Medical Science Educator

, Volume 29, Issue 1, pp 233–239 | Cite as

Preseason Pediatrics: an Interactive Preclinical Curriculum Enhances Knowledge and Skills in Medical Students

  • Benjamin M. LaitmanEmail author
  • Alefiyah Malbari
  • Suzanne Friedman
  • Scott Moerdler
  • Samuel Kase
  • Kathleen Gibbs
Original Research



Medical students have limited preclinical exposure to pediatrics. We created an optional preclinical curriculum for first-year medical students called “Preseason Pediatrics” (PSP). This 6-month curriculum teaches pediatric-specific knowledge and clinical skills, consisting of monthly resident-led didactic sessions followed by complementary resident-mentored clinical experiences.


Participants completed a survey before and after completion of PSP. Knowledge was assessed with multiple-choice questions pertaining to each topic covered in PSP and perceived skills, with a 5-point Likert scale ranging from not at all (1) to extremely (5) for skills taught. Skill maintenance was assessed with a newborn objective structured clinical exam (OSCE) 6 months after PSP completion in 2016. Students beginning their pediatric clerkship also completed a survey, comparing students who did and did not complete PSP.


From 2014 to 2017, 135 first-year medical students participated. Percent correct scores on pediatric knowledge increased in 4/5 topics covered, and students perceived increases in their pediatric skills in all course domains. 86.8% (n = 92/106) of students reported feeling more prepared for the pediatric clerkship. 94.3% (n = 100/106) would recommend the PSP experience to other students. Third-year students who participated in PSP reported higher comfort with pediatric patients prior to their clerkship.


PSP is a successful novel preclinical program introducing students to pediatrics. We demonstrated that didactics paired with resident-mentored clinical experiences improved pediatric knowledge, clinical-based skills, and perceived clerkship preparedness. Students may academically and professionally benefit from such earlier exposure to pediatrics.


Pediatrics Undergraduate medical education Preclinical 


Compliance with Ethical Standards

Ethical Approval/Informed Consent

This study was determined to be exempt by the IRB at the Mount Sinai Hospital in New York, NY, as it was an assessment of an ongoing educational curriculum.

Conflict of Interest

The authors declare that they have no conflict of interest.


  1. 1.
    Guiot ABL, Baker RC, Dewitt TG. When and how pediatric history and physical diagnosis are taught in medical school: a survey of pediatric clerkship directors. Hosp Pediatr. 2013;3(2):139–43.Google Scholar
  2. 2.
    Prince KJAH, Boshuizen HPA, van der Vleuten CPM, Scherpbier AJJA. Students’ opinions about their preparation for clinical practice. Med Educ. 2005;39(7):704–12.Google Scholar
  3. 3.
    Small RM, Soriano RP, Chietero M, Quintana J, Parkas V, Koestler J. Easing the transition: medical students’ perceptions of critical skills required for the clerkships. Educ Health (Abingdon). 2008;21(3):192.Google Scholar
  4. 4.
    Soares N, Stratton T, Wilson J. Medical students’: comfort with children. Clin Teach. 2015:176–80.Google Scholar
  5. 5.
    Agarwal A, Wong S, Sarfaty S, Devaiah A, Hirsch AE. Elective courses for medical students during the preclinical curriculum: a systematic review and evaluation. Med Educ Online. 2015;20:26615.Google Scholar
  6. 6.
    Keating EM, O’donnell EP, Starr SR. How we created a peer-designed specialty-specific selective for medical student career exploration. Med Teach. 2013;35(2):91–4.Google Scholar
  7. 7.
    Saba TG, Hershenson MB, Arteta M, Ramirez IA, Mullan PB, Owens ST. P0072e-clinical medical student experience in a pediatric pulmonary clinic. Med Educ Online. 2015:28654.Google Scholar
  8. 8.
    Apple R, Fleming A, Israel S. Pediatric clinical rounds teaching guide: a preclinical curriculum to improve medical student comfort with pediatric patients. MedEdPORTAL. 2012.
  9. 9.
    Moore J, Parsons C, Lomas S. A resident preceptor model improves the clerkship experience on general surgery. J Surg Educ. 2014;71(6):e16–8.Google Scholar
  10. 10.
    Nguyen SQ, Divino CM. Surgical residents as medical student mentors. Am J Surg. 2007;193(1):90–3.Google Scholar
  11. 11.
    Sternszus R, Cruess S, Cruess R, Young M, Steinert Y. Residents as role models: impact on undergraduate trainees. Acad Med. 2012;87(9):1282–7.Google Scholar
  12. 12.
    Turner SR, White J, Poth C, Rogers WT. Preparing students for clerkship: a resident shadowing program. Acad Med. 2012;87(9):1288–91.Google Scholar
  13. 13.
    Whittaker LD, Estes NC, Ash J, Meyer LE. The value of resident teaching to improve student perceptions of surgery clerkships and surgical career choices. Am J Surg. 2006;191(3):320–4.Google Scholar
  14. 14.
    Ten Cate O, Durning S. Dimensions and psychology of peer teaching in medical education. Med Teach. 2007;29(6):546–52.Google Scholar
  15. 15.
    Stagg P, Prideaux D, Greenhill J, Sweet L. Are medical students influenced by preceptors in making career choices, and if so how? A systematic review. Rural Remote Health. 2012;12:1832.Google Scholar
  16. 16.
    Kern DE, Thomas PA, Hughes MT. Curriculum development for medical education: a six-step approach. 2nd ed. Baltimore: Johns Hopkins University Press; 2009.Google Scholar
  17. 17.
    Friedman S, Moerdler S, Malbari A, Laitman B, Gibbs K. The pediatric resident teaching group: the development and evaluation of a longitudinal resident as teacher program. Medical Science Educator. 2018;28(4):619–24.Google Scholar
  18. 18.
    Loylola University Stritch School of Medicine. Newborn physical exam checklist. 2017.Google Scholar

Copyright information

© International Association of Medical Science Educators 2019

Authors and Affiliations

  1. 1.Icahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Department of PediatricsIcahn School of Medicine at Mount SinaiNew YorkUSA
  3. 3.Department of PediatricsColumbia University Medical CenterNew YorkUSA
  4. 4.Department of Pediatrics, Division of Pediatric Hematology-OncologyRutgers Robert Wood Johnson Medical SchoolNew BrunswickUSA
  5. 5.PediatricsChildren’s Hospital of Philadelphia and University of Pennsylvania Perelman School of MedicinePhiladelphiaUSA

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