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Improving the transition from undergraduate medical education (UME) to graduate medical education (GME) requires sharing comprehensive student data, including competencies and evaluations. Enhancements to current document transmission processes are preferred for a smoother residency onboarding experience.

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Area of Science:

  • Medical Education
  • Graduate Medical Education
  • Undergraduate Medical Education

Background:

  • The transition from undergraduate medical education (UME) to graduate medical education (GME) is a critical juncture facing significant scrutiny.
  • A panel discussion at the 2018 AAMC Annual Meeting highlighted the need to define the optimal sharing of information between UME and GME programs.

Purpose of the Study:

  • To identify key information UME programs should share with GME programs.
  • To determine the most effective methods and timing for sharing this information.
  • To gather insights from UME and GME stakeholders on improving the transition process.

Main Methods:

  • Over 250 participants (UME/GME leadership, faculty, students) completed anonymous worksheets and provided verbal feedback.
  • Thematic analysis was conducted manually on worksheet responses and transcribed comments.
  • Data collection focused on what, when, and how information should be shared.

Main Results:

  • Key information to share includes: developmental/assessment benchmarks, exam performance, grades, evaluations (360, narrative), training gaps, professionalism, student characteristics (resiliency), and leadership activities.
  • Participants favored enhancing current document transmission processes over alternative methods.
  • Information sharing should occur at the time of the match and again near/at graduation, including post-match rotation data.

Conclusions:

  • Enhancements to the Medical Student Performance Evaluation (MSPE) are needed.
  • Departmental letters should be viewed as evaluations, not recommendations.
  • A more meaningful educational handoff and potential limits on residency applications are suggested.
  • The current medical education system is prepared for significant changes to improve the UME-GME transition.