Evaluating Teaching Effectiveness of Medical Humanities in an Integrated Clerkship Program by a Novel Prospective Propensity Score Matching Framework

Chen-Huan Chen, Shuu-Jiun Wang, Wan-Yu Yeh, Chung-Li Wu, Yong A. Wang, Cheng-Feng Chen, Ying-Ying Yang, William J. Huang, Kwan-Yee Chan, Chi-Wan Lai, Ging-Long Wang and Hao-Min Cheng
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Chen-Huan Chen: School of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan
Shuu-Jiun Wang: School of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan
Wan-Yu Yeh: Department of Medical Education, Taipei Veterans General Hospital, Taipei 11217, Taiwan
Chung-Li Wu: Department of Medical Education, Taipei Veterans General Hospital, Taipei 11217, Taiwan
Yong A. Wang: Koo Foundation Sun Yat-Sen Cancer Center, Taipei 11217, Taiwan
Cheng-Feng Chen: Koo Foundation Sun Yat-Sen Cancer Center, Taipei 11217, Taiwan
Ying-Ying Yang: School of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan
William J. Huang: School of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan
Kwan-Yee Chan: Koo Foundation Sun Yat-Sen Cancer Center, Taipei 11217, Taiwan
Chi-Wan Lai: Koo Foundation Sun Yat-Sen Cancer Center, Taipei 11217, Taiwan
Ging-Long Wang: Koo Foundation Sun Yat-Sen Cancer Center, Taipei 11217, Taiwan
Hao-Min Cheng: Department of Medical Education, Taipei Veterans General Hospital, Taipei 11217, Taiwan

IJERPH, 2022, vol. 19, issue 3, 1-14

Abstract: Background: This study aims to rigorously compare the effectiveness of the educational programs of a new integrated clinical clerkship in medicine (3 months) and surgery (3 months) at a cancer center with the conventional subspecialty-based rotations at a tertiary teaching hospital, by this prospective, pre-post comparative method. Methods: Between 2013–2016, we compared 69 students who had selected the integrated clerkship that emphasized clinical competency and medical humanities training with 138 matched peers who had completed conventional clerkships during the same period. Outcome measures for medical humanities included empathy, patient-centeredness, and other values and skills related to holistic health care professionalism by introducing prospective propensity score matching (PSM). Results: At baseline, no significant between-group differences existed. At the completion of the core clerkships, students receiving the integrative clerkship had significantly higher scores on the Patient–Practitioner Orientation Scale (PPOS) and the Professionalism Climate in Clinical Teaching Environment (PCI), and similar Jefferson Scale of Physician Empathy Student Version (JSPE) scores, as compared with the comparison group. We also found that the students in this program did not perform worse than those in the traditional internship group in the comprehensive and formative OSCE medical clinical skills test. Conclusions: Our study develops an empirical basis for rigorous evaluation to design medical education to improve the medical humanities values and skills of interns. Features of the new integrated clerkship program that we developed include substantial participation by the students in patient-centered in-hospital culture, as well as reflection, discussion, and feedback on actual clinical cases.

Keywords: effectiveness; clinical training; propensity modelling (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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