title: Independent or Integrated? The Impact on Subject Examination Scores of Changing a Neuropsychiatry Clerkship to Independent Clerkships in Psychiatry and Neurology.
abstract: OBJECTIVE
  This study was undertaken to assess any impact on National Board of Medical Examiners (NBME) neurology and psychiatry subject examination scores of changing from an integrated neuropsychiatry clerkship to independent neurology and psychiatry clerkships.
  
  
  METHODS
  NBME psychiatry and neurology subject examinations scores were compared for all 625 students completing the required neuropsychiatry clerkship in academic years 2005-2006 through 2008-2009 with all 650 students completing the independent neurology and psychiatry clerkships in academic years 2009-2010 through 2012-2013. Statistical adjustments were made to ensure comparability across groups and over time.
  
  
  RESULTS
  A significant improvement in subject examination scores was associated with the independent clerkships.
  
  
  CONCLUSIONS
  The independent clerkship model was associated with a modest improvement in NBME subject examination scores. This finding may be attributable to many causes or combination of causes other than curricular design. Curricular planners need to pay attention to the potential impact of course integration on specialty-specific NBME subject examination performance.
authors.affiliation: University of Kansas School of Medicine, Kansas City, USA.
authors.forename: Heather S
authors.initials: HS
authors.lastname: Anderson
authors.affiliation: University of Kansas School of Medicine, Kansas City, USA.
authors.forename: William F
authors.initials: WF
authors.lastname: Gabrielli
authors.affiliation: University of Kansas School of Medicine, Kansas City, USA.
authors.forename: Anthony
authors.initials: A
authors.lastname: Paolo
authors.affiliation: University of Kansas School of Medicine - Wichita, Wichita, USA. awalling@kumc.edu.
authors.forename: Anne
authors.identifier: http://orcid.org/0000-0003-0883-6868
authors.initials: A
authors.lastname: Walling
mesh_terms: D002982:Clinical Clerkship / Q000706:statistics & numerical data*; D002983:Clinical Competence / Q000706:statistics & numerical data; D003334:Coroners and Medical Examiners; D004521:Educational Measurement / Q000706:statistics & numerical data*; D006801:Humans; D009462:Neurology / Q000193:education*; D058027:Neuropsychiatry / Q000193:education*; D011570:Psychiatry / Q000191:economics*; D013337:Students, Medical / Q000706:statistics & numerical data*; D014481:United States
keywords: Clerkship design; Curriculum; Medical students