Article Text

PDF
238 USE OF A GENERAL MEDICINE CONSULT SERVICE TO EVALUATE AND IMPROVE MEDICAL STUDENT AND RESIDENT KNOWLEDGE OF CONSULTATIVE MEDICINE
  1. B. Eberhardt,
  2. E. M. Byrd,
  3. J. C. Byrd
  1. Brody School of Medicine at East Carolina University, Greenville

Abstract

Background General internists are frequently asked to provide preoperative consultation for a variety of surgical services. As primary care physicians, they may be faced with assessing their own patients prior to surgical referral. Unfortunately, many medical students and internal medicine residents leave training feeling unequipped to provide quality preoperative consultation.

Purpose We evaluated medical student and resident knowledge of consultative medicine before and after rotating on the General Internal Medicine Consult Service.

Methods A 20-item pretest derived from 14 core articles was administered at the beginning of the rotation. The residents and students read the articles and discussed them formally with their consult faculty during the month-long rotation. A 14-item post-test derived from the same articles was administered at the end of the rotation. Pre- and post-test scores were analyzed using SPSS.

Results Thirty-two percent of the participants were fourth year medical students and 68% were internal medicine residents (R2-R4). Residents performed better on the pretest (p < .0001). Both groups had a significant improvement in knowledge over the month-long course. Students had a greater gain in knowledge 27.8% vs. 19.9% and performed better on the post-test (p < .0001). (table)

Conclusions Resident and medical student knowledge of consultative medicine is poor. However, their knowledge base improved after completing a 1-month rotation on the General Internal Medicine Consult Service.

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.