GQ Medical School Graduation Questionnaire. All Schools Summary Report FINAL

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1 2010 GQ Medical School Graduation Questionnaire All Schools Summary Report FINAL Prepared by Academic Affairs , Association of American Medical Colleges. All rights reserved. All material subject to this copyright may be photocopied under the "Fair use" provisions applicable to noncommercial science and educational purposes. Printed on: 7/27/2010

2 2010 Graduation Questionnaire AAMC 2010 Graduation Questionnaire Executive Summary The Graduation Questionnaire (GQ) was established in 1978 as a method for the Association of American Medical Colleges, medical schools, and other organizations to identify and address issues critical to the future of medical education and the well being of medical students. The Graduation Questionnaire also includes information on career choice, student debt, diversity, and mistreatment. Since its creation, the GQ has been a useful tool for medical schools, the LCME, researchers, students, and faculty and its utility continues. Just as medical education has changed substantially since 1978, the GQ has changed since it was instituted and questions are reviewed annually by the GQ Advisory Group to reflect the changes in medical student education. For more information on how to add or modify a question on the GQ, please visit the AAMC s GQ website at The attached 2010 Graduation Questionnaire (GQ) All Schools Summary Report is a national report that provides aggregate data from graduating students at all LCME accredited US medical schools. The reports list where applicable five years worth of comparable data ( ). From , the GQ was separated into two distinct surveys: a program evaluation survey and a student survey on priorities in medical education. The program evaluation survey provided students with an anonymous method to inform their schools about their experiences across the years of their medical education. The student survey on priorities in medical education focused on student debt, career choice, factors supporting career choice, and diversity issues. Because the surveys were separate, students were required to log in twice to complete both surveys. The student survey was identifiable and provided researchers at the AAMC and other institutions the ability to analyze trends in student s debt and career choice over the course of their time in medical school. This information is important when speaking with congressional staff about legislation effecting student loans, support for primary care and similar issues. In 2010, the two surveys were combined into a single survey and students were able to log into the survey once using their AAMC ID Number. By combining the two surveys, the AAMC and its member institutions are now able to link data for research about clerkship experiences, primary care research, and a variety of career planning and student services topics. From , students completed the program evaluation survey first and then had the option of completing the Student Survey. Since the survey was consolidated in 2010 and students do not have to sign in twice to complete two separate surveys, the survey response for the 2010 GQ is the highest since 2002 at 83.2%, with 13,992 respondents accessing the survey. The higher response rate provides a more accurate picture of medical education experiences, career choice and student debt.

3 2010 Graduation Questionnaire AAMC As mentioned previously, the GQ questions undergo review annually and several questions were modified or added to the 2010 GQ, based on recommendations from the GQ Advisory Group. Following are the new questions in the 2010 GQ (Questions are in Bold): Basic science was integrated in required clinical experience Results show that 63.5% of the students surveyed agreed that the integration of basic science was required in their clinical experience. Did you participate in structured service learning (a structured opportunity to examine service in the context of educational goals and personal reflection)? 56.4% of the students surveyed did not participate in structured service learning. Student Programs/Activities that promote effective stress management, a balanced lifestyle and overall well being. 66.6% of the students surveyed responded that they were satisfied with the services provided. If you could revisit your career choice, would you choose to become a physician again? 83.5% responded that they would choose to become a physician again if they had the chance to revisit their career choice. Do you plan to enter into a loan forgiveness program Please list the type of loan forgiveness program you plan on participating in? 24.4 % of the students surveyed indicated that they planned to enter a loan forgiveness program. Of those indicating Yes, 44.5% of the students indicated that they plan to enter the US Department of Education Public Service Loan Forgiveness Program (PSLF). Have you personally witnessed a student being mistreated during medical school? If you witnessed a student being mistreated during medical school, please identify the source? Did you report the incident (s) to a designated faculty member of the medical school administration empowered to handle such complaints? Whom did you tell about your experience(s) with witnessing mistreatment of another student? If you did not report the incident(s) of witnessed mistreatment, why or why not? 17.8% of the students surveyed witnessed mistreatment of another student. The Graduation Questionnaire does not ask what type of mistreatment was witnessed, however the source of mistreatment reported includes residents/interns, clinical faculty (in hospital), nurses, and patients.

