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A Survey of Surgery Clerkship Directors

A Survey of Surgery Clerkship Directors. Association for Surgical Education March 23, 2012 – San Diego, CA Robert R. Nesbit, Jr., MD, E. James Kruse, DO Medical College of Georgia @ GHSU Stephen C. Yang, MD Johns Hopkins University School of Medicine D. Scott Lind, MD

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A Survey of Surgery Clerkship Directors

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  1. A Survey of Surgery Clerkship Directors Association for Surgical Education March 23, 2012 – San Diego, CA Robert R. Nesbit, Jr., MD, E. James Kruse, DO Medical College of Georgia @ GHSU Stephen C. Yang, MD Johns Hopkins University School of Medicine D. Scott Lind, MD Drexel University College of Medicine

  2. Survey of Student Education in Surgery Lind, Deladisma, Cue, Thomas, MacFadyen, Nesbit J Am Coll Surg 2007;204:969-976

  3. 2011 Survey • March- June 2011 • 117 Clerkship Directors • 108 Medical Schools • 72% of all AAMC schools • 68% have had no training for the position • 20% receive no compensation of any kind

  4. Expectations of and for Clerkship Directors: A Collaborative Statement from the Alliance of Clinical Education Pangaro, Bachicha, Brodkey, Chumley-Jones, Fincher, Gelb, Morgenstern, Sachdeva Teaching and Learning in Medicine 2003;15(3):217-222

  5. LCME Standard ED-24 • Residents who teach shall “be prepared for their roles in teaching and assessment” … • and be “provided resources (e.g. workshops, resource materials) to enhance…teaching and assessment skills” • “formal evaluation of the teaching and assessment skills of residents…with opportunities for remediation…

  6. LCME Standard ED-24 Residents at 30% of schools receive no instruction at all in teaching

  7. LCME Standard ED-2 • “The faculty (must) define the types of patients and clinical conditions that medical students must encounter” • including the appropriate clinical setting and level of responsibility and monitor and verify those experiences and remedy any gaps.

  8. LCME Standard ED-2 • 30% said that their clerkships have no list of diagnoses which students must see

  9. All-Night Call • 80% had some all-night call • 79% of those planned to continue it this year

  10. Would a curriculum be useful to you? • 62% Yes • 32% “Maybe”

  11. Major problems managing clerkship? Cooperation from faculty in teaching and grading

  12. A Survey of Surgery Clerkship Directors • Surgery Clerkship Directors are very cooperative in completing surveys that concern them • Training and compensation of many Surgery Clerkship Directors vary widely from recommended guidelines • Some program practices appear not to be in compliance with LCME requirements

  13. ?’s rnesbit@georgiahealth.edu

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