Incentives and Barriers for Early Career Faculty Participation in Medical Student Education: Perceptions of Clinical Faculty From a Midwestern Public Medical School.

Aurora Resop, Anne Stahr, Elizabeth M Petty
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Abstract

Introduction: Physician faculty play key roles as medical student educators, often opting into these roles early in their careers. The incentives and barriers for early career faculty participation in medical student education have not been well elucidated.

Objectives: This quality improvement project examined the incentives and barriers perceived by early career faculty in 2 large clinical departments (Medicine and Surgery) at the University of Wisconsin School of Medicine and Public Health (UWSMPH) and identified potential improvements to support participation and satisfaction in medical student education.

Methods: We conducted a qualitative quality improvement project using semistructured interviews with 22 early career faculty from the Department of Medicine and the Department of Surgery at UWSPMH during June and July 2023. Interviews were analyzed using inductive thematic analysis.

Results: Among 22 early career faculty interviewed (11 from Medicine, 11 from Surgery), the top incentives for participation included personal fulfillment (72% Medicine, 81% Surgery) and promotion (45% Medicine, 36% Surgery). The main disincentive for both groups was lack of time (81%). Suggested improvements included increased protected time, financial incentives, enhanced faculty development, and clearer communication of teaching opportunities.

Conclusions: Participants from both departments agreed that key incentives for participation in medical student education include personal fulfillment and a clear path to promotion, whereas time constraints remain the major disincentive. Potential solutions include increased protected time and more organized communication of teaching opportunities.

早期职业教师参与医学生教育的动机和障碍:来自中西部公立医学院临床教师的看法。
医师教师作为医学生教育者扮演着关键的角色,通常在他们的职业生涯早期就选择了这些角色。早期职业教师参与医学生教育的动机和障碍尚未得到很好的阐明。目的:本质量改进项目调查了威斯康星大学医学和公共卫生学院(UWSMPH)两个大型临床部门(内科和外科)的早期职业教师所感知的激励和障碍,并确定了支持医科学生教育参与和满意度的潜在改进。方法:我们于2023年6月至7月对UWSPMH内科和外科的22名早期职业教师进行了半结构化访谈,进行了定性质量改进项目。访谈采用归纳主题分析法进行分析。结果:在接受采访的22名早期职业教师中(11名来自医学,11名来自外科),参与的主要动机是个人成就感(72%来自医学,81%来自外科)和晋升(45%来自医学,36%来自外科)。两组患者的主要障碍是缺乏时间(81%)。建议的改进措施包括增加保护时间,财政激励,加强教师发展,以及更清晰地沟通教学机会。结论:来自两个部门的参与者一致认为,参与医学生教育的主要激励因素包括个人成就感和明确的晋升途径,而时间限制仍然是主要的抑制因素。潜在的解决方案包括增加保护时间和更有组织的教学机会交流。
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