4 Modified Questions: Which of the following assessment methods were used as part of the final evaluation/grade for the clerkships? Assessment by faculty member Assessment by resident physicians In 2010, Observation was reworded to Assessment As a result of changing the word from observation to assessment, the responses increased by the following: o Assessment by faculty member 1.2% o Assessment by resident physicians 2.2% Based on your experiences, indicate whether you agree or disagree with the following statements about medicine and the profession: I was educated about professional relationships with industry In 2010, the question changed from, I was encouraged/challenged to consider my professional relationships with pharmaceutical and other industries. to I was educated about professional relationships with industry With the modified question, the response rates changed, with 61.7% of the students agreeing with the statement vs. 76.2% in Observations: In 2009, the Graduation Questionnaire reported that total student debt of indebted students has started to show signs of leveling off. This trend has continued in 2010 with the average student debt increasing only $1004 from And for the first year, Total Debt of all students has decreased an average of $6,932. The following chart shows the trend from More information on student debt can be found on pages Total Student Debt: Source 2010 Graduation Questionnaire All Schools Summary Report

5 The perception of student mistreatment is still a concern for many students and medical schools alike. As indicated previously, the AAMC felt it necessary to not only survey those students who were mistreated, but also capture data and provide it back to schools whose students who witnessed mistreatment. In 2008, the number of students who felt they were mistreated showed signs of leveling off compared to previous years. 16.7% of the students surveyed in 2008 felt they were mistreated, which was a 2% increase from the previous year. In 2009, those numbers increased by.3% and in 2010, the number of students who felt they were mistreated decreased by.1% or 16.9% from On behalf of the AAMC we would like to thank the many medical school administrators, deans, registrars, and student groups for informing their graduates of the importance of the GQ, and the importance of the data for improving the experience of future medical students. We would also like to thank the GQ Advisory Group for their hard work and dedication in the consolidation and revision of the 2010 Graduation Questionnaire. Finally, we would like to thank the following AAMC staff: Tim Carrington, Krishna Chinta, and Phil Szenas for their support and work on the 2010 GQ survey and reports. If there are any questions about the Graduation Questionnaire or the Graduation Questionnaire reports, please contact us at Thank you, M. Brownell Anderson Sr. Director, Educational Affairs Curriculum and Assessment, Academic Affairs Association of American Medical Colleges Jason Cantow Educational Data Analyst Curriculum and Assessment, Academic Affairs Association of American Medical College

6 Table of Contents Demographic Data... 1 Pre Medical and Pre Clinical Experiences... 2 Clinical Experiences Quality of clerkships... 4 Clerkship experiences... 6 Assessment methods Veterans Administrations Elective Participation Instruction Time for Various Topics Knowledge and Skills/General Preparedness Satisfaction Office of the Dean of Students/Associate Dean for Students Office of the Dean for Educational Programs/Curricular Affairs Student support Career planning services Student health/wellness Other student services Professional Relationships with Industry Diversity Specialty and Career Plans Specialty choice Career intentions Research involvement Underserved practice Practice location Finances Mistreatment Institutional Information... 43

7 2010 Medical School Graduation Questionnaire AAMC Page 1 of 43 Total number of survey responses: 11,471 12, All Schools ,382 13,178 13,922 Note: For , two separate surveys were administered. The total number of survey responses for these years reflect responses to the program evaluation survey. 1. Age at graduation:* Under through through through or older Number of responses 8,248 8,472 11,484 10,461 13, Gender:* Male Female Number of responses 8,248 8,472 11,525 10,459 13, How do you identify yourself?* White Black or African American American Indian or Alaska Native Asian Indian Pakistani Chinese Filipino Japanese Korean Vietnamese Other Asian Native Hawaiian or other Pacific Islander Other race Number of responses 8,249 8,472 11,373 10,459 13,922 Spanish/Hispanic/Latino/Latina?* Not Hispanic or Latino Mexican, Mexican American, Chicano/Chicana Puerto Rican Cuban Other Hispanic Number of responses 8,249 8,472 11,525 10,459 13,920 *Source: AAMC Data Warehouse.

