|
Innovations in Education: A Rural, Longitudinal Pediatric
Rotation
Authors: Sarah Moerschel, MD
West Virginia University Eastern Division
Objective: Innovative teaching techniques will be needed as greater
numbers of students are trained in community settings. The Eastern Division
of West Virginia University has trained third year students in a six month longitudinal,
interdisciplinary, community based setting.
Methods: Sixteen students from West Virginia University and West
Virginia School of Osteopathic Medicine receive their third year training in
the Eastern Division of WVU. This remote campus is in an underserved, rapidly
growing area of the state. It is three hours from the tertiary care university
hospital. Students receive significantly more exposure to outpatient pediatrics
and community based experiences than most traditional block rotations. CLIPP
cases and assigned readings are required.
Results: Outcomes at our community campus were compared to an 8 week
block experience at the main campus in Morgantown using national exams, student
rating, and observations by faculty. NBME Pediatric Shelf exam scores for the
community campus were in the 54th percentile, compared to main campus
scores of 48-58th %ile. Students' ratings of the clerkship in the
community campus were similar to ratings of the main campus.
Conclusion: A rural, longitudinal program can provide an excellent
pediatric experience to third year students. Students benefited from the hands-on
aspect of training in a community hospital, and from the reinforcing nature
of the longitudinal, interdisciplinary program.
|