GQ Medical School Graduation Questionnaire. All Schools Summary Report FINAL

Transcription

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 [email protected]. 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 [email protected]

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 [email protected]

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 [email protected]

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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 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

26 Medical School Graduation Questionnaire AAMC Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Page 20 of 43 Ratings Inadequate Appropriate Excessive Family/domestic violence All Schools ,419 All Schools ,529 All Schools ,242 All Schools , ,287 Drug and alcohol abuse All Schools ,413 All Schools ,523 All Schools ,245 All Schools , ,297 Biomedical ethics All Schools ,415 All Schools ,524 All Schools ,235 All Schools , ,286 Professionalism All Schools ,410 All Schools ,520 All Schools ,244 All Schools , ,303 Rehabiliative care All Schools ,406 All Schools ,509 All Schools ,215 All Schools , , Indicate whether you agree or disagree with the following statement: (Scale: 1= to 5= ) Ratings Neutral Overall, I am satisfied with the quality of my medical education. All Schools % 3.9 % 5.0 % 50.4 % 39.8% ,428 All Schools ,532 All Schools ,287 All Schools , ,352 Mean

27 2010 Medical School Graduation Questionnaire AAMC Page 21 of Indicate your level of agreement with the following statements: (Scale: 1= to 5= ) I am confident that I have the knowledge and skills to: Communication Skills Ratings Neutral Discuss a prescription error I made with the patient All Schools % 3.6 % 5.7 % 55.2 % 35.0% ,417 All Schools ,529 All Schools ,230 All Schools , ,292 Provide safe sex counseling to a patient whose sexual orientation differs from mine All Schools ,417 All Schools ,524 All Schools ,230 All Schools , ,287 Discuss treatment options with a patient with a terminal illness All Schools ,524 All Schools ,222 All Schools , ,276 Discuss DNR orders with a patient or family member All Schools ,415 All Schools ,521 All Schools ,207 All Schools , ,266 Negotiate with a patient who is requesting unnecessary tests or procedures All Schools ,415 All Schools ,523 All Schools ,210 All Schools , ,274 Assess the health practices of a patient using alternative therapies All Schools ,412 All Schools ,520 All Schools ,185 All Schools , ,228 Technology Skills Carry out sophisticated searches of medical information databases All Schools ,412 All Schools ,524 All Schools ,228 All Schools , ,284 Mean

28 Medical School Graduation Questionnaire AAMC Indicate your level of agreement with the following statements: (Scale: 1= to 5= ) I am confident that I have the appropriate knowledge and skills to: (Continued) Page 22 of 43 Ratings Neutral Critically review published research All Schools ,403 All Schools ,518 All Schools ,189 All Schools , ,272 Use a computer-based clinical record keeping program, both for finding and recording patient-specific information All Schools ,407 All Schools ,524 All Schools ,213 All Schools , ,253 Use telemedicine All Schools ,406 All Schools ,516 All Schools ,196 All Schools , ,246 Use point of care technology for clinical purposes All Schools ,510 All Schools ,177 All Schools , ,230 Mean 16. Indicate whether you agree or disagree with the following statements about your preparedness for beginning a residency program: (Scale: 1= to 5= ) Ratings Neutral I am confident that I have acquired the clinical skills required to begin a residency program. All Schools % 2.4 % 5.4 % 51.5 % 40.4% ,408 All Schools ,530 All Schools ,212 All Schools , ,251 I have the fundamental understanding of common conditions and their management encountered in the major clinical disciplines. All Schools ,404 All Schools ,526 All Schools ,202 All Schools , ,244 I have the communication skills necessary to interact with patients and health professionals. All Schools ,405 All Schools ,527 All Schools ,209 All Schools , ,236 Mean

29 Medical School Graduation Questionnaire AAMC Page 23 of 43 Indicate whether you agree or disagree with the following statements about your preparedness for beginning a residency program: (Scale: 1= to 5= ) (Continued) Ratings Neutral I have basic skills in clinical decision making and the application of evidence based information to medical practice. All Schools ,404 All Schools ,527 All Schools ,163 All Schools , ,224 I have a fundamental understanding of the issues in social sciences of medicine (e.g., ethics, humanism, professionalism, organization and structure of the health care system). All Schools ,401 All Schools ,526 All Schools ,192 All Schools , ,238 I understand the ethical and professional values that are expected of the profession. All Schools ,398 All Schools ,524 All Schools ,200 All Schools , ,233 I believe I am adequately prepared to care for patients from different backgrounds. All Schools ,521 All Schools ,183 All Schools , ,222 Mean 17. Indicate whether you agree or disagree with the following statements: (Scale: 1= to 5= ) Ratings Neutral I received appropriate guidance in the selection of electives. All Schools % 17.2 % 13.0 % 41.9 % 21.9% ,409 All Schools ,530 All Schools ,239 All Schools , ,241 At my school, elective time was adequate. All Schools ,529 All Schools ,223 All Schools , ,210 Additional required activities or should be added to my final year at my medical school. All Schools ,407 All Schools ,528 All Schools ,211 All Schools , ,217 Mean

