SubmissionId 60617

Accepted Type
Oral

Code
OH2-3-3

Acceptance Declaration
Accept

Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.

Was this work accepted for CCME 2020?
no

Category
General Call (Workshop, Oral Presentation, Poster Presentation)

Type
Oral

Sub Type
Education Innovation

Will the presenter be a:
Student

Affiliation

Considered for Poster
yes

Title
Internal Medicine Resident Observership Program: Near-Peer Learning on the CTU for Pre-Clerkship Medical Students

Length of Presentation

Background/Purpose
Pre-clerkship clinical observerships at Canadian medical schools are typically limited to certain clinical environments. The internal medicine (IM) clinical teaching unit (CTU) is not currently one of these settings due to high pre-existing teaching expectations placed on staff physicians. The CTU is a mandatory component of clerkship and is a common source of anxiety for students. Near-peer (medical student-resident) shadowing has demonstrated numerous benefits including facilitating learning and lowering learner apprehension. At uOttawa there was IM resident interest in mentoring students.

Summary of the Innovation
We developed a no-cost "Internal Medicine Resident Observership Program" where second year medical students at uOttawa completed 5 hours of resident shadowing on the CTU or IM consult service. We assessed students' perceptions of resident shadowing, IM residency, and knowledge and anxiety towards CTU.

Conclusion
We compared pre- and post-program survey responses from 26 participants using one-tailed Wilcoxon signed-rank testing of deidentified Likert scale data. Benefits of near-peer learning were demonstrated by significant improvements in students' impression of resident teaching and improved perceptions of their understanding of IM residency and the role of a resident in patient care (p<0.05). Lastly, exposure to CTU significantly improved students' self-rated understanding of CTU and decreased anxiety towards CTU as an intimidating learning environment (p<0.001). This program highlights the value of near-peer resident shadowing in fostering comfortable learning opportunities for pre-clerkship medical students. Implementing similar programs across Canadian medical schools may address similar gaps in pre-clerkship clinical exposure.

Keyword 1
Near-peer learning

Keyword 2
CTU

Keyword 3
Resident shadowing

Level of Training
Undergraduate

Abstract Themes
Undergraduate

Additional Theme (First choice)

Additional Theme (Second Choice)

Additional Theme (Third Choice)

Authors
Presenter
    Alexandre Pratt

Term 1
Yes

Term 2
Yes

Term 3
Yes

Term 4
Yes

Term 5
Yes
x

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