Family Medicine Clerkship Directors' Remediation of Faculty With Mistreatment Concerns: Results From a CERA Clerkship Directors Survey.

Abstract

Introduction: Little is known about how frequently family medicine (FM) clerkship directors remediate faculty with student mistreatment concerns and their comfort level in performing the remediations. In this exploratory study, we investigated factors associated with the number of faculty remediated for student mistreatment concerns by FM clerkship directors and the comfort level of FM clerkship directors in remediating these faculty.

Methods: Data were collected as part of the 2022 Council of Academic Family Medicine Educational Research Alliance (CERA) survey of FM clerkship directors. FM clerkship directors provided responses on how frequently they remediated faculty with mistreatment concerns and their comfort level in performing remediations.

Results: Ninety-four of 159 FM clerkship directors (59.1%) responded to the survey. FM clerkship directors remediated more community faculty than employed faculty (P<.001). FM clerkship directors at schools where a larger percentage of students spent at least half of their rotation with a community faculty (P=.002) or where there were a higher percentage of paid community faculty (P=.004) were more likely to have remediated community faculty. FM clerkship directors reported more comfort in remediating employed faculty compared to community faculty (P=.048). FM clerkship directors with access to a formal mechanism for remediation (P=.016) or having a better adequacy in number of precepting sites (P=.041) reported higher comfort levels in remediating community faculty.

Conclusions: Our study identified factors associated with remediating family medicine clerkship faculty with mistreatment concerns. Additional research is needed to determine the most effective strategies to remediate faculty with mistreatment concerns.