Pediatric clinical clerkships are associated with an excess risk of acute infection

Article Abstract:

Medical students on clinical pediatric rotations appear to experience more frequent illness than on other rotations. A group of 177 students kept track of episodes of respiratory and gastrointestinal illness during inpatient pediatrics, outpatient pediatrics, psychiatric, and obstetrics-gynecology clerkships. Sixty-one percent of students who returned questionnaires from at least one pediatric clerkship and one control clerkship experienced an illness during a pediatric clerkship versus 39% during other rotations. Of the 62 students who returned questionnaires from all four clerkships, 77% experienced an illness during a pediatric clerkship versus 44% during other rotations. These results suggest that students need instruction in how to prevent disease transmission both to avoid becoming ill themselves and to avoid becoming potential reservoirs for illness transmission to highly vulnerable patients.

Health aspects, Risk factors, Nosocomial infections, Cross infection

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The Art of Precepting

Article Abstract:

In learning to do diagnoses, medical students now are able to use what is called Aunt Minnie -- a rapid pattern recognition diagnosis which refers to the saying that if the old lady crossing the street looks like Aunt Minnie, dresses like Aunt Minnie, etc., you can assume it is she, even if you can't see her face. Preceptors in medical schools are responsible for teaching medical students how to diagnose. Traditionally, the Socratic method is used in which the student does a complete medical history and physical exam, presents the case, and discusses possibilities. With rapid pattern recognition, the student is learning the method most experienced clinicians use most of the time.

Pattern recognition, Pattern recognition (Computers)

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Effect of a Longitudinal Course on Student Performance Clerkships

Article Abstract:

Three years of training with a pediatric preceptor appears to improve the clinical competence of medical students. Researchers assigned 109 third-year medical students to clerkships with either family medicine, internal medicine, or pediatrics preceptors. Students who worked with pediatric or internal medicine preceptors scored higher on written tests of medical history-taking and physical examination skills, and those with pediatric preceptors had higher clinical scores in their pediatric curriculum.

United States, Statistical Data Included, Training

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