (2014, 2015) and post-curricular revision (2016, 2017).

Results: Three hundred ninety-one students consented use of their educational data for research. We examined medical knowledge (NBME scores, USMLE Step 1 and Step 2 CK scores) and student satisfaction between pre- and post-curricular revision. Results demonstrated no statistically significant difference in the Obstetrics/Gynecology NBME shelf examination. Surgery NBME and USMLE Step 2 scores were increased and statistically significant but satisfaction of both disciplines was higher pre-curricular revision.

Conclusion: Medical knowledge outcomes in this combined 'ring' were similar to or higher than performance in previous years'. Future analyses are needed to assess the impact of OSUCOM curricular revision.

Keywords: Combined clerkship; Horizontal integration; Integrated curriculum; Teaching; Vertical integration.

MeSH terms

Clinical Clerkship*
Clinical Competence
Curriculum
Education, Medical, Undergraduate*
Female
General Surgery / education*
Gynecology / education*
Humans
Male
Obstetrics / education*
Ohio