The American Journal of Surgery
Volume 199, Issue 1 , Pages 66-71, January 2010

Resources and rewards for clerkship directors: how surgery compares

  • Kimberly Ephgrave, M.D.

      Affiliations

    • Department of Surgery, University of Iowa, Carver College of Medicine, 200 Newton Rd., Iowa City, IA 52242-2600, USA
    • Corresponding Author InformationCorresponding author: Tel.: +1-319-356-8312; fax: +1-319-356-8378
  • ,
  • Kristi Ferguson, Ph.D.

      Affiliations

    • Office for Consultation and Research in Medical Education, University of Iowa, Carver College of Medicine, Iowa City, IA, USA
  • ,
  • Aimen Shaaban, M.D.

      Affiliations

    • Department of Surgery, University of Iowa, Carver College of Medicine, 200 Newton Rd., Iowa City, IA 52242-2600, USA
  • ,
  • Hisakazu Hoshi, M.D.

      Affiliations

    • Department of Surgery, University of Iowa, Carver College of Medicine, 200 Newton Rd., Iowa City, IA 52242-2600, USA

Received 4 June 2009; received in revised form 25 August 2009

Abstract 

Background

Clerkship directors (CDs) are key educators and active clinicians. In 2003, the Alliance for Clinical Education published standards for CD resources and responsibilities, but how reality compares is unknown.

Methods

Representatives from each core clinical disciplines' CD organizations created an electronic survey that CDs received in 2006–2007.

Results

More than 500 CDs responded, including 71 surgeons. Surgeons reported spending approximately 27% of professional time on education. Most have codirectors, so total CD effort approximates the greater than 50% Alliance for Clinical Education guidelines. No disciplines' CDs have more than one support staff as recommended. Surgeons have the least clinic time, but the most inpatient weeks and many publications. Surgery CD concerns are curricula and simulation; few believe being a CD impairs academic advancement and more than 95% believe it enhances work satisfaction.

Conclusions

Surgery CDs are clinically active and academically productive. Although few surgery CDs have the recommended support staff, more than 95% report being a CD enhances work satisfaction.

Keywords: Clerkship directors, Educational resources, Educational staff

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PII: S0002-9610(09)00619-9

doi:10.1016/j.amjsurg.2009.08.017

The American Journal of Surgery
Volume 199, Issue 1 , Pages 66-71, January 2010