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Visiting medical student elective and clerkship programs: a survey of US and Puerto Rico allopathic medical schools

机译：参观医学院的学生选修和文职计划：对美国和波多黎各同种疗法医学院的调查

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Background No published reports of studies have provided aggregate data on visiting medical student (VMS) programs at allopathic medical schools. Methods During 2006, a paper survey was mailed to all 129 allopathic medical schools in the United States and Puerto Rico using a list obtained from the Association of American Medical Colleges. Contents of the survey items were based on existing literature and expert opinion and addressed various topics related to VMS programs, including organizational aspects, program objectives, and practical issues. Responses to the survey items were yes-or-no, multiple-choice, fill-in-the-blank, and free-text responses. Data related to the survey responses were summarized using descriptive statistics. Results Representatives of 76 schools (59%) responded to the survey. Of these, 73 (96%) reported their schools had VMS programs. The most common reason for having a VMS program was "recruitment for residency programs" (90%). "Desire to do a residency at our institution" was ranked as the leading reason visiting medical students choose to do electives or clerkships. In descending order, the most popular rotations were in internal medicine, orthopedic surgery, emergency medicine, and pediatrics. All VMS programs allowed fourth-year medical students, and approximately half (58%) allowed international medical students. The most common eligibility requirements were documentation of immunizations (92%), previous clinical experience (85%), and successful completion of United States Medical Licensing Examination Step 1 (51%). Of the programs that required clinical experience, 82% required 33 weeks or more. Most institutions (96%) gave priority for electives and clerkships to their own students over visiting students, and a majority (78%) reported that visiting students were evaluated no differently than their own students. During academic year 2006-2007, the number of new resident physicians who were former visiting medical students ranged widely among the responding institutions (range, 0-76). Conclusions Medical schools' leading reason for having VMS programs is recruitment into residency programs and the most commonly cited reason students participate in these programs is to secure residency positions. However, further research is needed regarding factors that determine the effectiveness of VMS programs in residency program recruitment and the development of more universal standards for VMS eligibility requirements and assessment.
机译：背景资料没有发表的研究报告提供有关同种疗法医学院的访问医学生（VMS）计划的汇总数据。方法2006年期间，使用从美国医学院联合会获得的清单将纸质调查问卷邮寄到美国和波多黎各的所有129家同种疗法医学院。调查项目的内容基于现有文献和专家意见，并涉及与VMS计划相关的各种主题，包括组织方面，计划目标和实际问题。对调查项目的答复为是或否，多项选择，空白填写和自由文本答复。使用描述性统计数据汇总了与调查答复相关的数据。结果有76所学校（59％）的代表对此调查做出了回应。其中73（96％）个报告说他们的学校有VMS计划。拥有VMS程序的最常见原因是“招募驻地程序”（90％）。 “渴望在我们的机构中​​居住”被评为访问医学生选择选修或担任文职人员的主要原因。按降序排列，最受欢迎的轮换是内科，整形外科，急诊医学和儿科。所有VMS计划都允许四年级医学生，大约一半（58％）允许国际医学生。最常见的资格要求是免疫证明文件（92％），先前的临床经验（85％）和成功完成美国医学许可考试步骤1（51％）。在需要临床经验的计划中，有82％的计划需要33周或更长时间。大多数机构（96％）优先考虑自己的学生在选修和文职方面胜过访问学生，并且大多数机构（78％）认为访问学生的评价与他们自己的学生没有不同。在2006-2007学年期间，响应机构中曾来过医学院的新常驻医师人数差异很大（范围为0-76）。结论医学院拥有VMS计划的主要原因是招募了居住权计划，而学生参加这些计划最常被提及的原因是获得居住权。但是，需要对决定VMS计划在居住计划招募中的有效性以及制定更通用的VMS资格要求和评估标准的因素进行进一步研究。

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