出版社：Association for Medical Education in Europe (AMEE)
摘要：Purpose: To evaluate the potential association between student absenteeism and performance on the National Board of Medical Examiners Clinical Neurology Subject Exam (NBME), a Standardized Patient Exam (SPEX) and the overall clinical performance (CPA) in the Neurology Core Clerkship (NCC).Methods: All medical students rotating through the required 4-week NCC at Johns Hopkins University School of Medicine (JHUSOM) were enrolled in this IRB-approved, retrospective cohort study. Student absences, NBME, SPEX, CPA, and overall final clerkship grades were recorded.Results: Between 2014-2017, 252 students were enrolled. Of the total sample, 68 students (27.0%) were absent from the clerkship. The median absence length was one day, and the range was 0.25 to 7.00 days. The total “other” absences dependent variable (defined in the text) was negative and statistically significant for the NBME (p = 0.01). This model suggests that for an average student, a one day’s absence for reasons we categorized as “other”, will lead to a slightly more than two-point decrease (2.36) in the NBME percent correct score.Conclusion: Data presented here supports that the NBME graded component decreases with increased “other” absenteeism supporting that increased absences may have a negative effect on student performance in the NCC.
关键词：Neurology clerkship; student absences; grade impact; medical education; grade outcomes
