ArticleBMJ (Clinical research ed.)2004
Cohort study of examination performance of undergraduate medical students learning in community settings.
Article in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Contribution of Citizens to Community-Based Medical Education in Japan: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Longitudinal integrated clerkships: a hermeneutic literature review.Advances in health sciences education : theory and practice · 2026Review
- A conducive clinical learning environment in primary care as a wicked problem: A scoping review of enablers, obstacles, and strategies.African journal of primary health care & family medicine · 2026Article
- Community-based participatory medical education in rural Japan: analysis of medical student learning needs through reflection sheets.Journal of rural medicine : JRM · 2026Article
- VISIONARA - developing a concept for decentralized competency-based learning in primary health care and its proposed evaluation.GMS journal for medical education · 2026Article
- Core competencies of rural practice for medical students of government-sponsored medical education programs in Taiwan: The students' perspective.Journal of general and family medicine · 2025Article
- Medical Students' Perceptions of the Best Clinical Teaching.The clinical teacher · 2025Article
- Status of and needs related to community-based practice in public healthcare institutions among Korean medical schools: a cross-sectional study.Journal of Yeungnam medical science · 2025Article
- Exploring learning characteristics and progression of GP trainees based in regional, rural and remote settings: A qualitative study.The Australian journal of rural health · 2024Article
- Understanding barriers, enablers and motivational factors for Australian healthcare educators teaching university students on clinical placement using the validated Physician Teaching Motivation Questionnaire.BMC medical education · 2024Article
- Assessing the Learning Environment Perception Among Medical Students at a Tertiary Referral Hospital in Saudi Arabia.Advances in medical education and practice · 2024Article
- There is no "too small" for frequent workplace-based assessment: Differences between large and small residency programs in anesthesia when using a mobile application to assess EPAs.GMS journal for medical education · 2024Article
- Exploring Undergraduate Medical Student Experiences of Training Within a Community-Based Paediatric Clinic.Medical science educator · 2023Article
- The Value of Paediatrics Placements: Confidence or Competence? [Letter].Advances in medical education and practice · 2020Article
- Perception of educational environment among medical students in Thailand.International journal of medical education · 2018Article
- A medical student in private practice for a 1-month clerkship: a qualitative exploration of the challenges for primary care clinical teachers.Advances in medical education and practice · 2018Article
- Decentralised training for medical students: a scoping review.BMC medical education · 2017Article
- Otolaryngology exposure in a longitudinal integrated clerkship setting.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2017Article
- Education for Community-based Family Medicine: A Social Need in the Real World.Yonago acta medica · 2017Review
- Perception of educational value in clinical rotations by medical students.Advances in medical education and practice · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine whether moving clinical medical education out of the tertiary hospital into a community setting compromises academic standards.
designCohort study.
settingFlinders University four year graduate entry medical course. In their third year, students are able to choose to study at the tertiary teaching hospital in Adelaide, in rural general practices, or at Royal Darwin Hospital, a regional secondary referral hospital.
participantsAll 371 medical students who did their year 3 study from 1998-2002.
main outcome measuresMean student examination score (%) at the end of year 3.
resultsThe unadjusted mean year 3 scores at each location differed significantly (P < 0.001); the mean score was 65.2 (SE = 0.43) for Adelaide students, 68.2 (0.83) for Darwin students, and 69.3 (0.97) for students on the rural programme. Mean year 2 scores were similar for each location. Post hoc tests of means adjusted for sex, age, year 2 score, and cohort year showed that the rural and Darwin groups had a significantly improved score in year 3 compared with the Adelaide group (adjusted mean difference = 3.08, 95% confidence interval 1.25 to 4.90, P < 0.001 for rural group; 1.91, 0.47 to 3.36, P = 0.001 for Darwin group).
conclusionsThese findings show that the concern that student academic performance in the tertiary hospital would be better than that of students in the regional hospital and community settings is not justified. This challenges the orthodoxy of a tertiary hospital education being the gold standard for undergraduate medical students.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.