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- Sydney Katz, Stephanie J Tang, Vishwas A Singh, Erika L Abramson, and Alice J Tang.
- Department of Medicine, Division of General Internal Medicine, Section of Hospital Medicine, Weill Cornell Medicine, NewYork-Presbyterian Hospital, New York, NY, USA. sek9028@med.cornell.edu.
- J Gen Intern Med. 2025 Jan 14.
BackgroundMedicine sub-internships aim to prepare students for residency. However, the traditional sub-internship structure, with multiple learners at varied levels, poses obstacles to providing the clinical exposure, learning environment, and direct observation and feedback necessary to develop essential skills.AimInvestigate the educational experience of learners on a coaching-centered sub-internship (CCSI) on a resident uncovered ward service.Setting And ParticipantsFrom 2017 to 2022, 73 sub-interns and 39 hospitalists participated in the rotation at a community-based university-affiliated urban hospital.Program DescriptionSub-interns rotated on a CCSI with teams comprised of one attending, one physician assistant, and one student. Students cared for patients across the continuum of hospitalization with frequent coaching by trained attendings. Students engaged in workshops targeting clinical skills essential for internship.Program EvaluationStudents (n = 67/73, 91.8% response rate) rated the quality of the course significantly higher on the CCSI than the traditional sub-internship rotation (mean [SD]) 4.87/5 [0.49] vs. 4.63/5 [0.61]; p < 0.001. Students and faculty found the CCSI fostered coaching, autonomy, accurate assessments, professional development, growth mindset, and readiness for internship.DiscussionOur model demonstrates that a CCSI can cultivate the skills and mindset to prepare students for internship. This coaching model can benefit students in other settings.© 2024. The Author(s), under exclusive licence to Society of General Internal Medicine.
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