PURPOSE Pediatric clerkships that utilize off-campus clinical sites ensure clinical comparability by requiring completion of patient-focused tasks. Some tasks may not be attainable (especially off-campus); thus, they are not assigned. The objective of this study is to evaluate the feasibility of providing a voluntary assignment list to pediatric clerkship third-year medical students. METHODS This is a retrospective single-center cross-sectional analysis of voluntary assignment completion during the 2019-2020 academic year. Third-year medical students were provided a voluntary assignment list as follows: observe a procedure, use an interpreter phone to obtain a pediatric history, ask a preceptor to critique a clinical note, and follow-up on a patient after rotation end. Descriptive statistics were used to assess the timing and distribution of voluntary assignment completion amongst study subjects. RESULTS One-hundred and thirty-two subjects (77 on main-campus, 55 off-campus) were included in this study. Eighteen (13.6%) main-campus and sixteen (12.1%) off-campus students completed at least one voluntary assignment. The following voluntary assignments were completed: observe a procedure (15, 11.4%), use an interpreter phone (26, 19.7%), ask a preceptor to critique a clinical note (12, 9.1%), and follow-up on a patient after rotation end (7, 5.3%). Off-campus students completed this assignment more often (29.1%) than on-campus students (23.4%). CONCLUSION Our clerkship values specific patient-focused tasks that may enhance student development, but are not attainable at all our clinical sites. It is demonstrated that when provided a voluntary assignment list, 34 out of 132students (25.8%) completed them. Clerkships that utilize off-campus sites should consider this approach to optimize the pediatric educational experience.

中文翻译：

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医学学生在儿科服务期间的自愿任务，以增强美国的临床经验

目的利用校外临床站点的儿科业务人员通过要求完成以患者为中心的任务来确保临床可比性。有些任务可能无法实现（尤其是在校外）；因此，它们未被分配。这项研究的目的是评估向小儿科业务三年级医学生提供自愿任务清单的可行性。方法这是对2019-2020学年期间自愿完成作业的单中心回顾性回顾性分析。为三年级的医学生提供了以下自愿任务清单：观察程序，使用口译电话获取儿科病史，请教官对临床笔记进行评论，并在轮换结束后对患者进行随访。描述性统计数据用于评估研究对象中自愿完成作业的时间和分布。结果本研究纳入了132名受试者（主校区77名，校外55名）。18名（13.6％）主校区和16名（12.1％）校外学生完成了至少一项自愿作业。完成了以下自愿任务：遵守操作程序（15，11.4％），使用口译电话（26，19.7％），要求主持人对临床笔记进行评论（12，9.1％），并对患者进行随访旋转结束后（7，5.3％）。校外学生比校内学生（23.4％）完成这项作业的频率更高（29.1％）。结论我们的职员重视重视以患者为中心的特定任务，这些任务可能会促进学生的发展，但在我们所有的临床站点都无法实现。事实证明，当提供自愿任务清单时，132名学生中有34名（25.8％）完成了他们的工作。利用校外地点的职员应考虑采用这种方法来优化儿科教育经验。