Background: To determine whether introducing clinical skills during the second year of medical school, via a competency-based College system approach, improves comfort level for medical students entering third-year clinical rotations.

Method: From 2003-2005, two cohorts of third-year medical students at the University of Washington were surveyed on their comfort level in the categories of history taking, physical examination, communication, and patient care.

Results: The cohort of students exposed to the College system reported a statistically significant greater comfort level in half of the measured areas, and in at least one area within each general category. No area of study showed a statistically significant decline.

Conclusion: A competency-based College system improves medical student comfort in core clinical skills at the start of the third year curriculum.

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http://dx.doi.org/10.1097/00001888-200610001-00011DOI Listing

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