First and Second years of 5 year medical degree programs usually involve studying basic sciences like anatomy, physiology and biochemistry and there are no clinical subjects or ward rotations.
It's just an observation that such monotonous routine, absence of possible interactions with patients and hence lack of feeling as a doctor leads to lack of motivation, interest and therefore academic performance of some of the students is also affected.
As soon as the same students enter clinical years, ward rotations become part of the learning process. Interaction with patients has been observed to lead a change in their attitudes towards academics.
It's proposed that clinical rotations to wards will help with motivation and better attitude towards career and studies in first and second year medical students.
Kindly share your insight regarding this.
A comparison study between 3rd and 2nd year students about their motivation, performance and burn out would give a good insight to your hypothesis. I would, however caution that motivation and performance levels fall and burn out rises as one progresses in medical college. Therefore, 4th or final year ( or perhaps 3rd year students) can give a falsely low level of motivation which would not be due to lack or presence of clinical exposure. This should be taken into account before any sort of comparison.
When I have visited different places with my students they get a picture of what field interests them. It has been a positive experience for all of us, perhaps the prison was the least positive event. However, the one who informed us that they do not give therapy to the prisoners but try to provide them with a profession was a useful information. A lot of students also visited our mouse lab and learned from there.
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