Tsee Foong Loh, MBBS MMed, MBBS MMed, KK Hospital, Singapore, Singapore, Oh Moh Chay, MBBS MMed, KK Hospital, Singapore, Singapore
Background: DUKE_NUS graduate medical school was founded in 1997 as the first graduate medical school in Singapore. Collaboration between Duke University Medical School (DUMC) and Yong Loo Ling School of Medicine, National University of Singapore (YLL-NUS) resulted in a 4-year medical school program affiliated to SingHealth Cluster of medical institutions. The first year comprises of 6 courses: Molecules and Cells, Brain and Behavior, Normal Body, Body and Disease, Practice Course and Investigative Methods Tools. Students successful in the first year of basic sciences in the first year were admitted into the second year clinical clerkships consisting of Medicine, Surgery, Obstetrics and Gynaecology, Psychiatry and Neurology and Paediatrics. Paediatric clerkship was based in KK Women’s and Children’s Hospital. Curriculum was adapted from existing COMSEP and YLL-NUS syllabus. Objective: To report 4 years experience of second year paediatric clerkship rotation in a Singapore graduate medical school. Methods: 184 MS2 students participated in the inaugural clerkship lasting eight weeks; 4 weeks in inpatient areas (general paediatric wards, high dependency and special care nursery) and outpatient areas (general ambulatory clinics, specialist’s outpatient clinics and children’s emergency) each. Structured learning programs include bedside tutorials, clinical Team LEAD (CTLEAD) sessions, clinical rounds, CLIPPs and interactive sessions. Assessment tools include continual assessment, case presentations, MCQs in CTLEAD sessions, and end of term test , logbooks and SHELF examination. Feedback from students were taken final week of rotation by the School. For comparative purpose, Duke_NUS students’ scores were compared with 50%percentile norms on SHELF exam. Results: All students passed the clerkship with aggregate score of 69/100 (SD 2.1). The average end of term clinical test score was 68. The aggregate SHELF score for the 4 years 72 was compared to MS2 scores in US (50percentile) 74.2 (p=NS). Mean rating by students if they felt they “learnt valuable skills that they can apply to practice of medicine was 4 (5=highest). Conclusions: The Duke_NUS paediatric clerkship was well received by the students and they performed as well as the 50% percentile of norms in USMLE SHELF exams.