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Remediating Their Deficiencies

Paula L. Stillman, MD; Jane S. Ruggill; Paul J. Rutala, MD; Sarah M. Dinham, PhD; Darrell L. Sabers, PhD

JAMA. 1980;243(2):129-133.

Abstract
Thirty US citizen foreign-trained medical students (USFMS) and eleven US-trained medical students (USMS) were accepted with advanced standing to the University of Arizona College of Medicine (UACM) in September 1978. Each student was required to meet predetermined mastery criteria in physical diagnosis skills during a six-week intensive training program before entering clinical clerkships. On entrance, USFMS showed severe deficiencies in physical examination and medical interviewing skills compared with both USMS and sophomore students at UACM. By the completion of the program, all differences between the USFMS and the USMS were nonsignificant, except for factual knowledge of pathophysiology. The transfer students received lower ratings than the UACM students on preceptorship evaluations and patient write-ups. Deficiencies in clinical skills of USFMS were reduced by a brief, intensive training program characterized by specific mastery criteria.

(JAMA 243:129-133, 1980)

Author Affiliations
From the Preparation for Clinical Medicine Program (Drs Stillman and Sabers and Ms Ruggill), Department of Internal Medicine (Dr Rutala), and the Office of Medical Education (Dr Dinham), University of Arizona College of Medicine, Tucson.

Footnotes
Reprint requests to Office of the Curriculum Coordinator, Preparation for Clinical Medicine Program, University of Arizona Health Sciences Center, Tucson, AZ 85724 (Dr Stillman).

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