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2007 CDIM Survey Insights: Job Satisfaction and Clerkship Dynamics

The 2007 CDIM Survey, led by Dr. Steven Durning and the Research Committee, highlights the perspectives of faculty members on various aspects of Internal Medicine clerkships. It presents data on job satisfaction, meeting frequency, assessment practices, and the demographics of participants. With an impressive response rate of 82%, it demonstrates strong engagement from institutional members. Key findings indicate that a significant majority require students to take NBME exams, while also revealing concerns about job burnout and frustrations impacting retention in the field.

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2007 CDIM Survey Insights: Job Satisfaction and Clerkship Dynamics

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  1. 2007 CDIM Survey Steven J. Durning, MD Chair, CDIM Research Committee

  2. 2007 CDIM Survey: Acknowledgements • CDIM Members who submitted questions for inclusion! • Research Committee • Elizabeth A. Baker Evelyn D. Savini • Michael J. Battistone Matthew R. Thomas • Liselotte N. Dyrbye Dario M. Torre • Melissa A. Fischer • Klara K. Papp • Alex J. Mechaber • Matthew Mintz • Kevin O’Brien • Council, Nicole Baptista • CDIM Members who completed the survey!

  3. 2007 CDIM Survey • Five sections (substantially shorter survey): • Clerkship Director Meetings • NBME Subject Exam and the Core IM Clerkship • Job Satisfaction • Core Problems and the IM Clerkship • Inpatient Oral Presentations • Relative brevity (compared to prior years)

  4. 2007 Survey Response Rate • 82/110 Institutional (75%) • 2006 76% • 3 papers in review, 3 in preparation • 2005: 81% • 1 published, 4 in press, 3 in review • 2004: 53% • 59/164 Individual (36%) • 2006: 51% • 2005: 42% • 2004: 45% • Thanks--without your input, data not meaningful!! • Due to very low individual response, present data on institutional members only

  5. Demographics: Institutional Members 2007 Survey2006 Survey • Age: 45.6 (7.1) 45 (7.0) • Gender: 57% male 62% male • Yrs in role: 8.1 yrs (4.8) 7.2 yrs (5.4) • Academic Rank Assistant: 30% 34% Associate: 44% 47% Professor: 26% 19% Suggests we’re getting promoted!

  6. Institutional members:What Do We Do? We wear a lot of hats! Typical at least 2 roles! Position Role Primary Role Clerkship Director 83% 83% Deputy or Associate CD 1% 0% Director, Separate Site 7% 0% Block Director 43% 1% 4th Year Clerkship Director 35% 7% 2nd Year Course Director 6% 1% ICM Director 9% 0% Vice Chair 9% 6% Dean 7% 0% Core GME Faculty 26% 4% Associate PD or PD 9% 1%

  7. When Does the Core IM Clerkship Occur at Your Institution? % Institutional respondents

  8. Clerkship Director Meetings • Do CDs at your institution regularly meet? 96% • How often? 79% mo (3x/mo-4/yr) • Who present your institutions CD meetings? • IMCD 96% • Peds, ObGyn, Surg, Psych CDs 93% • Family Medicine, Neuro CDs 85% • Deans office rep 83% • ICM Director 13%

  9. What is discussed at meetings?

  10. What is NOT discussed at CD Meetings?Are (should) CDs specifically precluded or prohibited from discussing students who are currently having difficulty on any rotation?

  11. NBME Shelf Exam • Require your students to take the exam? • Yes=88% Count toward final grade=99% • Do you administer a pre-test to assess knowledge at beginning of clerkship? • Yes=6% Count toward final grade=0%

  12. NBME Shelf ExamMinimum Passing Scores (MPS)? For institutional respondents require students to take the exam

  13. Schools using MPS for exam & for clerkship ALL same score Mean=62.1 SD=2

  14. NBME Examination • Interest in administering a NBME exam to evaluate your students on SI medicine rotation? • 71% yes

  15. Job Satisfaction

  16. I Feel Burned Out From My Work 35% at least weekly! ~50% more than once a month! %

  17. I Feel Frustrated By My Job ~50% at least weekly! %

  18. I Feel I’m Working Too Hard On My Job ~1/3 daily, >50% at least weekly! %

  19. I Feel Like I’m at the End of My Rope Should we be surprised that students are choosing other fields?! % 16% at least monthly!

  20. Core Problem List and the IM Clerkship • Have a core problem list for core IM clerkship? • Yes=94% • Familiar with CDIM core problem list? • Yes=94% • If you have a core problem list, how did you derive it? • CDIM Core list 72% • CDs opinion 60% • Local experts opinion 52% • Availability of problems 21%

  21. Inpatient Oral Presentations

  22. How Long Should a Student’s Oral Presentation Last for a New Patient? Mean=8min (+4) Over 50%=5-7min % # Minutes

  23. Ideas for 2008 CDIM Survey? Klara Papp kkp4@case.edu

  24. Thank you! • sdurning@usuhs.mil

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