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Accelerating medical education: a survey of deans and program directors

机译：加速医学教育：对院长和项目负责人的调查

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BackgroundA handful of medical schools in the U.S. are awarding medical degrees after three years. While the number of three-year pathway programs is slowly increasing there is little data on the opinions of medical education leaders on the need for shortening training.PurposeTo survey deans and program directors (PDs) to understand the current status of 3-year medical degree programs and to elicit perceptions of the need for shortening medical school and the benefits and liabilities of 3-year pathway programs (3YPP).MethodsOnline surveys were emailed to the academic deans of all U.S. medical schools and to a convenience sample of residency and fellowship PDs. Frequency distributions are reported for key survey items and content analysis was used to describe open-ended responses.ResultsOf the respondents, 7% have a 3YPP, 4% were developing one, and 35% were considering development. In 2014, 47% of educational deans and 32% of PDs agreed that there may be a need to shorten medical school. From a list of benefits, both deans and PDs agreed that the greatest benefit to a 3YPP was debt reduction (68%). PDs and deans felt reduced readiness for independence, reduced exposure to complementary curricula regarding safety and quality improvement, premature commitment to a specialty, and burnout were all potential liabilities. From a list of concerns, PDs were concerned about depth of clinical exposure, direct patient care experience, ability to assume increased responsibility, level of maturity, and certainty regarding career choice.ConclusionsOver one-third of medical schools are considering the development of a 3YPP. While there may be benefits for a select group of students, concerns regarding maturity, depth of clinical exposure, and competency must be addressed for these programs to be well received.
机译：背景技术美国的少数医学院在三年后就授予医学学位。尽管三年制衔接课程的数量正在缓慢增加，但有关医学教育负责人对缩短培训需求的看法的数据很少。目的是调查院长和课程负责人（PD）以了解三年制医学学位的现状计划，并引起人们对缩短医学院校的需要以及三年制课程（3YPP）的好处和责任的认识。方法将在线调查通过电子邮件发送给美国所有医学院校的院长以及居住和团契PD的便利样本。报告了主要调查项目的频率分布，并使用内容分析描述了开放式响应。结果在受访者中，有7％的人表示“ 3YPP”，有4％的人表示“ 3YPP”，有35％的人表示正在考虑“ 3YPP”。 2014年，有47％的教育院长和32％的PD同意可能需要缩短医学院。从收益列表中，院长和PD都同意，“ 3YPP”的最大收益是减少债务（68％）。 PD和院长感到独立准备的减少，对安全和质量改进的补充课程的关注减少，对专业的过早承诺以及精疲力尽都是潜在的责任。从一系列担忧中，PD担心临床暴露的深度，直接的患者护理经验，承担更大责任的能力，成熟度以及职业选择的确定性。结论超过三分之一的医学院校正在考虑制定3YPP。 。虽然某些学生可能会受益，但必须解决与成熟度，临床接触深度和能力有关的问题，才能使这些课程受到良好欢迎。

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