Looking up: a dozen years of evolution of neurology clerkships in the United States

Objective: To report a 2017 survey of all US medical school neurology clerkship directors (CDs) and to compare the results to similar surveys conducted in 2005 and 2012. Methods: An American Academy of Neurology (AAN) Consortium of Neurology Clerkship Directors (CNCD) workgroup developed the survey that was sent to all neurology CDs listed in the AAN CNCD database. Comparisons were made to similar 2005 and 2012 surveys. Results: The response rate was 92 of 146 programs (63%). Among the responding institutions, neurology is required in 94% of schools and is 4 weeks in length in 75%. From 2005 to 2017, clerkships shifted out of a fourth-year-only rotation (p = 0.035) to earlier curricular time points. CD protected time averages 0.24 full-time equivalent (FTE), with 31% of CDs reporting 0.26 to 0.50 FTE support, a &gt;4-fold increase from prior surveys (p &lt; 0.001). CD service of &gt;12 years increased from 9% in 2005 to 23% in 2017. Twenty-seven percent also serve as division chie...研究目的：报告一项2017年针对全美所有医学院神经科见习课程主任（Clerkship Directors, CDs）的调查结果，并将本次调查与2005年、2012年开展的同类调查进行对比分析。 研究方法：美国神经病学学会（American Academy of Neurology, AAN）神经科见习课程主任联盟（Consortium of Neurology Clerkship Directors, CNCD）工作组编制了本次调查问卷，发放至AAN CNCD数据库收录的全部神经科见习课程主任，并将本次调查结果与2005年、2012年的同类调查进行对比。 研究结果：本次调查共回收146个项目中的92份有效回复，有效回收率为63%。在回复调查的院校中，94%的医学院将神经科课程设为必修课程，其中75%的课程时长为4周。2005年至2017年间，神经科见习课程已从仅安排在四年级的轮转模式（p=0.035）转向更早的教学时段。课程主任的受保护工作时长平均为0.24全时当量（Full-Time Equivalent, FTE），其中31%的课程主任获得0.26至0.50 FTE的支持力度，较此前的调查提升超4倍（p<0.001）。任职时长超过12年的课程主任占比从2005年的9%升至2017年的23%。另有27%的课程主任同时担任科室主管……