Introduction: The roles and responsibilities of the administrative staff supporting required clinical medical student experiences have evolved. In 2004, the Association of American Medical Colleges Central Group on Educational Affairs (CGEA) offered for the first time the Clerkship Administrator Certificate Program. This program requires the completion of a series of workshops and a project and results in a certificate. Research related to long-term outcomes of professional development programs such as this is limited. The purpose of our study was to explore the impact this professional development program had on the careers of participants.
Methods: We conducted a survey of those who completed the qualifying workshops from 2010 to 2018. The survey was based on program content, including questions to explore the self-described impact on their careers. Categorical and scaled data were summarized using descriptive statistics. The realistic evaluation framework was used to guide inductive and deductive content analysis, allowing respondent interpretations and context to define outcomes.
Results: Out of 244 invitations, 50 (20.5%) responded. Of the respondents, 40 still work in medical education. Scaled responses (strongly disagree to strongly agree) were positive. The individual's motivation, departmental climate, and other contextual factors (experience, collaborators, time) impacted workshop participants' ability to complete the certificate program. Those who completed certification noted various forms of recognition locally, ranging from special recognition by the chair, raises, and promotions. Additionally, participants felt more confident and accomplished in their careers.
Conclusions: Although positively rated, the success of this program had differential outcomes depending on participant contexts. Unintended results for participants completing the program resulted in promotions. Applying the realistic evaluation framework provided insights to improve the program.
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http://dx.doi.org/10.7759/cureus.24024 | DOI Listing |
Clin Teach
February 2025
Department of Internal Medicine, Division of General and Geriatric Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Background: With increasing patient care responsibilities, administrative work and education demands, physicians may find it challenging to provide high-quality and engaging clinical education to third-year medical students on clerkships. Fourth-year students in the role of near-peer teachers can help fill this role, but they often also have competing responsibilities.
Approach: A 4-week Internal Medicine Student Chief (Student Chief) elective was created, designed such that fourth-year students would apply for dedicated time to serve as student leaders, coaches and educators for the third-year students on the Internal Medicine clerkship.
J Grad Med Educ
December 2024
is Executive Director for Evaluation and Assessment, Center for Medical Education, Yale School of Medicine, New Haven, Connecticut, USA.
Residency education in the United States faces challenges from evolving external influence on evidence-based reproductive and gender-affirming health care (R/GAHC). Curricula must incorporate information and resources to assist residents in navigating changes. To illustrate a process for expeditiously adapting curriculum in response to changing laws affecting R/GAHC.
View Article and Find Full Text PDFAcad Pathol
September 2024
Department of Pathology, NYU Grossman School of Medicine, New York, NY, USA.
In medical education, pathology has traditionally been concentrated in only the preclinical years, often without sufficient emphasis on its practical application in clinical practice. Correspondingly, medical students' interest in pathology as a career has been low. To address this issue and foster a deeper understanding of pathology's clinical relevance and encourage appropriate utilization, we introduced a required exposure to pathology in the surgery clerkship featuring clinicopathological case review in a small group setting.
View Article and Find Full Text PDFFam Med
September 2024
Department of Family and Preventive Medicine, University of Oklahoma, Oklahoma City, OK.
Background And Objectives: Building on research highlighting the success of tribal, rural, and underserved clerkships to increase students' intention to practice family medicine in these areas, we explored the perspectives of prospective precepting physicians and administrators to develop an optimal structure to facilitate recruitment of external preceptors.
Methods: We conducted semistructured interviews with family physicians (N=14) and health system administrators (N=14) working in tribal, rural, and underserved areas. Discussions were recorded, transcribed verbatim, and coded independently by two researchers.
Fam Med
July 2024
Center for Family and Community Medicine, Columbia University Irving Medical Center, New York, NY.
Background And Objectives: Student-run free clinics (SRFCs) have been proposed as one educational strategy to increase medical students' interest in primary care careers. We sought to overcome gaps in the literature by investigating the effect of opening an SRFC at different institutions on institution-level match rates into family medicine, the largest source of primary care physicians in the United States.
Methods: We connected a list of SRFCs from primary care clerkship directors and the Society of Student-Run Free Clinics with a database of institution-level match rates into family medicine from 2000 to 2018.
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