30 Medical School Graduation Questionnaire AAMC Page 24 of 43 Indicate whether you agree or disagree with the following statements (Scale: 1= to 5= ):(Continued) Ratings Neutral The final year was helpful in my preparation for residency. All Schools ,530 All Schools ,228 All Schools , ,229 The final year was important for enhancing my clinical education. All Schools ,528 All Schools ,226 All Schools , ,234 Mean 18. Indicate your level of satisfaction with the following: (Scale: 1=Very Dissatisfied to 5=Very Satisfied) Very Dissatisfied Dissatisfied Office of the Dean of Students / Associate Dean for Students Ratings* Neutral Satisfied Very Satisfied Accessibility All Schools % 7.4 % 10.1 % 43.9 % 35.5% ,413 All Schools ,534 All Schools ,236 All Schools , ,236 Awareness of student concerns All Schools ,406 All Schools ,534 All Schools ,223 All Schools , ,219 Responsiveness to student problems All Schools ,406 All Schools ,531 All Schools ,214 All Schools , ,139 Office of the Dean for Educational Programs / Curricular Affairs Accessibility All Schools ,524 All Schools ,208 All Schools , ,190 *Note: In 2010 a "Did Not Use" response category was added. These responses are not included in the calculation of the percentages or the means but can be seen in the reduced counts. Mean

31 Medical School Graduation Questionnaire AAMC Indicate your level of satisfaction with the following:(scale: 1=Very Dissatisfied to 5=Very Satisfied) (Continued) Ratings* Page 25 of 43 Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied Awareness of student concerns All Schools ,515 All Schools ,189 All Schools , ,166 Responsiveness to student problems All Schools ,517 All Schools ,181 All Schools , ,165 Participation of students on key medical school committees All Schools ,514 All Schools ,181 All Schools , ,160 Student Support Personal counseling All Schools ,397 All Schools ,525 All Schools ,205 All Schools , ,772 Financial aid administrative services All Schools ,406 All Schools ,526 All Schools ,203 All Schools , ,416 Overall educational debt management counseling All Schools ,404 All Schools ,526 All Schools ,188 All Schools , ,644 Senior loan exit interview All Schools ,378 All Schools ,496 All Schools ,138 All Schools , ,549 Faculty mentoring All Schools ,407 All Schools ,526 All Schools ,173 All Schools , ,172 *Note: In 2010 a "Did Not Use" response category was added. These responses are not included in the calculation of the percentages or the means but can be seen in the reduced counts. Mean

32 Medical School Graduation Questionnaire AAMC Indicate your level of satisfaction with the following: (Scale: 1=Very Dissatisfied to 5=Very Satisfied) (Continued) Ratings* Page 26 of 43 Career Planning Services Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied Career preference assessment activities All Schools ,405 All Schools ,528 All Schools ,204 All Schools , ,449 Information about specialties All Schools ,532 All Schools ,195 All Schools , ,841 Information about alternative medical careers All Schools ,533 All Schools ,184 All Schools , ,711 Overall satisfaction with career planning services (Note: Data not collected in Added back to survey in 2010.) All Schools ,404 All Schools ,529 All Schools ,149 All Schools ,709 Student Health/Wellness Student Programs/Activities that promote effective stress management, a balanced lifestyle and overall well being (Note: Question new in 2010) ,869 Student health services All Schools ,407 All Schools ,526 All Schools ,195 All Schools , ,496 Student mental health services All Schools ,514 All Schools ,160 All Schools , ,517 Student health insurance All Schools ,398 All Schools ,519 All Schools ,155 All Schools , ,516 *Note: In 2010 a "Did Not Use" response category was added. These responses are not included in the calculation of the percentages or the means but can be seen in the reduced counts. Mean

