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Evaluation of a longitudinal subspecialty clinic for internal medicine residents.

Abstract：

BACKGROUND:The traditional model for subspecialty education in internal medicine (IM) residencies is a short inpatient consult rotation, which often lacks outpatient exposure and continuity with faculty. Our IM residency program developed a longitudinal subspecialty clinic (LSC) experience, which pairs categorical IM residents with a faculty preceptor in their subspecialty of interest. Residents work in their preceptor's clinic for one half-day per week during ambulatory blocks throughout the PGY2 year. OBJECTIVE:To evaluate the LSC program's educational impact and determine best practices for successful implementation. METHODS: From May to July 2019, we surveyed residents and preceptors who participated in an LSC between 2014 and 2019, gathering quantitative and qualitative data on their experiences. RESULTS:Survey response rates were 66.4% (N=93/140) for residents, 57.7% (N=15/26) for preceptors. Most residents and preceptors were very or extremely satisfied with their LSC experience (83.3% and 71.4%, respectively). Most residents and preceptors reported that the LSC experience was very or extremely effective in enabling residents to explore their subspecialty of interest (76.0%, 86.7%), form a mentoring relationship with their preceptor (71.3%, 80.0%), obtain a letter of recommendation (76.1%, 64.3%), prepare for fellowship (76.3%, 66.7%), gain exposure to outpatient subspecialty practice (90.0%, 73.3%), and gain medical knowledge (84.6%, 80.0%). CONCLUSIONS:Our data showed that LSCs are effective in facilitating longitudinal subspecialty career exploration, mentorship, and education for residents. Opportunities for improvement include developing a more structured curriculum, addressing scheduling issues, and adding the option to extend the experience to the PGY3 year.

journal_name

Med Educ Online

journal_title

Medical education online

authors

Consunji MV,Kohlwes RJ,Babik JM

doi

10.1080/10872981.2021.1955429

keywords:

["Educational continuity","ambulatory education","internal medicine residency","longitudinal mentorship","subspecialty choice","subspecialty education"]

subject

Has Abstract

pub_date

2021-12-01 00:00:00

pages

1955429

issue

issn

1087-2981

journal_volume

pub_type

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Evaluation of a longitudinal subspecialty clinic for internal medicine residents.