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A dozen years of evolution of neurology clerkships in the United States: Looking up.

Publication ,  Journal Article
Safdieh, JE; Quick, AD; Korb, PJ; Torres-Russotto, D; Gable, KL; Rock, M; Cahill, C; Soni, M ...
Published in: Neurology
October 9, 2018

OBJECTIVE: To report a 2017 survey of all US medical school neurology clerkship directors (CDs) and to compare the results to similar surveys conducted in 2005 and 2012. METHODS: An American Academy of Neurology (AAN) Consortium of Neurology Clerkship Directors (CNCD) workgroup developed the survey that was sent to all neurology CDs listed in the AAN CNCD database. Comparisons were made to similar 2005 and 2012 surveys. RESULTS: The response rate was 92 of 146 programs (63%). Among the responding institutions, neurology is required in 94% of schools and is 4 weeks in length in 75%. From 2005 to 2017, clerkships shifted out of a fourth-year-only rotation (p = 0.035) to earlier curricular time points. CD protected time averages 0.24 full-time equivalent (FTE), with 31% of CDs reporting 0.26 to 0.50 FTE support, a >4-fold increase from prior surveys (p < 0.001). CD service of >12 years increased from 9% in 2005 to 23% in 2017. Twenty-seven percent also serve as division chief/director, and 22% direct a preclinical neuroscience course. Forty-nine percent of CDs are very satisfied in their role, increased from 34% in 2012 (p = 0.046). The majority of CDs identify as white and male, with none identifying as black/African American. CONCLUSION: Changes since 2005 and 2012 include shifting of the neurology clerkship to earlier in the medical school curriculum and an increase in CD salary support. CDs are more satisfied than reflected in previous surveys and stay in the role longer. There is a lack of racial diversity among neurology CDs.

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Published In

Neurology

DOI

EISSN

1526-632X

Publication Date

October 9, 2018

Volume

91

Issue

15

Start / End Page

e1440 / e1447

Location

United States

Related Subject Headings

  • United States
  • Societies, Medical
  • Schools, Medical
  • Neurology & Neurosurgery
  • Neurology
  • Neurologists
  • Middle Aged
  • Male
  • Job Satisfaction
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Safdieh, J. E., Quick, A. D., Korb, P. J., Torres-Russotto, D., Gable, K. L., Rock, M., … American Academy of Neurology Consortium of Neurology Clerkship Directors 2017 Neurology Clerkship Director Survey Workgroup, . (2018). A dozen years of evolution of neurology clerkships in the United States: Looking up. Neurology, 91(15), e1440–e1447. https://doi.org/10.1212/WNL.0000000000006170
Safdieh, Joseph E., Adam D. Quick, Pearce J. Korb, Diego Torres-Russotto, Karissa L. Gable, Maggie Rock, Carolyn Cahill, Madhu Soni, and Madhu American Academy of Neurology Consortium of Neurology Clerkship Directors 2017 Neurology Clerkship Director Survey Workgroup. “A dozen years of evolution of neurology clerkships in the United States: Looking up.Neurology 91, no. 15 (October 9, 2018): e1440–47. https://doi.org/10.1212/WNL.0000000000006170.
Safdieh JE, Quick AD, Korb PJ, Torres-Russotto D, Gable KL, Rock M, et al. A dozen years of evolution of neurology clerkships in the United States: Looking up. Neurology. 2018 Oct 9;91(15):e1440–7.
Safdieh, Joseph E., et al. “A dozen years of evolution of neurology clerkships in the United States: Looking up.Neurology, vol. 91, no. 15, Oct. 2018, pp. e1440–47. Pubmed, doi:10.1212/WNL.0000000000006170.
Safdieh JE, Quick AD, Korb PJ, Torres-Russotto D, Gable KL, Rock M, Cahill C, Soni M, American Academy of Neurology Consortium of Neurology Clerkship Directors 2017 Neurology Clerkship Director Survey Workgroup. A dozen years of evolution of neurology clerkships in the United States: Looking up. Neurology. 2018 Oct 9;91(15):e1440–e1447.

Published In

Neurology

DOI

EISSN

1526-632X

Publication Date

October 9, 2018

Volume

91

Issue

15

Start / End Page

e1440 / e1447

Location

United States

Related Subject Headings

  • United States
  • Societies, Medical
  • Schools, Medical
  • Neurology & Neurosurgery
  • Neurology
  • Neurologists
  • Middle Aged
  • Male
  • Job Satisfaction
  • Humans