Total productivity

1. Total productivity

2. Total productivity

3. Medical Education productivity

4. Medical Education productivity

5. Impact of Director role on Professional advancement

6. Impact of Director role on work satisfaction

7. Summary I : Demographics • Clerkship directors span the age range of faculty members • Surgeons are older, more likely tenured, but tenure is disappearing • Age by itself is negatively related to career satisfaction • Years in the clerkship director role has the opposite association with satisfaction

8. Summary II : Clerkship Features • Surgery and Ob/Gyn are most likely to have night call • All clerkships have about 50% of grade from ward evaluations • Surgery and Ob/Gyn most likely to have recent decrease in clerkship length • Surgeons most concerned with national curriculum, and incorporating simulation

9. Summary III : Resources • Individual surgeons spend < the 50% recommended, but most have co-directors • Staff support is less than full-time national recommendation, but better than other disciplines • Clinical release time/salary support less than recommended

10. Summary IV : Productivity • Surgeons self-report median productivity in medical education • Surgeons report greater TOTAL productivity for presentations and publications • Surgeons are very productive? • Surgeons are very optimistic? • Both?

11. Summary V: Impact • Only a small minority of clerkship directors feel the role has slowed their academic advancement • Over half feel it has enhanced their academic advancement • Remarkably, over 90% of surgery clerkship directors report the role has significantly enhanced satisfaction with their work-and none are neutral.

12. The role must be rewarding, so the trend to multiple co-clerkship directors may enhance faculty morale Conclusion?