| Attributes affecting the medical school primary care experience. | |
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MedLine Citation:
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PMID: 20354375 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Favorable primary care (PC) experiences might encourage more medical students to pursue generalist careers, yet academicians know little about which attributes influence the medical school PC experience. The authors sought to identify such attributes and weight their importance. METHOD: Semistructured interviews with 16 academic generalist leaders of family medicine, general internal medicine, and general pediatrics led to the development of a Web-based survey, administered to a national sample of 126 generalist faculty. Survey respondents rated (on a nine-point Likert-like scale) the importance of each interview-generated PC medical school attribute and indicated (yes/no) whether outside experts' assessment of the attributes would be valid. The authors assessed interrater agreement. RESULTS: Interview thematic analysis generated 58 institutional attributes in four categories: informal curriculum (23), institutional infrastructure (6), educational/curricular infrastructure (6), and specific educational experiences (23). Of these 58, 31 (53%) had median importance ratings of >7 (highly important). For 14 of these (45%), more than two-thirds of respondents indicated external expert surveys would provide a valid assessment. Of the 23 informal curriculum attributes, 20 (87%) received highly important ratings; however, more than two-thirds of respondents believed that external expert survey ratings would be valid for only 4 (20%) of them. Strong agreement occurred among respondents across the generalist fields. CONCLUSIONS: Academic generalist educators identified several attributes as highly important in shaping the quality of the medical school PC experience. Informal curriculum attributes appeared particularly influential, but these attributes may not be validly assessed via expert surveys, suggesting the need for other measures. |
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Authors:
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Anthony Jerant; Malathi Srinivasan; Klea D Bertakis; Rahman Azari; Richard J Pan; Richard L Kravitz |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 85 ISSN: 1938-808X ISO Abbreviation: Acad Med Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-03-31 Completed Date: 2010-05-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: United States |
Other Details:
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Languages: eng Pagination: 605-13 Citation Subset: AIM; IM |
Affiliation:
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Department of Family and Community Medicine, University of California, Davis, School of Medicine, Sacramento, California, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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California Curriculum / standards* Education, Medical / standards* Educational Measurement / methods* Family Practice / education* Female Humans Male Questionnaires Retrospective Studies Schools, Medical / organization & administration* Students, Medical |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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