8 2010 Medical School Graduation Questionnaire AAMC Page 2 of All Schools Type of degree program from which you are graduating: M.D Joint Bachelor's/M.D Joint M.D./Master's Joint M.D./J.D Joint M.D./Ph.D Other Number of responses 8,249 8,472 11,447 10,459 13, Based on your experiences, indicate whether you agree or disagree with the following statements about medical school: (Scale: 1= to 5= ) Ratings Neutral Basic science content objectives were made clear to students All Schools % 6.2 % 10.0 % 62.1 % 20.3% ,443 All Schools ,563 All Schools ,362 All Schools , ,795 Basic science content was sufficiently integrated across basic science courses All Schools ,440 All Schools ,557 All Schools ,344 All Schools , ,775 Basic science content objectives and examination content matched closely All Schools ,439 All Schools ,561 All Schools ,321 All Schools , ,765 Basic science content had sufficient illustrations of clinical relevance All Schools ,433 All Schools ,560 All Schools ,331 All Schools , ,771 Basic science content provided relevant preparation for clerkships All Schools ,434 All Schools ,561 All Schools ,333 All Schools , ,778 Basic science was integrated in required clinical experience (Note: Question new in 2010.) ,988 Mean

9 2010 Medical School Graduation Questionnaire AAMC Page 3 of How well did your study of the following sciences basic to medicine prepare you for clinical clerkships and electives:(scale: 1=Poor to 4=Excellent) Ratings* Poor Fair Good Excellent Mean Biochemistry All Schools % 34.0 % 37.1 % 11.9 % ,194 All Schools ,285 All Schools ,082 All Schools , ,515 Biostatistics and epidemiology All Schools ,191 All Schools ,295 All Schools ,081 All Schools , ,516 Genetics All Schools ,259 All Schools ,413 All Schools ,174 All Schools , ,593 Gross anatomy All Schools ,364 All Schools ,497 All Schools ,279 All Schools , ,630 Immunology All Schools ,355 All Schools ,479 All Schools ,229 All Schools , ,601 Introduction to Clinical Medicine/Introduction to the Patient All Schools ,282 All Schools ,429 All Schools ,191 All Schools , ,449 Microanatomy/Histology All Schools ,293 All Schools ,400 All Schools ,173 All Schools , ,556 Microbiology All Schools ,348 All Schools ,472 All Schools ,233 All Schools , ,579 *Note: Respondents had the option to select N/A. Although this data is not included in the final report, it is available by contacting

10 Medical School Graduation Questionnaire AAMC Page 4 of 43 How well did your study of the following sciences basic to medicine prepare you for clinical clerkships and electives:(scale: 1=Poor to 4=Excellent) (Continued) Ratings* Poor Fair Good Excellent Mean Neuroscience All Schools ,339 All Schools ,482 All Schools ,259 All Schools , ,569 Pathology All Schools ,350 All Schools ,475 All Schools ,249 All Schools , ,545 Pharmacology All Schools ,334 All Schools ,469 All Schools ,254 All Schools , ,584 Physiology All Schools ,361 All Schools ,469 All Schools ,242 All Schools , ,508 Behavioral science All Schools ,350 All Schools ,030 All Schools , ,443 Pathophysiology of disease All Schools ,208 All Schools ,948 All Schools , , Rate the quality of your educational experiences in the following clinical clerkships: (Scale: 1=Poor to 4=Excellent) Ratings* Poor Fair Good Excellent Mean Emergency Medicine All Schools % 14.4 % 35.8 % 44.2 % 3.2 7,044 All Schools ,092 All Schools ,498 All Schools , ,307 *Note: Respondents had the option to select N/A. Although this data is not included in the final report, it is available by contacting

