Education Research: Enhancing Medical Student Interest in Careers in the Clinical Neurosciences Through a Hands-on Procedure Workshop

Background and Objectives It is predicted that the current shortfall of neurologists will continue to grow beyond current training rates. It is well documented that medical students often possess stigmatizing beliefs toward neuroscience-based careers. Preclerkship medical education is where many medical students lay the foundation for specialty interests, and at some medical schools, it may be their only direct exposure to neurology. Providing preclerkship students with exp osure to the unique aspects of clinical neuroscience such as procedures is a possible avenue for increasing student interest.

Methods and Curriculum Description We sought to assess the influence of a procedure workshop on student specialty interest. We organized a hands-on procedure workshop for preclerkship medical students to learn examination skills and procedures used by adult/pediatric neurologists, neurosurgeons, and psychiatrists. Twelve different stations were run by faculty, trainees, and technicians. Attendance was optional, and students were free to move between stations according to their time and interests. Most stations involved some brief education and time for students to practice or take part in the procedure. Attendees completed an exit survey on their retrospective interest in the relevant specialties before attending the workshop, prospective interest after attending the workshop, and the helpfulness of each station in understanding the procedure. Statistical analyses were performed on the survey responses to determine change in specialty interest resulting from the workshop.

Results and Assessment Data A total of 111 students attended the workshop, and 104 (94%) filled out the postsurvey. Most were from the second-year medical student class. Approximately 41% of the second-year class attended. There was an increase in student interest (d = 0.6346) in the clinical neurosciences by the Fisher exact test (p < 0.0001). Thirty-three attendees (32%) reported an increased interest in the specialties. Of the students who reported having no prior interest in the clinical neuroscience specialties, 82% (18/22) had an increased interest as a result of the workshop.

Discussion and Lessons Learned A hands-on procedure workshop improved medical student interest in the clinical neurosciences. Although its effect on future specialty choice is unclear, preclerkship experiences such as a procedure workshop may be a useful addition to medical school curricula to foster interest in neurology and the clinical neurosciences.