Prolonged Delays for Research Training in Medical School are Associated with Poorer Subsequent Clinical Knowledge |
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Authors: | Liselotte N Dyrbye Matthew R Thomas Neena Natt Charles H Rohren |
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Institution: | (1) Department of Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55906, USA;(2) Department of Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55906, USA |
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Abstract: | Background Complementary degree programs and research training are important alternative tracks in medical school that typically interrupt
the traditional MD curriculum.
Objective Examine effects of such a break on clinical knowledge after reentry into the MD curriculum.
Design Retrospective cohort study.
Participants Three hundred and two graduates of Mayo Medical School.
Main Measurements Compared years of delay between the second and third years of medical school with third year clerkship grades, National Board
of Medical Examiner’s (NBME) Subject Examinations, and United States Medical License Exam (USMLE) Step 2.
Main Results 258, 13, and 31 students spent 0, 1, or ≥3 years pursing research between the second and third year. Baseline measures of
knowledge before matriculation and before the third year were similar between groups. Whereas a 1-year delay had no significant
effect, a ≥3-year delay was associated with fewer clerkship honors and lower NBME Medicine, Pediatrics, and Psychiatry percentiles
compared to no delay (all p < .05). Students with a ≥3-year delay had a 77% reduction in the odds of honors in Medicine. For each year of delay beyond
3, students’ third-year NBME Medicine, Neurology, Obstetrics and Gynecology, and Psychiatry scores decreased as did USMLE
Step 2 scores (r = −.38 to −.50, p < .05).
Conclusions Delays of ≥3 years between the second and third years of medical school are associated with lower grades and scores on clinical
knowledge tests. Further research is needed to determine the optimal timing of research training and develop effective interventions
to facilitate reentry into the medical school curriculum. |
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Keywords: | students medical education undergraduate research USMLE NBME subject examination clerkship grade clerkship honors |
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