Diversity and consistency: a case study of regionalised clinical placements for medical students

Casey, Mavourneen G., David, Michael and Eley, Diann S. (2015) Diversity and consistency: a case study of regionalised clinical placements for medical students. Australian Health Review, 39 1: 95-100. doi:10.1071/AH14033

Author Casey, Mavourneen G.
David, Michael
Eley, Diann S.
Title Diversity and consistency: a case study of regionalised clinical placements for medical students
Journal name Australian Health Review   Check publisher's open access policy
ISSN 0156-5788
Publication date 2015
Year available 2014
Sub-type Article (original research)
DOI 10.1071/AH14033
Open Access Status
Volume 39
Issue 1
Start page 95
End page 100
Total pages 6
Place of publication Clayton, VIC, Australia
Publisher CSIRO Publishing
Collection year 2015
Language eng
Formatted abstract
Objective A major challenge for medical schools is the provision of clinical skills training for increasing student numbers. This case study describes the expansion of the clinical school network at The University of Queensland (UQ). The purpose of the study was to investigate consistency in medical education standards across a regional clinical teaching network, as measured by academic performance.
Methods A retrospective analysis of academic records for UQ medical students (n = 1514) completing clinical rotations (2009–2012) was performed using analysis of covariance (ANCOVA) for comparisons between clinical school cohorts and linear mixed-effects modelling (LEM) to assess predictors of academic performance.
Results In all, 13 036 individual clinical rotations were completed between 2009 and 2012. ANCOVA found no significant differences in rotation grades between the clinical schools except that Rural Clinical School (RCS) cohorts achieved marginally higher results than non-RCSs in the general practice rotation (5.22 vs 5.10–5.18; P = 0.03) and on the final clinical examination (objective structured clinical examination; 5.27 vs 5.01–5.09; P < 0.01). LEM indicated that the strongest predictor of academic performance on clinical rotations was academic performance in the preclinical years of medical school (β = 0.38; 95% confidence interval 0.35–0.41; P < 0.001).
Conclusions The decentralised UQ clinical schools deliver a consistent standard of clinical training for medical students in all core clinical rotations across a range of urban, regional and rural clinical settings. Further research is required to monitor the costs versus benefits of regionalised clinical schools for students, local communities and regional healthcare services.

Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 17 December 2014

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Public Health Publications
School of Medicine Publications
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Created: Fri, 02 Jan 2015, 15:00:34 EST by Diann Eley on behalf of School of Medicine