Joseph E Safdieh1, Adam D Quick2, Pearce J Korb2, Diego Torres-Russotto2, Karissa L Gable2, Maggie Rock2, Carolyn Cahill2, Madhu Soni2. 1. From the Department of Neurology (J.E.S.), Weill Cornell Medicine/New York Presbyterian Hospital, NY; Department of Neurology (A.D.Q.) The Ohio State University Wexner Medical Center, Columbus; Department of Neurology (P.J.K.), University of Colorado Denver Anschutz Medical Campus, Aurora; Department of Neurological Sciences (D.T.-R.), University of Nebraska Medical Center, Omaha; Department of Neurology (K.L.G.), Duke University School of Medicine, Durham, NC; Center for Education and Science (M.R.) and Insights Department (C.C.), American Academy of Neurology, Minneapolis, MN; and Department of Neurological Sciences (M.S.), Rush University Medical Center, Chicago, IL. jos9046@med.cornell.edu. 2. From the Department of Neurology (J.E.S.), Weill Cornell Medicine/New York Presbyterian Hospital, NY; Department of Neurology (A.D.Q.) The Ohio State University Wexner Medical Center, Columbus; Department of Neurology (P.J.K.), University of Colorado Denver Anschutz Medical Campus, Aurora; Department of Neurological Sciences (D.T.-R.), University of Nebraska Medical Center, Omaha; Department of Neurology (K.L.G.), Duke University School of Medicine, Durham, NC; Center for Education and Science (M.R.) and Insights Department (C.C.), American Academy of Neurology, Minneapolis, MN; and Department of Neurological Sciences (M.S.), Rush University Medical Center, Chicago, IL.
Abstract
OBJECTIVE: To report a 2017 survey of all US medical school neurology clerkship directors (CDs) and to compare the results to similar surveys conducted in 2005 and 2012. METHODS: An American Academy of Neurology (AAN) Consortium of Neurology Clerkship Directors (CNCD) workgroup developed the survey that was sent to all neurology CDs listed in the AAN CNCD database. Comparisons were made to similar 2005 and 2012 surveys. RESULTS: The response rate was 92 of 146 programs (63%). Among the responding institutions, neurology is required in 94% of schools and is 4 weeks in length in 75%. From 2005 to 2017, clerkships shifted out of a fourth-year-only rotation (p = 0.035) to earlier curricular time points. CD protected time averages 0.24 full-time equivalent (FTE), with 31% of CDs reporting 0.26 to 0.50 FTE support, a >4-fold increase from prior surveys (p < 0.001). CD service of >12 years increased from 9% in 2005 to 23% in 2017. Twenty-seven percent also serve as division chief/director, and 22% direct a preclinical neuroscience course. Forty-nine percent of CDs are very satisfied in their role, increased from 34% in 2012 (p = 0.046). The majority of CDs identify as white and male, with none identifying as black/African American. CONCLUSION: Changes since 2005 and 2012 include shifting of the neurology clerkship to earlier in the medical school curriculum and an increase in CD salary support. CDs are more satisfied than reflected in previous surveys and stay in the role longer. There is a lack of racial diversity among neurology CDs.
OBJECTIVE: To report a 2017 survey of all US medical school neurology clerkship directors (CDs) and to compare the results to similar surveys conducted in 2005 and 2012. METHODS: An American Academy of Neurology (AAN) Consortium of Neurology Clerkship Directors (CNCD) workgroup developed the survey that was sent to all neurology CDs listed in the AAN CNCD database. Comparisons were made to similar 2005 and 2012 surveys. RESULTS: The response rate was 92 of 146 programs (63%). Among the responding institutions, neurology is required in 94% of schools and is 4 weeks in length in 75%. From 2005 to 2017, clerkships shifted out of a fourth-year-only rotation (p = 0.035) to earlier curricular time points. CD protected time averages 0.24 full-time equivalent (FTE), with 31% of CDs reporting 0.26 to 0.50 FTE support, a >4-fold increase from prior surveys (p < 0.001). CD service of >12 years increased from 9% in 2005 to 23% in 2017. Twenty-seven percent also serve as division chief/director, and 22% direct a preclinical neuroscience course. Forty-nine percent of CDs are very satisfied in their role, increased from 34% in 2012 (p = 0.046). The majority of CDs identify as white and male, with none identifying as black/African American. CONCLUSION: Changes since 2005 and 2012 include shifting of the neurology clerkship to earlier in the medical school curriculum and an increase in CD salary support. CDs are more satisfied than reflected in previous surveys and stay in the role longer. There is a lack of racial diversity among neurology CDs.