Olive Kenneth E, Kwasigroch Thomas E, Wooten Daniel J, Lybrand Cynthia, Peeples Catherine R
K.E. Olive is professor, Department of Internal Medicine, and executive associate dean, Academic and Faculty Affairs, Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee. T.E. Kwasigroch is professor, Department of Biomedical Sciences, and associate dean, Student Affairs, Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee. D.J. Wooten is professor, Department of Surgery, Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee. C. Lybrand is medical education coordinator, Years One and Two, Office of Academic and Faculty Affairs, Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee. C.R. Peeples is clinical medical education coordinator, Years Three and Four, Office of Academic and Faculty Affairs, Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee.
Acad Med. 2016 Nov;91(11):1530-1533. doi: 10.1097/ACM.0000000000001208.
Providing medical students with resources to make effective career choices is challenging for medical schools as career options outnumber the formal clinical rotations students can experience during their undergraduate education.
In 2009, the authors introduced the Career Exploration (CE) courses into the required curriculum at the Quillen College of Medicine. This three-course sequence includes large-group sessions addressing broad issues related to career choices, small-group specialty interest groups, individual student self-assessments, assignments through which students receive individualized feedback, and individual student advising sessions. The overall objective of the course sequence is to involve all students in career planning from the beginning of medical school so as to help them make more informed career decisions.
The authors used improvement in student satisfaction with career planning activities as a surrogate measure for the outcome of helping students make more informed career choices. Students evaluated the CE courses positively, and overall satisfaction scores averaged 4 (1 = poor to 5 = excellent). Scores on Association of American Medical Colleges Graduation Questionnaire items related to career planning showed improved student satisfaction from 2010 to 2015.
Succession planning for the first- and second-year career advisor is vital-as is faculty development for all clinical advisors to ensure that they have current information regarding both the curriculum and Match process, especially as residency selection becomes increasingly competitive. Enhancing the role of fourth-year students who serve as CE III mentors has the potential to prepare these students to be better teachers as residents.
由于职业选择的数量超过了医学生在本科教育期间能够体验的正式临床轮转数量,因此为医学生提供做出有效职业选择的资源对医学院校来说具有挑战性。
2009年,作者将职业探索(CE)课程引入了奎伦医学院的必修课程。这个由三门课程组成的序列包括解决与职业选择相关的广泛问题的大组课程、小组专业兴趣小组、学生个人自我评估、学生通过这些评估获得个性化反馈的作业以及学生个人咨询课程。该课程序列的总体目标是让所有学生从医学院校学习之初就参与职业规划,以帮助他们做出更明智的职业决策。
作者将学生对职业规划活动满意度的提高作为帮助学生做出更明智职业选择这一结果的替代衡量标准。学生对CE课程给予了积极评价,总体满意度得分平均为4分(1分 = 差至5分 = 优秀)。美国医学院协会毕业调查问卷中与职业规划相关项目的得分显示,从2010年到2015年学生满意度有所提高。
为一年级和二年级职业顾问制定继任计划至关重要,为所有临床顾问开展教师培训也同样重要,以确保他们掌握有关课程和住院医师匹配过程的最新信息,尤其是在住院医师选拔竞争日益激烈的情况下。加强担任CE III导师的四年级学生的作用,有可能使这些学生在成为住院医师时成为更好的教师。