Assessing the relationship between student clinical encounters and performance outcomes
AAPA ePoster library. Min E. 05/17/17; 180533; 191
Elana Min
Elana Min
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Abstract
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Purpose: As physician assistant (PA) programs continue to try to meet ARC-PA standards, many programs require students to log patient encounters during the clinical year. These data are used to evaluate volume of patient encounters, track changes in sites over time, and serve as support in hospital credentialing for new hires. This study attempted to ascertain whether there is a relationship between student clinical encounters and a subsequent impact on student performance outcomes. While many studies have explored the predictive value of formative and summative assessments and their outcomes, much of the research focuses on didactic and summative assessments such as GPA, PACKRAT, End of Rotation (EOR) exams and correlation with performance on the PANCE. 1,2,3,4 A pilot study in 2011 evaluated a singular summative outcome (PANCE) and number of clinical encounters and yielded no significant correlation. 5 Overall, there has been little systematic evaluation of the impact of clinical encounters during the second year and student outcomes. This study builds upon previous literature, and will provide useful data on the impact of clinical encounters, which may help programs interpret and utilize the ever-increasing number of data points offered through student logging in a broader way that best suits their program's curricular needs and goals. If relationships are identified through the studies' analysis then curricular pieces such as clinical scheduling may be better catered to students to help them best succeed. Description: This was a retrospective data analysis of student logged clinical year patient encounters and performance outcomes, with an objective to evaluate whether a relationship exists between the two. Student logging data from 2013-2016 were categorized by core rotation (seven, 4 week rotations in behavioral health, emergency medicine, family medicine, internal medicine, pediatrics, surgery and women's health) and broken down by a number of variables including: cases, unique cases, hours, level and engagement of visit. Performance variables were defined as EOR exam scores, PACKRAT, preceptor and site evaluations and PANCE scores. Results: Three years of student data were analyzed (n=86). The average number of clinical encounters logged for a 4 week rotation was 89.98. Emergency medicine (M=124) had the highest number of encounters with the lowest number in behavioral health (51.83). The average score for evaluation of site was 4.33 ...
Purpose: As physician assistant (PA) programs continue to try to meet ARC-PA standards, many programs require students to log patient encounters during the clinical year. These data are used to evaluate volume of patient encounters, track changes in sites over time, and serve as support in hospital credentialing for new hires. This study attempted to ascertain whether there is a relationship between student clinical encounters and a subsequent impact on student performance outcomes. While many studies have explored the predictive value of formative and summative assessments and their outcomes, much of the research focuses on didactic and summative assessments such as GPA, PACKRAT, End of Rotation (EOR) exams and correlation with performance on the PANCE. 1,2,3,4 A pilot study in 2011 evaluated a singular summative outcome (PANCE) and number of clinical encounters and yielded no significant correlation. 5 Overall, there has been little systematic evaluation of the impact of clinical encounters during the second year and student outcomes. This study builds upon previous literature, and will provide useful data on the impact of clinical encounters, which may help programs interpret and utilize the ever-increasing number of data points offered through student logging in a broader way that best suits their program's curricular needs and goals. If relationships are identified through the studies' analysis then curricular pieces such as clinical scheduling may be better catered to students to help them best succeed. Description: This was a retrospective data analysis of student logged clinical year patient encounters and performance outcomes, with an objective to evaluate whether a relationship exists between the two. Student logging data from 2013-2016 were categorized by core rotation (seven, 4 week rotations in behavioral health, emergency medicine, family medicine, internal medicine, pediatrics, surgery and women's health) and broken down by a number of variables including: cases, unique cases, hours, level and engagement of visit. Performance variables were defined as EOR exam scores, PACKRAT, preceptor and site evaluations and PANCE scores. Results: Three years of student data were analyzed (n=86). The average number of clinical encounters logged for a 4 week rotation was 89.98. Emergency medicine (M=124) had the highest number of encounters with the lowest number in behavioral health (51.83). The average score for evaluation of site was 4.33 ...
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