Roles and Responsibilities of Medicine Subinternship Directors : Medicine Subinternship Director Roles.

Area of Science:

• Medical Education
• Graduate Medical Education
• Internal Medicine Training

Background:

• The internal medicine (IM) subinternship is vital for preparing medical students for residency.
• The specific roles, responsibilities, and support structures for IM subinternship directors remain undescribed.

Purpose of the Study:

• To delineate the current responsibilities of IM subinternship directors.
• To assess the salary support and reporting structures for these directors.

Main Methods:

• A national survey of IM core clerkship directors was conducted in September 2017.
• The survey targeted directors at Liaison Committee on Medical Education accredited U.S. medical schools.
• Key measures included director responsibilities, salary support, and reporting lines.

Main Results:

• Fifty-one percent of respondents oversaw subinternships, with varied directorship models.
• Primary responsibilities included administration, scheduling, course evaluation, and grading.
• A significant portion (29.2%) reported no dedicated faculty time (FTE) support, with 33.3% receiving 10-20% FTE.

Conclusions:

• The role of the IM subinternship director is increasingly complex and critical for residency preparation.
• Standardized expectations and adequate support are essential for IM subinternship directors.
• Further research is needed to define optimal support levels and essential responsibilities.