1. in the Emergency Department CLICK TO GO BACK TO KIOSK MENU
Medical Student Educational Experiences and Completion of Learning Objectives
in the Emergency Department
Collyn Murray, MD, Christina Shenvi, MD, PhD
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Conclusion
Background
The Emergency Department (ED) provides a unique learning environment in which medical students can gain experience with managing acute, undifferentiated patients. It allows for countless learning experiences across a patient’s medical story. However, the fast-paced nature of the ED and preceptor variation limits standardized teaching. Little is known about the effectiveness of teaching in the ED, particularly for students. Medical schools are however integrating ED clerkships given their academic potential 1,2​. In order to optimize students’ educational experiences we sought to better understand with whom and where teaching occurs under our current clerkship design.
4th Year medical students in the ED felt they received individualized teaching on most shifts. They reported their education goals were met as often when working with residents as with attendings. From this, we plan to foster additional resident-student interaction and further train residents in bedside teaching on par with that of faculty development. Integrated teaching shifts may also help to establish rapport and fundamentals of learning in the ED. Overall, a larger sample size as well as input from preceptors are needed to further optimize ED education.
Methods
This is a prospective study of procedure cards and surveys submitted by medical students as part of their month-long 4th year clinical rotation in the ED between 05/2017 and 03/2018 at a tertiary care academic ED. Students marked which topics or procedures they had reviewed, and who had precepted them. In an exit survey, students were asked to rate how often they received individualized teaching and whether their educational goals were met when working with residents and attendings on a 10 point Likert scale. Qualitative and quantitative data were collected anonymously with IRB exemption.
Results
Shift card data was collected from 69 students. Attendings tended to precept visual diagnostics while residents tended to teach technical procedures. Forty-four students completed the exit survey. Results showed that students felt they received individualized teaching from both attendings and residents (7.9 and 8.0 respectively, p = 0.059). Students felt their goals were met more when reporting to the residents than attendings but not significantly so (8.6 and 8.0 respectively, p = 0.088). Themes noted in the open-ended portion of the survey were that students wanted more individualized experiences with the attendings, and requested more dedicated teaching shifts.
REFERENCES
1. Coates WC. (2004). An educator’s guide to teaching emergency medicine to medical students. Acad Emerg med, 11(3):
2. Wald DA, Lin M, Manthey DE, Rogers RL, Zun Ls, Christopher T. (2010). Emergency medicine in the medical school curriculum. Acad Emerg Med, 17 Supp:S26-30.

2. in the Emergency Department
Medical Student Educational Experiences and Completion of Learning Objectives
in the Emergency Department
Collyn Murray, MD, Christina Shenvi, MD, PhD
Research Question
In what clinical setting do MS4s have the best learning experience?
Background
The Emergency Department (ED) provides a unique learning environment in which medical students can gain experience with managing acute, undifferentiated patients. It allows for countless learning experiences across a patient’s medical story. However, the fast-paced nature of the ED and preceptor variation limits standardized teaching. Little is known about the effectiveness of teaching in the ED, particularly for students. Medical schools are however integrating ED clerkships given their academic potential 1,2​. In order to optimize students’ educational experiences we sought to better understand with whom and where teaching occurs under our current clerkship design.
1. Coates WC. (2004). An educator’s guide to teaching emergency medicine to medical students. Acad Emerg med, 11(3):
2. Wald DA, Lin M, Manthey DE, Rogers RL, Zun Ls, Christopher T. (2010). Emergency medicine in the medical school curriculum. Acad Emerg Med, 17 Supp:S26-30.

3. in the Emergency Department
Medical Student Educational Experiences and Completion of Learning Objectives
in the Emergency Department
Collyn Murray, MD, Christina Shenvi, MD, PhD
Methods
This is a prospective study of procedure cards and surveys submitted by medical students as part of their month-long 4th year clinical rotation in the ED between 05/2017 and 03/2018 at a tertiary care academic ED. Students marked which topics or procedures they had reviewed, and who had precepted them. In an exit survey, students were asked to rate how often they received individualized teaching and whether their educational goals were met when working with residents and attendings on a 10 point Likert scale. Qualitative and quantitative data were collected anonymously with IRB exemption.

4. in the Emergency Department
Medical Student Educational Experiences and Completion of Learning Objectives
in the Emergency Department
Collyn Murray, MD, Christina Shenvi, MD, PhD
Results
Shift card data was collected from 69 students. Attendings tended to precept visual diagnostics while residents tended to teach technical procedures. Forty-four students completed the exit survey. Results showed that students felt they received individualized teaching from both attendings and residents (7.9 and 8.0 respectively, p = 0.059). Students felt their goals were met more when reporting to the residents than attendings but not significantly so (8.6 and 8.0 respectively, p = 0.088). Themes noted in the open-ended portion of the survey were that students wanted more individualized experiences with the attendings, and requested more dedicated teaching shifts

5. in the Emergency Department
Medical Student Educational Experiences and Completion of Learning Objectives
in the Emergency Department
Collyn Murray, MD, Christina Shenvi, MD, PhD
Conclusions
Fourth-year medical students in the ED felt they received individualized teaching on most shifts. They reported their education goals were met as often when working with residents as with attendings. From this, we plan to foster additional resident-student interaction and further train residents in bedside teaching on par with that of faculty development. Integrated teaching shifts may also help to establish rapport and fundamentals of learning in the ED. Overall, a larger sample size as well as input from preceptors are needed to further optimize ED education.

6. in the Emergency Department
Medical Student Educational Experiences and Completion of Learning Objectives
in the Emergency Department
Collyn Murray, MD, Christina Shenvi, MD, PhD