11 Medical School Graduation Questionnaire AAMC Rate the quality of your educational experiences in the following clinical clerkships: (Scale: 1=Poor to 4=Excellent) (Continued) Page 5 of 43 Ratings* Poor Fair Good Excellent Mean Family medicine All Schools ,994 All Schools ,072 All Schools ,869 All Schools , ,198 Internal medicine All Schools ,434 All Schools ,546 All Schools ,323 All Schools , ,733 Obstetrics and Gynecology All Schools ,418 All Schools ,537 All Schools ,307 All Schools , ,736 Neurology All Schools ,095 All Schools ,052 All Schools ,617 All Schools , ,146 Pediatrics All Schools ,428 All Schools ,529 All Schools ,312 All Schools , ,737 Psychiatry All Schools ,385 All Schools ,492 All Schools ,277 All Schools , ,719 Radiology All Schools ,440 All Schools ,069 All Schools ,239 All Schools , ,507 Surgery All Schools ,422 All Schools ,537 All Schools ,311 All Schools , ,725 *Note: Respondents had the option to select N/A. Although this data is not included in the final report, it is available by contacting

12 2010 Medical School Graduation Questionnaire AAMC Page 6 of Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1= to 5= ) Family Medicine Ratings* Neutral Family medicine: I received clear learning objectives for the clerkship All Schools % 5.1 % 10.4 % 49.5 % 34.2% ,402 All Schools ,515 All Schools ,255 All Schools , ,067 Family medicine: My performance was assessed against the learning objectives All Schools ,398 All Schools ,511 All Schools ,216 All Schools , ,008 Family medicine: I had an opportunity to follow a variety of different patients (with different medical conditions) on the clerkship All Schools ,397 All Schools ,512 All Schools ,211 All Schools , ,024 Family medicine: A faculty member personally observed me taking a patient history during the clerkship All Schools ,512 All Schools ,230 All Schools , ,989 Family medicine: A faculty member personally observed me performing physical examinations during the clerkship All Schools ,393 All Schools ,510 All Schools ,209 All Schools , ,988 Family medicine: Faculty members provided me with sufficient feedback on my performance All Schools ,393 All Schools ,510 All Schools ,215 All Schools , ,007 Family medicine: Residents and fellows provided effective teaching during the clerkship All Schools ,378 All Schools ,498 All Schools ,158 All Schools , ,891 *Note: Respondents had the option to select N/A. Although this data is not included in the final report, it is available by contacting Mean

13 Medical School Graduation Questionnaire AAMC Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1= to 5= ) (Continued) Page 7 of 43 Internal Medicine Ratings* Neutral Internal medicine: I received clear learning objectives for the clerkship All Schools ,431 All Schools ,552 All Schools ,293 All Schools , ,619 Internal medicine: My performance was assessed against the learning objectives All Schools ,431 All Schools ,551 All Schools ,268 All Schools , ,598 Internal medicine: I had an opportunity to follow a variety of different patients (with different medical conditions) on the clerkship All Schools ,433 All Schools ,549 All Schools ,271 All Schools , ,594 Internal medicine: A faculty member personally observed me taking a patient history during the clerkship All Schools ,550 All Schools ,277 All Schools , ,568 Internal medicine: A faculty member personally observed me performing physical examinations during the clerkship All Schools ,432 All Schools ,549 All Schools ,264 All Schools , ,568 Internal medicine: Faculty members provided me with sufficient feedback on my performance All Schools ,430 All Schools ,549 All Schools ,265 All Schools , ,588 Internal medicine: Residents and fellows provided effective teaching during the clerkship All Schools ,427 All Schools ,545 All Schools ,264 All Schools , ,452 *Note: Respondents had the option to select N/A. Although this data is not included in the final report, it is available by contacting Mean

14 Medical School Graduation Questionnaire AAMC Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1= to 5= ) (Continued) Page 8 of 43 OBGYN Ratings* Neutral OBGYN: I received clear learning objectives for the clerkship All Schools ,422 All Schools ,551 All Schools ,287 All Schools , ,560 OBGYN: My performance was assessed against the learning objectives All Schools ,417 All Schools ,552 All Schools ,267 All Schools , ,526 OBGYN: I had an opportunity to follow a variety of different patients (with different medical conditions) on the clerkship All Schools ,420 All Schools ,550 All Schools ,263 All Schools , ,530 OBGYN: A faculty member personally observed me taking a patient history during the clerkship All Schools ,552 All Schools ,281 All Schools , ,491 OBGYN: A faculty member personally observed me performing physical examinations during the clerkship All Schools ,422 All Schools ,549 All Schools ,260 All Schools , ,500 OBGYN: Faculty members provided me with sufficient feedback on my performance All Schools ,421 All Schools ,552 All Schools ,266 All Schools , ,534 OBGYN: Residents and fellows provided effective teaching during the clerkship All Schools ,415 All Schools ,541 All Schools ,253 All Schools , ,973 *Note: Respondents had the option to select N/A. Although this data is not included in the final report, it is available by contacting Mean

