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. 2024 Dec 20;35(2):793-806.
doi: 10.1007/s40670-024-02235-1. eCollection 2025 Apr.

Integrating Clinical Presentation with Patient Encounter Experience and Community-Based Activities in the Pre-clerkship Curriculum. An Example of a Framework for Design, Implementation, and Evaluation

Asa Black  1 , Richard Goodwin  1   2 , Thomas I Nathaniel  1
Affiliations

Integrating Clinical Presentation with Patient Encounter Experience and Community-Based Activities in the Pre-clerkship Curriculum. An Example of a Framework for Design, Implementation, and Evaluation

Asa Black et al. Med Sci Educ. .

Abstract

The urgent need to enhance medical students' clinical problem-solving skills even in the pre-clerkship phase ushered in several initiatives in the medical school curriculum. One of such initiative is the introduction of clinical presentation activities combined with patient encounter experience and community-based activities in the first year of medical school. The study described the design, implementation, and evaluation of a medical school curriculum that integrates clinical presentation activities with patient encounter experience and a community-based educational program. For the clinical presentation, a two-tailed, Student's t-test showed a significant and higher performance in the summative assessments when compared with the formative assessment (P < 0.01). The KR-20 value for the reliability was between 0.69 and 0.92. For the patient interaction experience and community-based stroke education program, medical students demonstrated a significant (P < 0.05) higher perception of their experience in all assessment categories in the post-test evaluation. An integrated curriculum that allows students to directly interact with patients, families, and community members may add a positive context and engagement experience to make a difference in the education of future physicians.

Keywords: Family; Integration; Medical students; Patients.

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Conflict of interest statement

Competing InterestsThe authors declare no competing interests.

Figures

Fig. 1
Fig. 1
A modified six-step model approach for the development of an integrated curriculum that connects clinical presentation, students’ direct encounters with patients, and community-based stroke program
Fig. 2
Fig. 2
A summary of the design and implementation of the clinical presentation case-base session of the Neuroscience course
Fig. 3
Fig. 3
The sequence in the implementation of the integrated clinical presentation with patient encounter experience and community-based activities in the medical Neuroscience course
See this image and copyright information in PMC

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