Jonathan L Carter1, Imran I Ali2, Richard S Isaacson2, Joseph E Safdieh2, Glen R Finney2, Michael K Sowell2, Maria C Sam2, Heather S Anderson2, Robert K Shin2, Jeff A Kraakevik2, Mary Coleman2, Oksana Drogan2. 1. From Mayo Clinic Arizona (J.L.C.), Scottsdale; University of Toledo COM (I.I.A.), OH; Weill Cornell Medical College (R.S.I., J.E.S.), New York; University of Florida COM (G.R.F.), Gainesville; University of Louisville SOM (M.K. Sowell), KY; Wake Forest University SOM (M.C. Sam), Winston Salem, NC; University of Kansas SOM (H.S.A.), Kansas City; University of Maryland SOM (R.K.S.), Baltimore; Oregon Health Sciences University SOM (J.A.K.), Portland; American Academy of Neurology (M.C.), St. Paul, MN; and LITE Consulting Inc. (O.D.), Atlanta, GA. carter.jonathan@mayo.edu. 2. From Mayo Clinic Arizona (J.L.C.), Scottsdale; University of Toledo COM (I.I.A.), OH; Weill Cornell Medical College (R.S.I., J.E.S.), New York; University of Florida COM (G.R.F.), Gainesville; University of Louisville SOM (M.K. Sowell), KY; Wake Forest University SOM (M.C. Sam), Winston Salem, NC; University of Kansas SOM (H.S.A.), Kansas City; University of Maryland SOM (R.K.S.), Baltimore; Oregon Health Sciences University SOM (J.A.K.), Portland; American Academy of Neurology (M.C.), St. Paul, MN; and LITE Consulting Inc. (O.D.), Atlanta, GA.
Abstract
OBJECTIVE: To survey all US medical school clerkship directors (CDs) in neurology and to compare results from a similar survey in 2005. METHODS: A survey was developed by a work group of the American Academy of Neurology Undergraduate Education Subcommittee, and sent to all neurology CDs listed in the American Academy of Neurology database. Comparisons were made to a similar 2005 survey. RESULTS: Survey response rate was 73%. Neurology was required in 93% of responding schools. Duration of clerkships was 4 weeks in 74% and 3 weeks in 11%. Clerkships were taken in the third year in 56%, third or fourth year in 19%, and fourth year in 12%. Clerkship duration in 2012 was slightly shorter than in 2005 (fewer clerkships of ≥4 weeks, p = 0.125), but more clerkships have moved into the third year (fewer neurology clerkships during the fourth year, p = 0.051). Simulation training in lumbar punctures was available at 44% of schools, but only 2% of students attempted lumbar punctures on patients. CDs averaged 20% protected time, but reported that they needed at least 32%. Secretarial full-time equivalent was 0.50 or less in 71% of clerkships. Eighty-five percent of CDs were "very satisfied" or "somewhat satisfied," but more than half experienced "burnout" and 35% had considered relinquishing their role. CONCLUSION: Trends in neurology undergraduate education since 2005 include shorter clerkships, migration into the third year, and increasing use of technology. CDs are generally satisfied, but report stressors, including inadequate protected time and departmental support.
OBJECTIVE: To survey all US medical school clerkship directors (CDs) in neurology and to compare results from a similar survey in 2005. METHODS: A survey was developed by a work group of the American Academy of Neurology Undergraduate Education Subcommittee, and sent to all neurology CDs listed in the American Academy of Neurology database. Comparisons were made to a similar 2005 survey. RESULTS: Survey response rate was 73%. Neurology was required in 93% of responding schools. Duration of clerkships was 4 weeks in 74% and 3 weeks in 11%. Clerkships were taken in the third year in 56%, third or fourth year in 19%, and fourth year in 12%. Clerkship duration in 2012 was slightly shorter than in 2005 (fewer clerkships of ≥4 weeks, p = 0.125), but more clerkships have moved into the third year (fewer neurology clerkships during the fourth year, p = 0.051). Simulation training in lumbar punctures was available at 44% of schools, but only 2% of students attempted lumbar punctures on patients. CDs averaged 20% protected time, but reported that they needed at least 32%. Secretarial full-time equivalent was 0.50 or less in 71% of clerkships. Eighty-five percent of CDs were "very satisfied" or "somewhat satisfied," but more than half experienced "burnout" and 35% had considered relinquishing their role. CONCLUSION: Trends in neurology undergraduate education since 2005 include shorter clerkships, migration into the third year, and increasing use of technology. CDs are generally satisfied, but report stressors, including inadequate protected time and departmental support.
Authors: D Michael Elnicki; Paul A Hemmer; Mark M Udden; Raymond Wong; Jaye Hefner; Michael Battistone; T Andrew Albritton; Charles H Griffith Journal: Teach Learn Med Date: 2003 Impact factor: 2.414
Authors: Louis Pangaro; Jay Bachicha; Amy Brodkey; Heidi Chumley-Jones; Ruth-Marie Fincher; Douglas Gelb; Bruce Morgenstern; Ajit K Sachdeva Journal: Teach Learn Med Date: 2003 Impact factor: 2.414
Authors: Jeremy A Tanner; Karthik T Rao; Rachel E Salas; Roy E Strowd; Angeline M Nguyen; Alexandra Kornbluh; Evan Mead-Brewer; Charlene E Gamaldo Journal: Neurol Clin Pract Date: 2017-12