Incorporation of Comprehensive Examinations for a Time-Efficient Remediation Method

Pedro Gonzalez, Marvi Moreno, Thomas Iida, Blake Sieck, Johan Bester, Edward Simanton Educational Outcomes and Assessment, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USACorrespondence: Pedro Gonzalez, Kirk Kerkorian School of Medicine at UNLV, 2040 W Charleston Blvd 3rd Floor, Las Veg...

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Main Authors: Gonzalez P, Moreno M, Iida T, Sieck B, Bester J, Simanton E
Format: Article
Language:English
Published: Dove Medical Press 2022-11-01
Series:Advances in Medical Education and Practice
Subjects:
Online Access:https://www.dovepress.com/incorporation-of-comprehensive-examinations-for-a-time-efficient-remed-peer-reviewed-fulltext-article-AMEP
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author Gonzalez P
Moreno M
Iida T
Sieck B
Bester J
Simanton E
author_facet Gonzalez P
Moreno M
Iida T
Sieck B
Bester J
Simanton E
author_sort Gonzalez P
collection DOAJ
description Pedro Gonzalez, Marvi Moreno, Thomas Iida, Blake Sieck, Johan Bester, Edward Simanton Educational Outcomes and Assessment, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USACorrespondence: Pedro Gonzalez, Kirk Kerkorian School of Medicine at UNLV, 2040 W Charleston Blvd 3rd Floor, Las Vegas, NV, 89102, USA, Email gonzap10@unlv.nevada.eduBackground: Remediation in medical school should be a time-limited, and highly structured process that addresses student deficiencies and allows them to prove content competency before progressing in the curriculum. In this study, we analyze the use of a comprehensive end-of semester final examination in the remediation process for pre-clinical students at Kirk Kerkorian School of Medicine (KSOM). Faculty time utilized is analyzed and compared with the previously employed remediation process.Methods: Administered to all students at the end of each semester is a comprehensive examination consisting of a sufficient number of faculty-selected questions relating to each organ system covered with a 75% passing threshold. A student must also demonstrate competency of any failed system examination content to remediate successfully. The performance of those who did not exhibit competency was analyzed to identify areas of deficiency then an individualized exam would then be administered. The total remediation time spent by faculties and students was then analyzed.Results: KSOM Class of 2024 results showed that faculty were able to yield significant savings in time spent on remediation. Faculty spent 45 total remediation hours for the Class of 2024, compared to 400 hours remediating using the paper-based assignment method for the Class of 2021. With the transition to comprehensive end-of-semester final examinations, a total of 355 hours were saved. Furthermore, faculty used an average 1.07 hours/student with end-of-semester comprehensive examinations. The saved time allows faculty to work on improving the overall curriculum for all students rather than focusing on a limited number of students.Conclusion: Utilizing comprehensive end-of-semester final examinations notably decreased the amount of faculty time spent per semester on remediation. Further evaluation is required to evaluate long-term effectiveness on content competency and would further be strengthened by a multi-institutional comparison.Keywords: medical education, curriculum, student, faculty
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spelling doaj.art-8995ef41365c4d2aaeadc9466aac7bea2022-12-22T02:53:07ZengDove Medical PressAdvances in Medical Education and Practice1179-72582022-11-01Volume 131417142279716Incorporation of Comprehensive Examinations for a Time-Efficient Remediation MethodGonzalez PMoreno MIida TSieck BBester JSimanton EPedro Gonzalez, Marvi Moreno, Thomas Iida, Blake Sieck, Johan Bester, Edward Simanton Educational Outcomes and Assessment, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USACorrespondence: Pedro Gonzalez, Kirk Kerkorian School of Medicine at UNLV, 2040 W Charleston Blvd 3rd Floor, Las Vegas, NV, 89102, USA, Email gonzap10@unlv.nevada.eduBackground: Remediation in medical school should be a time-limited, and highly structured process that addresses student deficiencies and allows them to prove content competency before progressing in the curriculum. In this study, we analyze the use of a comprehensive end-of semester final examination in the remediation process for pre-clinical students at Kirk Kerkorian School of Medicine (KSOM). Faculty time utilized is analyzed and compared with the previously employed remediation process.Methods: Administered to all students at the end of each semester is a comprehensive examination consisting of a sufficient number of faculty-selected questions relating to each organ system covered with a 75% passing threshold. A student must also demonstrate competency of any failed system examination content to remediate successfully. The performance of those who did not exhibit competency was analyzed to identify areas of deficiency then an individualized exam would then be administered. The total remediation time spent by faculties and students was then analyzed.Results: KSOM Class of 2024 results showed that faculty were able to yield significant savings in time spent on remediation. Faculty spent 45 total remediation hours for the Class of 2024, compared to 400 hours remediating using the paper-based assignment method for the Class of 2021. With the transition to comprehensive end-of-semester final examinations, a total of 355 hours were saved. Furthermore, faculty used an average 1.07 hours/student with end-of-semester comprehensive examinations. The saved time allows faculty to work on improving the overall curriculum for all students rather than focusing on a limited number of students.Conclusion: Utilizing comprehensive end-of-semester final examinations notably decreased the amount of faculty time spent per semester on remediation. Further evaluation is required to evaluate long-term effectiveness on content competency and would further be strengthened by a multi-institutional comparison.Keywords: medical education, curriculum, student, facultyhttps://www.dovepress.com/incorporation-of-comprehensive-examinations-for-a-time-efficient-remed-peer-reviewed-fulltext-article-AMEPmedical educationcurriculumstudentfaculty
spellingShingle Gonzalez P
Moreno M
Iida T
Sieck B
Bester J
Simanton E
Incorporation of Comprehensive Examinations for a Time-Efficient Remediation Method
Advances in Medical Education and Practice
medical education
curriculum
student
faculty
title Incorporation of Comprehensive Examinations for a Time-Efficient Remediation Method
title_full Incorporation of Comprehensive Examinations for a Time-Efficient Remediation Method
title_fullStr Incorporation of Comprehensive Examinations for a Time-Efficient Remediation Method
title_full_unstemmed Incorporation of Comprehensive Examinations for a Time-Efficient Remediation Method
title_short Incorporation of Comprehensive Examinations for a Time-Efficient Remediation Method
title_sort incorporation of comprehensive examinations for a time efficient remediation method
topic medical education
curriculum
student
faculty
url https://www.dovepress.com/incorporation-of-comprehensive-examinations-for-a-time-efficient-remed-peer-reviewed-fulltext-article-AMEP
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