在快速变化的本科医学教育(UME)格局中,职员董事(CD)的角色和职责不清楚。
描述内科CD的当前角色和职责。
全国年度内科主任(CDIM)横断面调查。
截至2017年9月1日,在所有医学教育联络委员会中,有一百二十九名职员主任获得了CDIM会员资格。
核心CD的职责,包括对其他教师的监督,以及CD可用的资源,包括财政支持和专用时间。
调查应答率为83%(107/129)。94%的受访者监督核心职员的住院经历,而47.7%(n=51)和5.6%(n=6)分别监督门诊和纵向综合办事员。除了监督,CD负责课程开发,评估和评分,补救,调度,学生指导,和教师发展。不到三分之一的CD(n=33)获得了建议的0.5个全时等效(FTE)支持,15%(n=16)的FTE支持率低于20%。临床工作平均花费0.41FTE(SD.2),行政职责平均花费0.20FTE(SD.21)。83%的人与其他教师一起协助监督部门的UME经验,FTE支持因角色和机构而异。35%的CD(n=38)有专门的预算来管理其职员。
自2003年传播以前的CD期望和CD期望准则以来,CD的责任在数量和复杂性上都有所增加。然而,可利用的资源没有实质性变化。
In the rapidly changing landscape of undergraduate medical education (UME), the roles and responsibilities of clerkship directors (CDs) are not clear.
To describe the current roles and responsibilities of Internal Medicine CDs.
National annual Clerkship Directors in Internal Medicine (CDIM) cross-sectional survey.
One hundred twenty-nine clerkship directors at all Liaison Committee on Medical Education accredited US medical schools with CDIM membership as of September 1, 2017.
Responsibilities of core CDs, including oversight of other faculty, and resources available to CDs including financial support and dedicated time.
The survey response rate was 83% (107/129). Ninety-four percent of the respondents oversaw the core clerkship inpatient experience, while 47.7% (n = 51) and 5.6% (n = 6) oversaw the outpatient and longitudinal integrated clerkships respectively. In addition to oversight, CDs were responsible for curriculum development, evaluation and grades, remediation, scheduling, student mentoring, and faculty development. Less than one-third of CDs (n = 33) received the recommended 0.5 full-time equivalent (FTE) support for their roles, and 15% (n = 16) had less than 20% FTE support. An average 0.41 FTE (SD .2) was spent in clinical work and 0.20 FTE (SD .21) in administrative duties. Eighty-three percent worked with other faculty who assisted in the oversight of departmental UME experiences, with FTE support varying by role and institution. Thirty-five percent of CDs (n = 38) had a dedicated budget for managing their clerkship.
The responsibilities of CDs have increased in both number and complexity since the dissemination of previous guidelines for expectations of and for CDs in 2003. However, resources available to them have not substantially changed.