Medical education in the United States: do residents feel prepared?

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• 作者：Chen (Amy) Chen ; Dylan Kotliar ; Brian C. Drolet
• 关键词：Medical education ; National survey ; Preparation for residency
• 刊名：Perspectives on Medical Education
• 出版年：2015
• 出版时间：August 2015
• 年：2015
• 卷：4
• 期：4
• 页码：181-185
• 全文大小：437 KB
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• 作者单位：Chen (Amy) Chen (1)
  Dylan Kotliar (1)
  Brian C. Drolet (2)
  
  1. Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA
  2. Rhode Island Hospital, 2 Dudley St, COOP 500, Providence, RI, 02903, USA
  
• 刊物主题：Medicine/Public Health, general;
• 出版者：Bohn Stafleu van Loghum
• ISSN：2212-277X

文摘

Background Medical schools face a growing challenge in providing a comprehensive educational experience. Students must graduate with not only the medical knowledge but also the requisite skills to care for patients and serve as physicians-in-training. Objective To assess whether residents felt prepared by their medical school training. Method We developed a questionnaire to assess resident attitudes towards various aspects of their medical school training and electronically distributed it among 107 United States training institutions. Results A total of 2287 residents responded. Overall, a majority (53.8-) agreed that -em class="EmphasisTypeItalic">medical school prepared me well to be a resident.-Most residents felt very well or mostly prepared in medical knowledge and clinical skills such as collecting a history (92.3-), presenting a physical exam (86.1-), or pathophysiology (81.6-), but not for applied medical and psychosocial practices including end-of-life care (41.7-), dealing with a patient death (46.3-), and considering cost-effective care (28.7-). Additionally, many residents reported feeling underprepared for time and fatigue management, debt, and medical-legal issues. Conclusions Medical school graduates generally feel well prepared for residency. However, they may be less prepared to face important psychosocial, cultural and professional issues. Ultimately, a greater emphasis on skills and psychosocial experience may yield graduates who feel better prepared for today's residency challenges.