15 Medical School Graduation Questionnaire AAMC Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1= to 5= ) (Continued) Page 9 of 43 Pediatrics Ratings* Neutral Pediatrics: I received clear learning objectives for the clerkship All Schools ,419 All Schools ,549 All Schools ,258 All Schools , ,548 Pediatrics: My performance was assessed against the learning objectives All Schools ,418 All Schools ,548 All Schools ,245 All Schools , ,526 Pediatrics: I had an opportunity to follow a variety of different patients (with different medical conditions) on the clerkship All Schools ,417 All Schools ,547 All Schools ,228 All Schools , ,522 Pediatrics: A faculty member personally observed me taking a patient history during the clerkship All Schools ,546 All Schools ,246 All Schools , ,520 Pediatrics: A faculty member personally observed me performing physical examinations during the clerkship All Schools ,420 All Schools ,547 All Schools ,236 All Schools , ,517 Pediatrics: Faculty members provided me with sufficient feedback on my performance All Schools ,420 All Schools ,548 All Schools ,240 All Schools , ,535 Pediatrics: Residents and fellows provided effective teaching during the clerkship All Schools ,408 All Schools ,543 All Schools ,233 All Schools , ,083 *Note: Respondents had the option to select N/A. Although this data is not included in the final report, it is available by contacting Mean

16 Medical School Graduation Questionnaire AAMC Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1= to 5= ) (Continued) Page 10 of 43 Psychiatry Ratings* Neutral Psychiatry: I received clear learning objectives for the clerkship All Schools ,411 All Schools ,547 All Schools ,285 All Schools , ,513 Psychiatry: My performance was assessed against the learning objectives All Schools ,412 All Schools ,542 All Schools ,272 All Schools , ,489 Psychiatry: I had an opportunity to follow a variety of different patients (with different medical conditions) on the clerkship All Schools ,410 All Schools ,545 All Schools ,268 All Schools , ,487 Psychiatry: A faculty member personally observed me taking a patient history during the clerkship All Schools ,544 All Schools ,269 All Schools , ,473 Psychiatry: A faculty member personally observed me performing mental health examinations during the clerkship All Schools ,410 All Schools ,546 All Schools ,268 All Schools , ,212 Psychiatry: Faculty members provided me with sufficient feedback on my performance All Schools ,411 All Schools ,543 All Schools ,272 All Schools , ,497 Psychiatry: Residents and fellows provided effective teaching during the clerkship All Schools ,402 All Schools ,536 All Schools ,243 All Schools , ,265 *Note: Respondents had the option to select N/A. Although this data is not included in the final report, it is available by contacting Mean

17 Medical School Graduation Questionnaire AAMC Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1= to 5= ) (Continued) Page 11 of 43 Surgery Ratings* Neutral Surgery: I received clear learning objectives for the clerkship All Schools ,419 All Schools ,546 All Schools ,304 All Schools , ,519 Surgery: My performance was assessed against the learning objectives All Schools ,416 All Schools ,545 All Schools ,283 All Schools , ,495 Surgery: I had an opportunity to follow a variety of different patients (with different surgical conditions) on the clerkship All Schools ,419 All Schools ,545 All Schools ,278 All Schools , ,491 Surgery: A faculty member personally observed me taking a patient history during the clerkship All Schools ,546 All Schools ,291 All Schools , ,426 Surgery: A faculty member personally observed me performing physical examinations during the clerkship All Schools ,418 All Schools ,545 All Schools ,275 All Schools , ,416 Surgery: Faculty members provided me with sufficient feedback on my performance All Schools ,419 All Schools ,544 All Schools ,292 All Schools , ,497 Surgery: Residents and fellows provided effective teaching during the clerkship All Schools ,413 All Schools ,537 All Schools ,279 All Schools , ,110 *Note: Respondents had the option to select N/A. Although this data is not included in the final report, it is available by contacting Mean

