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Medical Student Psychiatry Examination Performance at VA and Non-VA Clerkship Sites

Received July 2, 2007; revised October 3, 2007; accepted October 11, 2007. Drs. Tucker, Shultes von Schlageter, Rosenberg, and Nawar are affiliated with the Department of Psychiatry and Behavioral Sciences at the University of Oklahoma College of Medicine; Dr. Shultes von Schlageter is also affiliated with the Oklahoma County Crisis Intervention Center; Dr. Park is affiliated with the Department of Medicine and Division of Geriatrics Medicine and Gerontology at Johns Hopkins School of Medicine in Baltimore; Dr. Rosenberg is also affiliated with the Department of Psychiatry at the VA Medical Center; Dr. Benjamin is affiliated with the Ventura County Behavioral Health System; Dr. Nawar is also in private practice. Address correspondence to Phebe Tucker, M.D., University of Oklahoma College of Medicine, Deptartment of Psychiatry and Behavioral Sciences, P.O. Box 26901 WP 3440, Oklahoma City, OK 73190; phebe-tucker{at}ouhsc.edu (e-mail).

OBJECTIVE: The authors examined the effects of medical student assignment to U.S. Department of Veterans Affairs (VA) Medical Center inpatient and outpatient psychiatry clerkship sites versus other university and community sites on the performance outcome measure of National Board of Medical Examiners (NBME) subject examination scores. METHODS: NBME psychiatry scores were compared for stratified random samples of 70 students each for inpatient and outpatient VA and non-VA sites, controlling for baseline clinical knowledge as reflected by second year Human Behavior course scores. RESULTS: No significant differences were demonstrated in NBME scores between VA and non-VA sites for either inpatient or outpatient programs. CONCLUSION: Assessed students rotating through several VA clinical sites were as well prepared for NBME subject examinations as those assigned to other sites. Additional measures of educational outcome for VA sites are recommended to assess and enhance clinical education provided by the VA and to strengthen collaboration with university-based medical student teaching programs.

This article has been cited by other articles:

				J. A. Lehrmann and L. W. Roberts U.S. Department of Veterans Affairs and Academic Departments of Psychiatry: A Substantive, Enduring, and Promising Collaboration Acad Psychiatry, January 1, 2009; 33(1): 1 - 3. [Full Text] [PDF]

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