美国医学博士课程结构分析。

IF 5.3 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Mary-Claire Roghmann, Lisa A Schimmenti, Christopher S Williams, Talia H Swartz
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引用次数: 0

摘要

目的:本研究描述了医学博士项目临床教育部分的结构和时间安排,以说明实习前课程的变化与早期临床接触机会及其他关键项目特征之间的关联:2022年5月25日,我们向美国医学博士项目发放了一份调查问卷,调查内容包括实习前课程的长度(长[>18个月]、中[13-18个月]或短[12个月])、美国医学执照考试第1步的时间安排(相对于博士培训和实习)以及博士阶段之前的实习机会。这项调查得到了来自公开来源的数据的补充,包括 92 个医学博士-博士项目:研究发现,医学博士临床课程的范围很广。研究发现,较短的实习前课程长度与博士阶段前的实习机会之间存在密切联系(50 个项目中有 10 个项目[20%]的实习前课程较长,35 个项目中有 19 个项目[54%]的实习前课程中等,7 个项目中有 7 个项目[100%]的实习前课程较短,P < .001)。根据实习前课程的长短和博士毕业前实习的机会,美国医学执业资格考试第 1 步的时间也存在差异。较短的实习前课程长度与美国国立卫生研究院对医学博士项目的资助有关(实习前课程长度较长的有20人[40%],中等的有25人[69%],较短的有6人[86%],P = .006),也与医学博士项目规模较大有关(实习前课程长度较长的有35人,中等的有70人,较短的有86人,P < .001)。实习前课程的长短与公立医学院和私立医学院无关,但西方医学院的实习前课程较短:本研究强调了合作的必要性,以深入了解医学博士-博士项目中教育干预措施的有效性和影响,最终为未来的培训战略和政策提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Analysis of Curricular Structures in MD-PhD Programs in the United States.

Purpose: This study describes the structure and timing of the clinical education components of MD-PhD programs to illustrate how variations in preclerkship curriculum correlate with the opportunity for early clinical exposure and other key program characteristics.

Method: A survey was disseminated to U.S. MD-PhD programs on May 25, 2022, asking about the preclerkship curriculum length (long [> 18 months], medium [13-18 months], or short [12 months]), United States Medical Licensing Examination Step 1 timing (relative to the PhD training and clerkships), and opportunity for clerkships before the PhD phase. This survey was supplemented with data from publicly available sources to include 92 MD-PhD programs.

Results: This study found a wide range of MD-PhD clinical curricula. A strong association was found between shorter preclerkship curriculum length and the opportunity for clerkships before the PhD (10 of 50 programs [20%] with long preclerkship curriculum, 19 of 35 programs [54%] with medium preclerkship curriculum, and 7 of 7 programs [100%] with short preclerkship curriculum, P < .001). Variations in United States Medical Licensing Examination Step 1 timing also exist based on preclerkship curriculum length and the opportunity for clerkships before the PhD. Shorter preclerkship curriculum length was associated with National Institutes of Health funding of the MD-PhD program (20 [40%] of long, 25 [69%] of medium, and 6 [86%] of short preclerkship curricula, P = .006) and larger MD-PhD program size (35 students with long, 70 with medium, and 86 with short preclerkship curricula, P < .001). Preclerkship curriculum length was not associated with public vs private medical schools, although the West had shorter preclerkship curricula.

Conclusions: This study underscores the need for collaborative efforts to gain insights into the effectiveness and implications of educational interventions in MD-PhD programs, ultimately informing future training strategies and policies.

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来源期刊
Academic Medicine
Academic Medicine 医学-卫生保健
CiteScore
7.80
自引率
9.50%
发文量
982
审稿时长
3-6 weeks
期刊介绍: Academic Medicine, the official peer-reviewed journal of the Association of American Medical Colleges, acts as an international forum for exchanging ideas, information, and strategies to address the significant challenges in academic medicine. The journal covers areas such as research, education, clinical care, community collaboration, and leadership, with a commitment to serving the public interest.
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