Pre-clerkship clinical skills and clinical reasoning course performance: Explaining the variance in clerkship performance: Pre-clerkship predictors of clerkship variance

Jeffrey S. LaRochelle; Ting Dong; Steven J. Durning

doi:10.1007/S40037-016-0287-Z

Figures & Tables

Table 1

The contingency table between at risk students at both Introduction to Clinical Medicine and Introduction to Clinical Reasoning courses and poor performance identified by average clerkship grades

		Average clerkship grades
		Poor performance	No poor performance
At risk at both ICM/ICR	Observed count	5 (31.3 %)	11 (68.8 %)
At risk at both ICM/ICR	Expected count	0.9	15.1
Not at risk at both ICM/ICR	Observed count	21 (4.5 %)	447 (95.5 %)
Not at risk at both ICM/ICR	Expected count	25.1	442.9

Pearson χ ² (1) = 21.80, p < 0.01. ICD Introduction to Clinical Diagnosis, ICM Introduction to Clinical Medicine

Table 2

The contingency table between at risk students identified by both Introduction to Clinical Medicine and Introduction to Clinical Reasoning courses and poor performance identified by average clerkship the National Board of Medical Examiners scores

		Average clerkship NBME scores
		Poor performance	No poor performance
At risk at both ICM/ICR	Observed count	3 (18.8 %)	13 (81.3 %)
At risk at both ICM/ICR	Expected count	0.6	15.4
Not at risk at both ICM/ICR	Observed count	15 (3.2 %)	453 (96.8 %)
Not at risk at both ICM/ICR	Expected count	17.4	450.6

Pearson χ ² (1) = 10.44, p < 0.05. ICD Introduction to Clinical Diagnosis, ICM Introduction to Clinical Medicine, NBME National Board of Medical Examiners

Table 3

Regression models of Introduction to Clinical Medicine and Introduction to Clinical Reasoning course performances to predict variance in average National Board of Medical Examiners subject exam scores across six clerkships

Explanatory variables	Standardized regression coefficient	t-statistic	p-value	R² change
First year GPA	0.30	5.61	<0.0005	0.34
ICD NBME	0.53	13.59	<0.0005	0.22
ICR small-group points	0.08	10.97	0.014
ICR exam points	−0.09	10.09	0.009
ICM preceptor	−0.01	0.43	0.75
ICM OSCE	0.05	1.51	0.14

GP grade point average, ICD Introduction to Clinical Diagnosis, ICM Introduction to Clinical Medicine, ICR Introduction to Clinical Reasoning, NBME National Board of Medical Examiners, OSCE Objective Structured Clinical Examination

Table 4

Regression models of Introduction to Clinical Medicine and Introduction to Clinical Reasoning course performances to predict variance in average final grade across six clerkships

Explanatory variables	Standardized regression coefficient	t-statistic	p-value	R² change
First year GPA	0.27	4.32	<0.0005	0.32
ICD NBME	0.35	4.84	<0.0005	0.20
ICM preceptor	0.11	3.87	0.001
ICM OSCE	0.16	3.75	<0.0005
ICR small-group points	0.15	4.34	<0.0005
ICR exam points	0.04	4.42	0.351

GPA grade point average, ICD Introduction to Clinical Diagnosis, ICM Introduction to Clinical Medicine, ICR Introduction to Clinical Reasoning, NBME National Board of Medical Examiners, OSCE Objective Structured Clinical Examination