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Attributes affecting the medical school primary care experience.
Anthony Jerant1, Malathi Srinivasan, Klea D Bertakis
1Department of Family and Community Medicine, University of California, Davis, School of Medicine, Sacramento, California, USA.
Summary
Academic generalist educators identified key attributes influencing medical students' primary care (PC) experiences. The informal curriculum was highly important, but may require novel assessment methods beyond expert surveys.
Area of Science:
- Medical Education
- Primary Care
- Generalist Careers
Background:
- Favorable primary care experiences may encourage medical students to pursue generalist careers.
- Little is known about the specific attributes that shape the medical school primary care experience.
Purpose of the Study:
- To identify and weight the importance of attributes influencing the medical school primary care experience.
- To understand which factors encourage medical students towards generalist careers.
Main Methods:
- Semistructured interviews with 16 academic generalist leaders.
- Web-based survey of 126 generalist faculty nationwide.
- Rating of attribute importance and validity of external expert assessment.
Main Results:
- 58 institutional attributes identified across four categories.
- 31 attributes (53%) rated as highly important (median >7).
- Informal curriculum attributes were highly rated (20/23), but less amenable to expert survey validation.
Conclusions:
- Academic generalist educators identified highly important attributes for the medical school primary care experience.
- Informal curriculum attributes are particularly influential.
- Current expert survey methods may not adequately assess influential informal curriculum attributes, necessitating alternative assessment strategies.
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