33 Medical School Graduation Questionnaire AAMC Indicate your level of satisfaction with the following: (Scale: 1=Very Dissatisfied to 5=Very Satisfied) (Continued) Ratings* Page 27 of 43 Other Student Services Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied Library All Schools ,416 All Schools ,539 All Schools ,226 All Schools , ,944 Computer resource center All Schools ,409 All Schools ,536 All Schools ,202 All Schools , ,739 Student study space All Schools ,413 All Schools ,538 All Schools ,222 All Schools , ,834 Student relaxation space All Schools ,411 All Schools ,535 All Schools ,199 All Schools , ,135 *Note: In 2010 a "Did Not Use" response category was added. These responses are not included in the calculation of the percentages or the means but can be seen in the reduced counts. Mean 19. Based on your experiences, indicate whether you agree or disagree with the following statements about medicine and the profession: (Scale: 1= to 5= ) Ratings Neutral I was educated about professional relationships with industry* All Schools % 5.5% 16.1% 44.6% 31.6% , ,033 *Note: In 2009 the question wording read: "I was encouraged/challenged to consider my professional relationships with pharmaceutical and other industries." Mean

34 2010 Medical School Graduation Questionnaire AAMC Page 28 of 43 Diversity 20. Based on your experiences, indicate whether you agree or disagree with the following statements (Scale: 1= to 5= ) Ratings Neutral My knowledge or opinion was influenced or changed by becoming more aware of the perspectives of individuals from different backgrounds. All Schools % 6.8 % 20.0 % 42.5 % 27.7% 3.9 8,240 All Schools ,460 All Schools ,465 All Schools , ,117 The diversity within my medical school class enhanced my training and skills to work with individuals from different backgrounds. All Schools , ,133 Mean

35 2010 Medical School Graduation Questionnaire AAMC Page 29 of All Schools Are you planning to become certified in a specialty? Yes No Undecided whether to seek certification in a specialty Number of responses 8,245 8,427 11,519 10,422 13,193 21a. Choice of specialty: Allergy and Immunology * Anesthesiology Colon and Rectal Surgery * Dermatology Emergency Medicine Family Medicine General Surgery * Internal Medicine Medical Genetics Neurological Surgery Neurology Obstetrics and Gynecology Ophthalmology Orthopedics * Otolaryngology Pain Medicine * Hospice and Palliative Medicine * Pathology Pediatrics Physical Medicine and Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Radiology Radiation Oncology * Thoracic Surgery * Urology Other Number of responses 7,733 7,271 9,345 9,356 11,150 *In 2008, subspecialties were removed from the GQ. For more information on subspecialty data prior to 2008, please contact [email protected]

36 2010 Medical School Graduation Questionnaire AAMC Page 30 of 43 21b. If you are planning on specializing in Family Medicine, Internal Medicine, or Pediatrics, do you plan on going into a subspecialty in that field? Yes No Number of responses 3,145 3,485 21c. How confident do you feel about your specialty choice? Not Confident Slightly Confident Moderately Confident Very Confident Number of responses 9,482 9,340 11,171 21d. Are you planning on seeking fellowship training after residency? Yes No Undecided Number of responses 9,329 11,171 21e. How satisfied are you with your opportunities during medical school to explore potential career choices? Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied Number of responses 9,491 9,347 11,172 21f. If you could revisit your career choice, would you choose to become a physician again? (Note: Question new in 2010) * No Probably not Neutral Probably yes Yes Number of responses 11,169 * Note: Special Topic Question

37 2010 Medical School Graduation Questionnaire AAMC Page 31 of How influential were the following in helping you choose your specialty?(scale: 0=No Influence to 3=Strong Influence) Ratings No Influence Minor Influence Moderate Influence Strong Influence Mean Advising/Mentoring All Schools % 24.9% 33.6% 26.0% 1.7 9, ,102 AAMC's Careers in Medicine Web Site All Schools , ,090 Specialty Interest Group-sponsored panels and presentations All Schools , ,090 School-sponsored Career Planning Workshops and Courses All Schools , ,079 Participation in in-house extramural electives All Schools , ,077 Competitiveness of specialty All Schools ,731 All Schools ,267 All Schools ,463 All Schools , ,109 Level of educational debt All Schools ,731 All Schools ,264 All Schools ,455 All Schools , ,110 Role model influence All Schools ,731 All Schools ,265 All Schools ,453 All Schools , ,106 Options for fellowship training All Schools ,731 All Schools ,263 All Schools ,457 All Schools , ,096