18 2010 Medical School Graduation Questionnaire AAMC Page 12 of 43 All Schools Which of the following assessment methods were used as part of the final evaluation/grade for the clerkships? Oral examination Assessment by faculty member* Assessment by resident physicians* Computerized or written knowledge examinations Objective Structured Clinical Examination (OSCE) Case simulations using standardized patient(s) Computerized case simulations Learning Portfolio * Note: In 2010, 'Observation' was reworded to 'Assessment'. Special Topic Question 10a. Have you had a clinical training experience during medical school at a Department of Veterans Affairs medical facility? (Note: Question was not asked on surveys). Yes No Number of responses 13,124 13,196 10b. How would you rate the value of your Department of Veterans Affairs clinical training experience? (Note: Question was not asked on surveys). Poor Fair Adequate Very Good Excellent Number of responses 8,689 8, Did you participate in structured service learning (a structured opportunity to examine service in the context of educatioal goals and personal reflection)? (Note: Question new in 2010.) Yes No Indicate the activities you will have participated in during medical school on an elective (for credit) or volunteer (not required) basis: Independent study project for credit Research project with faculty member Authorship (sole or joint) of a research paper submitted for publication Thesis project Global health experiences Educating elementary, high school or college students about careers in health professions or biological sciences Providing health education (e.g., HIV/AIDS education, breast cancer awareness, smoking cessation, obesity)** ** 'Obesity' added in 2010

19 2010 Medical School Graduation Questionnaire AAMC Page 13 of 43 All Schools Indicate the activities you will have participated in during medical school on an elective (for credit) or volunteer (not required) basis:(continued) Field experience in community health (e.g., adult/child protective services, family violence program, rape crises hotline) Field experience in home care Field experience in nursing home care Learned another language in order to improve communication with patients Learned the proper use of the interpreter when needed Experience related to health disparities Experience related to cultural awareness and cultural competence Community-based research project Other Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: Ratings Inadequate Appropriate Excessive Clinical Decision Making and Clinical Care Patient interviewing skills All Schools % 87.5 % 10.8 % 11,425 All Schools ,538 All Schools ,285 All Schools , ,469 Physical examination skills All Schools ,530 All Schools ,244 All Schools , ,456 Diagnosis of disease All Schools ,425 All Schools ,538 All Schools ,290 All Schools , ,455 Clinical reasoning All Schools ,424 All Schools ,537 All Schools ,292 All Schools , ,454 Management of disease All Schools ,425 All Schools ,537 All Schools ,289 All Schools , ,451

20 Medical School Graduation Questionnaire AAMC Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Page 14 of 43 Ratings Inadequate Appropriate Excessive Care of hospitalized patients All Schools ,428 All Schools ,540 All Schools ,305 All Schools , ,457 Care of ambulatory patients All Schools ,425 All Schools ,540 All Schools ,285 All Schools , ,456 Health maintenance All Schools ,536 All Schools ,260 All Schools , ,456 Long-term health care All Schools ,424 All Schools ,537 All Schools ,273 All Schools , ,452 Continuity of care All Schools ,425 All Schools ,539 All Schools ,287 All Schools , ,442 Physician-patient communication skills All Schools ,424 All Schools ,540 All Schools ,288 All Schools , ,447 Physician-patient communication skills with proper use of interpreter as needed All Schools , ,449 Physician-physician communication skills All Schools ,424 All Schools ,540 All Schools ,291 All Schools , ,454 Teamwork with other health professionals All Schools ,423 All Schools ,538 All Schools ,289 All Schools , ,447

21 Medical School Graduation Questionnaire AAMC Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Page 15 of 43 Ratings Inadequate Appropriate Excessive Ethical decision making All Schools ,423 All Schools ,536 All Schools ,276 All Schools , ,450 Care of Geriatric Patients (Note: Question new in 2010.) ,422 Practice of Medicine Health care quality improvement* All Schools ,409 All Schools ,522 All Schools ,156 All Schools ,448 Practice management* All Schools ,407 All Schools ,522 All Schools ,150 All Schools ,434 Medical record-keeping* All Schools ,412 All Schools ,523 All Schools ,151 All Schools ,446 Managed care* All Schools ,407 All Schools ,514 All Schools ,133 All Schools ,388 Patient confidentiality and privacy/hipaa* All Schools ,414 All Schools ,519 All Schools ,156 All Schools ,446 Health care systems* All Schools ,408 All Schools ,516 All Schools ,135 All Schools ,433 *Note: Data not collected in Added back to survey in 2010.

