TY - JOUR
T1 - Status of neurology medical school education
T2 - Results of 2005 and 2012 clerkship director survey
AU - Carter, Jonathan L.
AU - Ali, Imran I.
AU - Isaacson, Richard S.
AU - Safdieh, Joseph E.
AU - Finney, Glen R.
AU - Sowell, Michael K.
AU - Sam, Maria C.
AU - Anderson, Heather S.
AU - Shin, Robert K.
AU - Kraakevik, Jeff A.
AU - Coleman, Mary
AU - Drogan, Oksana
N1 - Publisher Copyright:
© 2014 American Academy of Neurology.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - 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 5 0.125), but more clerkships have moved into the third year (fewer neurology clerkships during the fourth year, p 5 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.
AB - 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 5 0.125), but more clerkships have moved into the third year (fewer neurology clerkships during the fourth year, p 5 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.
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U2 - 10.1212/WNL.0000000000000962
DO - 10.1212/WNL.0000000000000962
M3 - Article
C2 - 25305155
AN - SCOPUS:84922215245
SN - 0028-3878
VL - 83
SP - 1761
EP - 1766
JO - Neurology
JF - Neurology
IS - 19
ER -