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Pairing medical students on the wards: A multi-site analysis of pairing effect on clerkship performance

BACKGROUND: Medical students are often paired together on clinical teams during their clerkships. While this practice has multiple potential positive effects, evidence suggests that most students feel that their evaluation is impacted by the other student. This perception negatively impacts the lear...

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Autores principales: Sharma, Krishan K., Chang, Yuchiao, Miloslavsky, Eli M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9707778/
https://www.ncbi.nlm.nih.gov/pubmed/36445865
http://dx.doi.org/10.1371/journal.pone.0277898
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author Sharma, Krishan K.
Chang, Yuchiao
Miloslavsky, Eli M.
author_facet Sharma, Krishan K.
Chang, Yuchiao
Miloslavsky, Eli M.
author_sort Sharma, Krishan K.
collection PubMed
description BACKGROUND: Medical students are often paired together on clinical teams during their clerkships. While this practice has multiple potential positive effects, evidence suggests that most students feel that their evaluation is impacted by the other student. This perception negatively impacts the learning environment. We set out to determine whether paired students had a measurable effect on each other’s clerkship grade during the medicine sub-internship. METHOD: We examined 186 4(th) year student-pairs during the required medicine sub-internship at 3 hospital sites of Harvard Medical School from 2013–2017. Chi-square tests were used to determine whether pairing impacted the final clerkship grade. Subsequently we examined whether pairing impacted the sub-internship performance stratified by students’ 3(rd) year core medicine clerkship grade to account for prior performance. FINDINGS: We found no significant deviation between the expected and observed distribution of student grades (chi-square 1.9, p = 0.39) among 186 student pairs, suggesting that pairing had no meaningful effect on the sub-internship grade. We also saw no significant effect of pairing when controlling for prior internal medicine clerkship performance (chi-square 10.9, p = 0.53). CONCLUSIONS: Despite concerns that students on the same medical team may impact each other’s performance evaluation, our exploratory study demonstrated no significant effect of student pairing on grades in a medicine sub-internship. Further study of the complex relationship between students on a medical team are warranted to optimize this common practice and enhance the learning environment.
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spelling pubmed-97077782022-11-30 Pairing medical students on the wards: A multi-site analysis of pairing effect on clerkship performance Sharma, Krishan K. Chang, Yuchiao Miloslavsky, Eli M. PLoS One Research Article BACKGROUND: Medical students are often paired together on clinical teams during their clerkships. While this practice has multiple potential positive effects, evidence suggests that most students feel that their evaluation is impacted by the other student. This perception negatively impacts the learning environment. We set out to determine whether paired students had a measurable effect on each other’s clerkship grade during the medicine sub-internship. METHOD: We examined 186 4(th) year student-pairs during the required medicine sub-internship at 3 hospital sites of Harvard Medical School from 2013–2017. Chi-square tests were used to determine whether pairing impacted the final clerkship grade. Subsequently we examined whether pairing impacted the sub-internship performance stratified by students’ 3(rd) year core medicine clerkship grade to account for prior performance. FINDINGS: We found no significant deviation between the expected and observed distribution of student grades (chi-square 1.9, p = 0.39) among 186 student pairs, suggesting that pairing had no meaningful effect on the sub-internship grade. We also saw no significant effect of pairing when controlling for prior internal medicine clerkship performance (chi-square 10.9, p = 0.53). CONCLUSIONS: Despite concerns that students on the same medical team may impact each other’s performance evaluation, our exploratory study demonstrated no significant effect of student pairing on grades in a medicine sub-internship. Further study of the complex relationship between students on a medical team are warranted to optimize this common practice and enhance the learning environment. Public Library of Science 2022-11-29 /pmc/articles/PMC9707778/ /pubmed/36445865 http://dx.doi.org/10.1371/journal.pone.0277898 Text en © 2022 Sharma et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Sharma, Krishan K.
Chang, Yuchiao
Miloslavsky, Eli M.
Pairing medical students on the wards: A multi-site analysis of pairing effect on clerkship performance
title Pairing medical students on the wards: A multi-site analysis of pairing effect on clerkship performance
title_full Pairing medical students on the wards: A multi-site analysis of pairing effect on clerkship performance
title_fullStr Pairing medical students on the wards: A multi-site analysis of pairing effect on clerkship performance
title_full_unstemmed Pairing medical students on the wards: A multi-site analysis of pairing effect on clerkship performance
title_short Pairing medical students on the wards: A multi-site analysis of pairing effect on clerkship performance
title_sort pairing medical students on the wards: a multi-site analysis of pairing effect on clerkship performance
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9707778/
https://www.ncbi.nlm.nih.gov/pubmed/36445865
http://dx.doi.org/10.1371/journal.pone.0277898
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