ePosters: Education, Professional Development, Sex and Gender
779 - Emergency Medicine Clerkship Curriculum to Improve Standardized Test Performance
Friday, May 15, 2020
Location: Majestic Ballroom: Majestic
Background and Objectives: The emergency medicine clerkship at Indiana University is a required 4 week rotation for all senior students (approximately 370). Our goal was to improve average student performance on the required end of rotation exam provided by the National Board of Medical Examiners (NBME). A new curriculum and practice question exam was developed and executed starting in April, 2019.
Methods: A self-guided curriculum was developed for the course and subdivided into 4 weeks to match the length of the clerkship. This is comprised of key reading topics in emergency medicine and based off the Clerkship Director in Emergency Medicine M4 curriculum (CDEM). A quiz bank was developed and authored by the IU clerkship team. Questions were written to try and mirror the similar style of NBME questions. Each question is also accompanied with a explanation of the correct and incorrect answers. Students were encouraged, but not required to take the practice quiz questions. Their performance or participation had no factor on their final grade.
Results: To date, 77% of students (196 total) have opted to take the quiz. Those students taking the quiz score a mean of 80.46% on the NBME. Students not taking the quiz average 75.71%. The combined average is 79.25% and ahead of the total average from the last academic year. A significant reduction in the number of failures of the NBME exam has also been noted compared to last year (number not revealed to avoid student identification).
Conclusion: The developed curriculum and practice quiz question bank has had a significant improvement on standardized test score to date. Given the significant difference in scores between students taking the exam and those not, students will be required to utilize the question bank starting the next academic year.