22 Medical School Graduation Questionnaire AAMC Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Page 16 of 43 Ratings Inadequate Appropriate Excessive Medical economics* All Schools ,412 All Schools ,521 All Schools ,142 All Schools ,441 Medical licensure/regulation* All Schools ,407 All Schools ,512 All Schools ,115 All Schools ,430 Population Based Medicine Public health All Schools ,420 All Schools ,528 All Schools ,261 All Schools , ,324 Community medicine All Schools ,416 All Schools ,526 All Schools ,244 All Schools , ,299 Role of community health and social service agencies All Schools ,412 All Schools ,525 All Schools ,247 All Schools , ,305 Disease prevention All Schools ,527 All Schools ,244 All Schools , ,295 Epidemiology All Schools ,416 All Schools ,526 All Schools ,244 All Schools , ,302 *Note: Data not collected in Added back to survey in 2010.

23 Medical School Graduation Questionnaire AAMC Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Page 17 of 43 Ratings Inadequate Appropriate Excessive Biostatistics All Schools ,415 All Schools ,529 All Schools ,258 All Schools , ,306 Women's health All Schools ,416 All Schools ,527 All Schools ,254 All Schools , ,301 Culturally appropriate care for diverse populations All Schools ,414 All Schools ,526 All Schools ,253 All Schools , ,312 Occupational medicine All Schools ,413 All Schools ,520 All Schools ,245 All Schools , ,292 Environmental health All Schools ,414 All Schools ,520 All Schools ,233 All Schools , ,282 Health and healthcare disparities All Schools ,414 All Schools ,528 All Schools ,241 All Schools , ,301 Health determinants All Schools ,406 All Schools ,520 All Schools ,220 All Schools , ,271 Health Policy All Schools ,414 All Schools ,522 All Schools ,246 All Schools , ,298

24 Medical School Graduation Questionnaire AAMC Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Page 18 of 43 Ratings Inadequate Appropriate Excessive Global health issues All Schools ,411 All Schools ,522 All Schools ,242 All Schools , ,288 Health surveillance strategies All Schools ,406 All Schools ,515 All Schools ,220 All Schools , ,254 Biological, chemical and natural disaster management All Schools ,404 All Schools ,513 All Schools ,188 All Schools , ,251 Evidence Based Medicine Interpretation of clinical data and research reports All Schools ,423 All Schools ,534 All Schools ,279 All Schools , ,243 Conduct systematic literature review All Schools ,422 All Schools ,531 All Schools ,275 All Schools , ,237 Interpretation of laboratory results All Schools ,418 All Schools ,530 All Schools ,278 All Schools , ,227 Decision analysis All Schools ,422 All Schools ,525 All Schools ,263 All Schools , ,185

25 Medical School Graduation Questionnaire AAMC Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Page 19 of 43 Ratings Inadequate Appropriate Excessive Other Medical Topics Law and medicine All Schools ,418 All Schools ,527 All Schools ,244 All Schools , ,302 Behavioral sciences All Schools ,417 All Schools ,524 All Schools ,236 All Schools , ,300 Medical genetics All Schools ,415 All Schools ,527 All Schools ,238 All Schools , ,288 Complementary and alternative medicine All Schools ,419 All Schools ,526 All Schools ,251 All Schools , ,305 Human sexuality All Schools ,417 All Schools ,528 All Schools ,244 All Schools , ,296 Palliative care/pain management All Schools ,418 All Schools ,528 All Schools ,251 All Schools , ,308 End of life care All Schools ,417 All Schools ,525 All Schools ,245 All Schools , ,306

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