Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 50629,
    "title": "Relationship of Clinical Encounters to End-of-rotation Exam Scores for Fourth-year Students in Emergency Medicine",
    "subtitle": null,
    "abstract": "<p><strong>Background:</strong> Emergency medicine (EM) clerkship directors view end-of-rotation exam scores as one of the most important components in the assessment of medical student performance. Understanding factors that may impact end-of-rotation exam scores is important because strong performance during fourth-year EM clerkships is crucial for matching in EM residency. One factor that may affect exam scores is increased experience through clinical encounters. Our objective in this study was to assess the relationship between the number of clinical encounters and end-of- rotation exam scores. </p>\n<p><strong>Methods:</strong> This was a single-site, retrospective study involving fourth-year medical students who completed a four-week EM elective between 2021–2024. We obtained exam scores and student home/away rotation status from clerkship evaluation records. The number of clinical encounters was extracted from electronic health records (EHR) via two exposure measurement methods: 1) signed notes only; and (2) signed notes or assignment to the care team on electronic EHR. We used a multivariable linear regression model to assess the impact of clinical encounters and home/away rotation status.</p>\n<p><strong>Results:</strong> We included 108 students in this analysis. The linear regression coefficient for each clinical encounter was 0.134 (P = .02) and 0.089 (P = .09) for the two exposure measurements, respectively. Away rotation status, when controlled for the number of patients seen, demonstrated a coefficient of 2.627 (P = .06) and 2.464 (P = .08).<br><strong>Conclusion:</strong> The number of clinical encounters and home/away status had minimal to no impact on end-of-rotation exam scores.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Education",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8kk0k7cw",
    "frozenauthors": [
        {
            "first_name": "Max",
            "middle_name": "Y.",
            "last_name": "Jin",
            "name_suffix": "",
            "institution": "University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin",
            "department": ""
        },
        {
            "first_name": "Corlin",
            "middle_name": "M.",
            "last_name": "Jewell",
            "name_suffix": "",
            "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin",
            "department": ""
        },
        {
            "first_name": "Daniel",
            "middle_name": "J.",
            "last_name": "Hekman",
            "name_suffix": "",
            "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin",
            "department": ""
        },
        {
            "first_name": "Ben",
            "middle_name": "H.",
            "last_name": "Schnapp",
            "name_suffix": "",
            "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin",
            "department": ""
        }
    ],
    "date_submitted": "2025-08-11T23:23:14.121000+03:00",
    "date_accepted": "2026-01-28T05:14:30.669000+03:00",
    "date_published": "2026-05-13T20:24:00+03:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/50629/galley/50343/download/"
        }
    ]
}