Ryan Michael S, Levine Leonard J, Colbert-Getz Jorie M, Spector Nancy D, Fromme H Barrett
Department of Pediatrics, Virginia Commonwealth University School of Medicine, Richmond, Va.
Department of Pediatrics, Drexel University College of Medicine, Philadelphia, Penn.
Acad Pediatr. 2015 Jul-Aug;15(4):374-9. doi: 10.1016/j.acap.2015.03.009. Epub 2015 Apr 25.
To describe the role and perspectives of pediatrics clerkship directors (CDs) who provide advice to students who apply to Pediatrics residency training programs.
We developed a survey based on previous studies and data from the 2012 National Residency Matching Program- Program Director (NRMP-PD) survey. Topics included CDs roles and confidence in advising, perspectives on applicants' competitiveness, and resources used to inform advising practice. This survey was disseminated as part of the 2013 Council on Medical Student Education in Pediatrics annual survey.
CDs from 63 (45%) Liaison Committee for Medical Education-accredited medical schools in the United States responded. All CDs had some advising role, and most (68%) served in a formal advising capacity. Most (58%) also participated in the intern selection process at their institution. Those with formal advising roles were not significantly more confident in their advising than those without formal roles. CDs relied heavily on subjective resources and most did not use the NRMP-PD survey data. Despite this, the perspectives of CDs were similar to those of program directors based on the most recent NRMP-PD survey.
Pediatrics CDs uniformly serve in advising capacities and have perspectives that compare favorably with those of program directors. Despite this concordance, the high reliance on subjective resources and the frequency in which CDs participate in intern selection raises concern. The results of this study have several implications for key stakeholders in the residency selection process.
描述儿科实习主任（CDs）在为申请儿科住院医师培训项目的学生提供建议方面的作用和观点。
我们根据以往的研究以及2012年全国住院医师匹配项目 - 项目主任（NRMP - PD）调查的数据开发了一项调查问卷。主题包括CDs的作用和提供建议的信心、对申请人竞争力的看法以及用于指导建议实践的资源。该调查问卷作为2013年儿科学医学生教育委员会年度调查的一部分进行分发。
来自美国63所（45%）医学教育联络委员会认证医学院的CDs做出了回应。所有CDs都有某种建议角色，大多数（68%）以正式的建议身份提供服务。大多数（58%）还参与了所在机构的实习生选拔过程。具有正式建议角色的人在提供建议方面并不比没有正式角色的人更有信心。CDs严重依赖主观资源，大多数人没有使用NRMP - PD调查数据。尽管如此，基于最近一次NRMP - PD调查，CDs的观点与项目主任的观点相似。
儿科CDs一致地承担着建议职责，其观点与项目主任的观点相比具有优势。尽管存在这种一致性，但对主观资源的高度依赖以及CDs参与实习生选拔的频率令人担忧。本研究结果对住院医师选拔过程中的关键利益相关者有若干启示。
