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Clinical Competence, Curriculum, Education, Medical, Undergraduate, Educational Measurement, Female, General Surgery, Humans, Ireland, Male, Questionnaires, Young Adult


The origingal article is available at


Preparing graduates for the transformation from medical student to doctor provides medical schools with a real challenge. Medical educators advocate a process of graduated delegation of responsibility in the clinical years of medical school. This is best exemplified in the North American system of sub-internship programmes; an educational approach which European medical schools have been slow to adopt. This study reports on the introduction of an intensive two-week surgical sub-internship for final medical year students. "Sub-interns" were asked to complete pre and post sub-internship online questionnaires assessing their readiness to perform clinical and practical skills, attitudes towards the program, and how well it prepared students for internship. Forty-nine students completed a questionnaire pre sub-internship and 47 completed the post-questionnaire. Student confidence towards practical and clinical skills and their first day at work increased over the two weeks. Mean Iikert scores for all 6 practical and clinical skills improved post sub-internship. The introduction of a surgical sub-internship is timely and welcomed by medical students. Its development helps bridge the gap in responsibilities between medical student and doctor.


Medicine and Health Sciences | Surgery


Robb WB, Falk GA, Khan WH, Hill AD. Preparing students to be doctors: introduction of a sub-internship program. Irish Medical Journal. 2009;102(10):323-6.

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