Core Clerkship Directors: Their Current Resources and the Rewards of the Role

Ephgrave, Kimberly S.; Margo, Katherine; White, Christopher B.; Hammoud, Maya M.; Brodkey, Amy C.; Painter, Thomas D.; Juel, Vern C.; Shaw, Darlene; Ferguson, Kristi J.

doi:10.1097/acm.0b013e3181d2cdf1

Cited by 16 publications

(19 citation statements)

References 20 publications

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“…This study used the data that was previously reported by Coates in 2005 5. At the time of the Margo study, EM CDs were younger, more likely to be junior faculty at the clinical instructor or assistant professor rank and had less protected time afforded to support their role as CD when compared to their counterparts in other specialties 11,12. Little has changed over the 6 years since the Coates study.…”

Section: Discussionmentioning

confidence: 99%

Emergency Medicine Clerkship Directors: Current Work Force

Wald¹,

Khandelwal²,

Manthey³

et al. 2014

WestJEM

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IntroductionThe emergency medicine clerkship director serves an important role in the education of medical students. The authors sought to update the demographic and academic profile of the emergency medicine clerkship director.MethodsWe developed and implemented a comprehensive questionnaire, and used it to survey all emergency medicine clerkship directors at United States allopathic medical schools accredited by the Liaison Committee on Medical Education. We analyzed and interpreted data using descriptive statistics.ResultsOne hundred seven of 133 (80.4%) emergency medicine clerkship directors completed the survey. Clerkship Director’s mean age was 39.7 years (SD-7.2), they were more commonly male 68.2%, of Caucasian racial backgrounds and at the instructor or assistant professor (71.3%) level. The mean number of years of experience as clerkship director was 5.5 (SD-4.5). The mean amount of protected time for clerkship administration reported by respondents was 7.3 hours weekly (SD-5.1), with the majority (53.8%) reporting 6 or more hours of protected time per week. However, 32.7% of emergency medicine clerkship directors reported not having any protected time for clerkship administration. Most clerkship directors (91.6%) held additional teaching responsibilities beyond their clerkship and many were involved in educational research (49.5%). The majority (79.8%), reported being somewhat or very satisfied with their job as clerkship director.ConclusionMost clerkship directors were junior faculty at the instructor or assistant professor rank and were involved with a variety of educational endeavors beyond the clerkship.

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Section: Discussionmentioning

confidence: 99%

Emergency Medicine Clerkship Directors: Current Work Force

Wald¹,

Khandelwal²,

Manthey³

et al. 2014

WestJEM

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“…In a survey of clinical directors representing several different medical specialty areas, there was similarity across fields with demographics and academic productivity, despite variability in the daily clinical routines and clerkship activities (Ephgrave et al, 2010). Strickler's (1991) survey of physical therapy academic clinical coordinators of education found they spend 24% of their time in the classroom teaching, 52% on clinical education activities, and 24% on clinical practice, scholarship, and service.…”

Section: Tasks Of the Rolementioning

confidence: 98%

Exploring the Complexity of the Academic Fieldwork Coordinator Role

Stutz-Tanenbaum

Hanson

Koski

et al. 2015

Occupational Therapy In Health Care

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A nation-wide survey was conducted of occupational therapy and occupational therapy assistant academic fieldwork coordinators (AFWCs) to describe demographic characteristics and tasks of the role. From the data, 10 clusters of role tasks of the AFWC are described. AFWCs view the position as a final career goal although the majority of respondents reported 5 years or less experience. Administrative assistant support and hours dedicated to fieldwork tasks are higher at the professional level than for occupational therapy assistant AFWCs. AFWCs reported difficulty accomplishing tasks in a 40-h work week and limited time for research and scholarship. Recommendations are provided for recruitment and retention through development of a systematic training program and establishment of a national fieldwork education research agenda.

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“…The high response rate on both surveys (approximately 75%), which is a strength of this study, helps ensure the validity of the data. While other surveys 2 have included neurology CDs as part of a larger population of CDs, this is the first report specific to US neurology CDs and the first to look at these trends over time. The intentional inclusion of similar questions in both surveys allows evaluation of trends over time.…”

Section: Assessment Methodsmentioning

confidence: 99%

“…Similar results have been seen in other surveys of CDs. 2,8 We hope that the data presented in this report will be helpful for CDs, program directors, department chairs, medical school deans, and other educators who have an interest in teaching the next generation of physicians by helping to establish national benchmarks for neurology clerkships. We hope this report will stimulate discussion about the resources and support needed for clinical education in general and neurology education in particular.…”

Section: Assessment Methodsmentioning

confidence: 99%

“…This group and others have published manuscripts that outline the recommended resources and qualifications of CDs and have surveyed across multiple specialties to determine how well CDs are supported in their roles. 1,2 Neurology CDs are charged with introducing the subtleties and complexities of clinical neurology to medical students. Neurology has been identified in earlier surveys as a clerkship perceived by medical students to be demanding and overly complex, and the term "neurophobia" has been coined to describe the fear of neurology generated by this perception.…”

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confidence: 99%

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Status of neurology medical school education

Carter¹,

Ali²,

Isaacson³

et al. 2014

Neurology

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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. Clerkship directors (CDs) have a crucial role in the successful transition of medical students from their preclinical studies to the world of clinical medicine. The importance of CDs in medical education is underscored by the existence of organizations such as the Alliance for Clinical Education, which serves as a scholarly body of medical educators across multiple specialties with the primary focus of supporting clinical education. This group and others have published manuscripts that outline the recommended resources and qualifications of CDs and have surveyed across multiple specialties to determine how well CDs are supported in their roles. Conclusion: 1,2Neurology CDs are charged with introducing the subtleties and complexities of clinical neurology to medical students. Neurology has been identified in earlier surveys as a clerkship perceived by medical students to be demanding and overly complex, and the term "neurophobia" has been coined to describe the fear of neurology generated by this perception.3 To better understand the needs and challenges that neurology CDs experience and the resources provided to meet these, the Undergraduate Education Subcommittee (UES) of the American Academy of Neurology (AAN) and the Consortium of Neurology Clerkship Directors (CNCD) conducted a survey of neurology CDs at all US medical schools in 2005. 4

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Core Clerkship Directors: Their Current Resources and the Rewards of the Role

Cited by 16 publications

References 20 publications

Emergency Medicine Clerkship Directors: Current Work Force

Emergency Medicine Clerkship Directors: Current Work Force

Exploring the Complexity of the Academic Fieldwork Coordinator Role

Status of neurology medical school education

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