York Michelle K, Pourali Sarah P, Hanna Eriny S, Day Melissa E, Rehman Saad, Fleming Amy E, Pilla Michael, Brown Charlotte M
Vanderbilt University School of Medicine, Nashville, TN USA.
Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, USA.
Med Sci Educ. 2021 May 24;31(4):1351-1359. doi: 10.1007/s40670-021-01311-0. eCollection 2021 Aug.
Choosing a medical specialty is one of the most crucial and difficult decisions made during medical school. Given that specialty exposure is among the most important factors in decision-making, the Careers in Medicine (CiM) multi-specialty elective was designed to provide clerkship students an avenue to explore three or more specialties of interest during a single elective.
A cross-sectional study was conducted at Vanderbilt University School of Medicine using anonymous surveys and de-identified written reflections submitted by students enrolled in the CiM course between August 2015 and June 2018. Data were analyzed using a mixed-methods approach.
The majority of students reported the elective guided them in ruling out (80%) and ruling in (65%) specialties. About half (51%) of students decided between the procedural versus critical-thinking dichotomy. Finally, 80% of students reported that they would take the course again rather than a focused elective. Major themes identified from student reflections included course attributes, specialty impacts, and student values.
Implementation of a multi-specialty elective during the clerkship year was an effective way to help students understand their career values, gain early exposure to specialties not featured in core clinical curriculums, and determine future fields of interest.
The online version contains supplementary material available at 10.1007/s40670-021-01311-0.
选择医学专业是医学院学习期间做出的最关键且最困难的决定之一。鉴于专业接触是决策过程中最重要的因素之一，医学职业（CiM）多专业选修课旨在为见习学生提供一条途径，使他们能够在一门选修课期间探索三个或更多感兴趣的专业。
在范德堡大学医学院进行了一项横断面研究，使用匿名调查问卷以及2015年8月至2018年6月期间参加CiM课程的学生提交的身份信息已删除的书面反思。采用混合方法对数据进行分析。
大多数学生报告称，该选修课帮助他们排除了某些专业（80%）并确定了某些专业（65%）。约一半（51%）的学生在程序性专业与批判性思维专业之间做出了选择。最后，80%的学生表示他们会再次选择该课程，而不是选择一门专注于某一专业的选修课。从学生反思中确定的主要主题包括课程属性、专业影响和学生价值观。
在见习年实施多专业选修课是帮助学生理解其职业价值观、尽早接触核心临床课程中未涵盖的专业以及确定未来感兴趣领域的有效方式。
网络版包含可在10.1007/s40670-021-01311-0获取的补充材料。
