Evidence map›Paper›PMID 33957907›Full record

ArticleBMC medical education2021

The evolution of medical students' preparedness for clinical practice during the transition of graduation: a longitudinal study from the undergraduate to postgraduate periods.

Chung-Hsien Chaou, Shiuan-Ruey Yu, Yu-Che Chang, Shou-De Ma, Hsu-Min Tseng, Ming-Ju Hsieh, Ji-Tseng Fang

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Chung-Hsien ChaouChang-Gung Medical Education Research Centre, Chang Gung Memorial Hospital, Taoyuan City, Taiwan. shien@url.com.tw.
Shiuan-Ruey YuChang-Gung Medical Education Research Centre, Chang Gung Memorial Hospital, Taoyuan City, Taiwan.
Yu-Che ChangChang-Gung Medical Education Research Centre, Chang Gung Memorial Hospital, Taoyuan City, Taiwan.
Shou-De MaChang Gung University College of Medicine, Taoyuan, Taiwan.
Hsu-Min TsengChang-Gung Medical Education Research Centre, Chang Gung Memorial Hospital, Taoyuan City, Taiwan.
Ming-Ju HsiehChang-Gung Medical Education Research Centre, Chang Gung Memorial Hospital, Taoyuan City, Taiwan.
Ji-Tseng FangChang Gung University College of Medicine, Taoyuan, Taiwan.
Chang Gung University · TWChang Gung Memorial Hospital · TW

Funding

Chang Gung Memorial Hospital, Linkou CMRPG3J1581Ministry of Science and Technology MOST 107-2511-H-182 -007 -MY2Ministry of Science and Technology, Taiwan MOST 109-2511-H-182-004
6 · The paper itself

Abstract

backgroundGraduating from medical school and beginning independent practice appears to be a major transition for medical students across the world. It is often reported that medical graduates are underprepared for independent practice. Most previous studies on undergraduates' preparedness are cross-sectional. This study aimed to characterize the development and trend of medical students' preparedness and its association with other objective and subjective indicators from the undergraduate to postgraduate periods.

methodsThis was a prospective cohort study. The participants were recruited and followed from two years before graduation to the postgraduate period. The preparedness for independent practice, professional identity, and teamwork experience were biannually measured using previously validated questionnaires. The participants' basic demographic information, clinical learning marks from the last two years, and national board exam scores were also collected.

resultsA total of 85 participants completed 403 measurements in the 5 sequential surveys. The mean age at recruitment was 23.6, and 58 % of participants were male. The overall total preparedness score gradually increased from 157.3 (SD=21.2) at the first measurement to 175.5 (SD=25.6) at the fifth measurement. The serial individual preparedness scores revealed both temporal differences within the same learner and individual differences across learners. Despite the variations, a clear, steady increase in the overall average score was observed. Participants were least prepared in the domain of patient management at first, but the score increased in the subsequent measurements. The participants with better final preparedness had better professional identity (p<0.01), better teamwork experience (p < 0.01), and higher average clinical rotation marks (p<0.05).

conclusionsThe preparedness for practice of medical students from the undergraduate to postgraduate periods is associated with their professional identity, teamwork experience, and objective clinical rotation endpoint. Although preparedness generally increases over time, educators must understand that there are temporal fluctuations and individual differences in learners' preparedness.

Indexed as

Students, MedicalClinical CompetenceCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleProspective StudiesSchools, MedicalSurveys and QuestionnairesClinical placementLongitudinal studyPreparedness for practiceProfessional identityQuestionnaire studyTransitionUndergraduate medical education

Identifiers

PMID33957907
PMCPMC8101179
OpenAlexW3106539112

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.