Table 3 Comparison of self-assessed skills and abilities after an EM rotation by length of clerkship
Two-week post-test mean score | Four-week post-test mean score | P-value(t-test)* | |
|---|---|---|---|
Conduct an initial assessment of an acutely ill patient | 4.17 | 4.21 | 0.79 |
Identify a “sick” vs. “non-sick” patient | 4.30 | 4.32 | 0.88 |
Formulate a differential diagnosis | 4.23 | 4.26 | 0.83 |
Develop an appropriate management plan | 3.91 | 3.98 | 0.57 |
Explain to others the core elements and principles of the modern practice of EM | 3.74 | 3.91 | 0.33 |
Present patient cases in a formal setting | 3.89 | 4.33 | 0.01 |
Present patient cases in an informal setting | 4.34 | 4.50 | 0.25 |
Procedures: | |||
Wound closure and repair | 3.64 | 4.21 | 0.00 |
Gynecologic exams | 3.53 | 4.17 | 0.00 |
Foley catheter insertion | 3.28 | 4.23 | 0.00 |
Incision & drainage | 3.77 | 4.35 | 0.00 |
EKG interpretation | 3.06 | 3.25 | 0.28 |
Basic life support | 3.28 | 3.75 | 0.03 |
Major medical resuscitation | 2.48 | 2.92 | 0.03 |
Major trauma resuscitation | 2.40 | 2.90 | 0.02 |
Splinting/fracture care | 2.96 | 3.23 | 0.22 |
IV access/venipuncture | 2.87 | 3.27 | 0.05 |
NG tube placement | 2.51 | 3.13 | 0.01 |