Once again, under supervision of ED doctors, students are able to perform these procedures. Group 1 students averaged 33.9 single stitch sutures, while Group 2 students averaged 96.2 of the same procedure (a difference of 183.7% of procedures, p = 0.000032). Regarding Donatti stitches, Group 1 students reported having done an average of 5.2 sutures, while in Group 2 the recorded average

was 12.2, with a difference of 7 procedures (131% more for Group 2). (Table 1) Students have an established role in the Emergency Department, but sometimes their help is needed for trauma patients in the resuscitation room. The student on duty estimated the number of supervised visits to the trauma resuscitation room. Group 1 showed a mean of 2.8 visits,

compared with a mean of 21 visits in Group 2 (an increase of 650.2% for find more the Group 2, p = 0.000045). (Table 1) In order to achieve the clerkship objectives, it is important for the students to participate in all parts of patient care, from the patient admission in the ED to the management (discharge, admission to hospital floor, admission to ICU, admission to mini-unit, etc). However, these objectives are not required. Consequently, the study found that while students from Group 1 aided in discharging the patient, 69.1 times on average, Group 2 performed the same task 256.7 times ( a 271.5% increase for Group 2). In addition, correlation with the numbers of histories taken revealed that in Group 1, 49.6% of patients whose history had been taken were not followed up and discharged by the same student. In comparison HSP90 to Group 2, this percentage Alpelisib in vivo decreases to 29.4% (p = 0.011 for Group 1, p = 0.117 for Group 2). Concerning the number of supervised prescriptions, Group 1 students wrote 56.7 prescriptions at discharge, and Group 2 students wrote 232.4 (309.9%

more). (Figure 2) Figure 2 Number histories takings in initial patient care vs number of patients discharged. Rose: Group 1 patient discharged. Light-Blue: Group 1 histories taken. Red: Group 2 patient discharged. Dark-Blue: Group 2 histories taken. Finally, students were asked about their intention to pursue a surgical career. The vast majority of students (70.6%) said they want to be surgeons, 21.6% said they have no interest in surgical careers and the remainder (7.8%) did not answer the question. Also, when asked if the participation in this clerkship influenced their choice, we found that in 41.6% of cases, the clerkship had a positive influence, 7.8% had a negative influence and 35.3% reported it did not influence their decision. However, 15.7% declined to answer the question. (Figure 3) (Figure 4) Figure 3 Percentage of Students that want to follow a surgical career. Yellow: No. Red: Not Answered. Green: Yes. Figure 4 The supervised extra-curricular practical activity influence in their Decision. Green: Yes, Positive. Yellow: Yes, Negative. Red: No.