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Abstract Details

Assessment of Medical Student Clinical Skills during Neurology Clerkship: A Quality Improvement Study
Research Methodology, 好色先生, and History
P2 - Poster Session 2 (5:30 PM-6:30 PM)
4-034
To identify the most common clinical areas of weaknesses for third year medical students during their third year neurology clerkship, by analyzing their feedback forms.
Medical students in the neurology clerkship struggle to obtain a focused history and physical examination from a neurological patient, as there is often alteration in mental status and neurology patients tend to be more difficult and complex than other patients. Boston University Medical School (BUSM) has started a new initiative this year whereby third year medical students are directly observed by a neurology attending or resident for a bedside interview, examination, oral presentation and documentation of neurology patients. 
In this retrospective study, we used de-identified feedback forms of students who have already completed their neurology clerkship for the 2018-2019 academic year, to identify recurrent areas for improvement. Students were evaluated in four major categories: history-taking, neurological examination, oral presentation, and written documentation. 
N = 95 students have already finished their neurology clerkship. Preliminary analysis of 15 feedback forms has been performed to ascertain the most recurrent feedback comments, which are listed next. For history taking: differential-driven questions (40% students), guiding the direction of the interview (40% students). For the neurological exam: systematic examination (53% students), improvement of reflex technique (47% students). For oral presentations: improving the differential diagnosis (40% students), delivering a more organized presentation (27% students), and improving the summary statement (27% students). For written notes: having a more pertinent differential (47% students), and writing more concise notes (33% students). 
By detecting common areas for improvement, this study will have great impact on medical education in Neurology and will further support the benefit of direct observation and feedback, which may be extended to other clerkships, and can help smooth the transition from the second to the third year of medical school education. 
Authors/Disclosures
Erin Barnes, MD (Albany Medical Center)
PRESENTER 		An immediate family member of Dr. Barnes has received personal compensation for serving as an employee of Go2For Lung Cancer. The institution of Dr. Barnes has received research support from NIH.
Thiago S. Carneiro, MD Dr. Carneiro has nothing to disclose.
Elie Sader, MD No disclosure on file
Okeanis Vaou, MD, FAAN (UT San Antonio) Dr. Vaou has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for ABBVIE. Dr. Vaou has received personal compensation in the range of $10,000-$49,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Abbvie. Dr. Vaou has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Medtronic . Dr. Vaou has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for medtronic. An immediate family member of Dr. Vaou has stock in SAGE. The institution of Dr. Vaou has received research support from Medtronic.