The "shrinking" clerkship: Characteristics and length of clerkships in psychiatry undergraduate education

Renate H. Rosenthal, Ruth Levine, David L. Carlson, Kathleen A. Clegg, Ross D. Crosby

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective: The authors explored the time that is currently devoted to psychiatry clerkships to determine whether "shortened" clerkships differ in course director satisfaction and evaluation strategies. Method: An 18-item questionnaire was sent to 150 U.S. and Canadian clerkship directors. Results: The return rate was 74% (111 questionnaires). Clerkship length ranged from 4 to 8 weeks, with 6 weeks being most common (49.5% of clerkships). Only 18.9% had clerkships lasting 8 full weeks. Shorter clerkships were more likely to rely on the NBME subject test, and less likely to rely on Objective Standardized Clinical Examinations (OSCEs) or oral examinations. Most clerkship directors (81.9%) felt their evaluation procedures reflected their clerkship objectives. Among those who did not or were not sure, a majority (77.7%) felt having too few weeks was among the causes, except for 8-week clerkship directors, who did not mention clerkship length as an issue. Conclusions: The number of clerkships having 2 full months devoted to psychiatry has decreased in recent years. Shorter clerkships rely heavily on the National Board of Medical Examiners (NBME) Subject Examination as an evaluation tool, testing for book knowledge rather than clinical skills.

Original languageEnglish
Pages (from-to)47-51
Number of pages5
JournalAcademic Psychiatry
Volume29
Issue number1
DOIs
StatePublished - Mar 2005

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psychiatry
Psychiatry
director
Coroners and Medical Examiners
Education
medical examiner
examination
Oral Diagnosis
education
Clinical Competence
evaluation
test subject
questionnaire
cause
Surveys and Questionnaires

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Education

Cite this

The "shrinking" clerkship : Characteristics and length of clerkships in psychiatry undergraduate education. / Rosenthal, Renate H.; Levine, Ruth; Carlson, David L.; Clegg, Kathleen A.; Crosby, Ross D.

In: Academic Psychiatry, Vol. 29, No. 1, 03.2005, p. 47-51.

Research output: Contribution to journalArticle

Rosenthal, Renate H. ; Levine, Ruth ; Carlson, David L. ; Clegg, Kathleen A. ; Crosby, Ross D. / The "shrinking" clerkship : Characteristics and length of clerkships in psychiatry undergraduate education. In: Academic Psychiatry. 2005 ; Vol. 29, No. 1. pp. 47-51.
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