Effect of ambulatory medicine tutorial on clinical performance of 5th year medical students.

Journal of the Medical Association of Thailand = Chotmaihet thangphaet

PubMedID: 23590025

Phisalprapa P, Pandejpong D. Effect of ambulatory medicine tutorial on clinical performance of 5th year medical students. J Med Assoc Thai. 2013;96 Suppl 2S75-81.
BACKGROUND AND OBJECTIVE
The present study provided a group learning activity called "Ambulatory Medicine Tutorial-AMT" for 5th year medical students in order to facilitate learning experience at ambulatory setting and to improve medical students' clinical performance. This research aimed specifically to study the effect of AMT.

MATERIAL AND METHOD
Two groups of twenty 5th-year medical students were enrolled during their ambulatory medicine blocks. Each medical student was assigned to have 8 ambulatory sessions. AMT was assigned to one group while the other group only used conventional learning activity. At the end of the present study, total internal medicine scores, patient satisfaction surveys, and data on average time spent on each clinical encounter were collected and compared.

RESULTS
The AMT group received a higher total internal medicine score as compared to the conventional group (76.2 +/- 3.6 vs. 72.9 +/- 2.8, p = 0.003). The AMT group could reduce average time spent on each clinical encounter within their first-6 ambulatory sessions while the conventional group could acquire the same skill later in their last 2 ambulatory sessions. There was no significant difference found on comparing patient satisfaction scores between the 2 groups.

CONCLUSION
AMT helped improving medical students' outcomes as shown from higher total internal medicine score as well as quicker improvement during real-life clinical encounters, AMT could be a good alternative learning activity for medical students at ambulatory setting.