38 Medical School Graduation Questionnaire AAMC Page 32 of 43 How influential were the following in helping you choose your specialty? (Scale: 0=No Influence to 3=Strong Influence) (continued): Ratings No Influence Minor Influence Moderate Influence Strong Influence Mean Income expectations All Schools ,732 All Schools ,265 All Schools ,463 All Schools , ,112 Length of residency training All Schools ,731 All Schools ,265 All Schools ,470 All Schools , ,115 Family expectations All Schools ,733 All Schools ,263 All Schools ,452 All Schools , ,101 My future family plans All Schools , ,101 Work/Life balance All Schools , ,100 Fit with personality, interests, and skills All Schools ,468 All Schools , ,114 Content of specialty All Schools ,456 All Schools , ,117

39 2010 Medical School Graduation Questionnaire AAMC Page 33 of Indicate your career intention from the different activities listed below: All Schools Full-time university faculty: Basic science teaching/research Part-time university faculty: Basic science teaching/research Full-time university faculty: Clinical teaching/research Part-time university faculty: Clinical teaching/research Full-time (non-academic) clinical practice: Solo practice Part-time (non-academic) clinical practice: Solo practice Full-time (non-academic) clinical practice: In partnership with one physician Part-time (non-academic) clinical practice: In partnership with one physician Full-time (non-academic) clinical practice: In a group of 3 or more Part-time (non-academic) clinical practice: In a group of 3 or more Full-time (non-academic) clinical practice: Join a closed panel HMO Part-time (non-academic) clinical practice: Join a closed panel HMO Full-time (non-academic) clinical practice: Salaried, hospital Part-time (non-academic) clinical practice: Salaried, hospital Other: State or federal agency (including Department of Veterans Affairs or military medicine) Other: Medical/healthcare administration, without practice Other: Non-university research scientist Other Undecided Number of responses 8,244 8,466 11,473 10,386 13,144 Subtotals for Career Activity Areas: Full-time University Faculty Part-time University Faculty Full-time (non-academic) Clinical Practice Part-time (non-academic) Clinical Practice Other Undecided Number of responses 8,244 8,466 11,473 10,386 13, How exclusively do you expect to be involved in research during your medical career? Not involved Involved in a limited way Somewhat involved Significantly involved Exclusively Number of responses 8,246 8,465 11,480 10,402 13,152

40 2010 Medical School Graduation Questionnaire AAMC Page 34 of All Schools Do you plan to locate your practice in an underserved area? Yes No Undecided Number of responses 8,247 8,462 11,519 10,410 13,165 25a. If Yes, what is the likely location? Rural community Inner-city community Other Number of responses 2,046 1,795 3,410 3,053 3, Regardless of location, do you plan to care primarily for an underserved population?* Yes No Undecided All Schools % 13.5 % 21.1 % 3, ,271 *Note: In 2009, responses were limited to individuals who responded "Yes" to question Where do you plan to practice? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana

41 2010 Medical School Graduation Questionnaire AAMC Page 35 of 43 All Schools Where do you plan to practice? (Continued) Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Nova Scotia Nunavut Ontario Quebec Saskatchewan Yukon Territory American Samoa Guam Marshall Islands Northern Mariana Islands Puerto Rico Virgin Islands APO-FPO Americas APO-FPO Europe APO-FPO Pacific US Territories / Posessions Foreign Unkown USA Totally Unknown Unknown Canadian Number of responses 8,119 8,392 3,327 2,369 12,861 * Note: Manitoba, New Brunswick, Newfoundland/Labrador, Prince Edward Island were excluded from the report because no graduates selected these options over the reporting period.

42 2010 Medical School Graduation Questionnaire AAMC Page 36 of All Schools Did you receive any scholarships, stipends, grants (not loans) for medical school? Yes No Number of responses 8,219 8,439 11,490 10,389 13,162 Scholarship Categories No scholarships $ 1 to $ 24, $ 25,000 to $ 49, $ 50,000 to $ 74, $ 75,000 to $ 99, $100,000 to $124, $125,000 to $149, $150,000 to $174, $175,000 to $199, $200,000 or more Average scholarship amount of all students $32,085 $35,296 Average scholarship amout of students with scholarships $32,085 $35,296 $21,152 $39,275 $25,453 $44,955 $25,352 $45, Do you still owe money on your premedical/college educational loans? Yes No Number of responses 8,210 8,442 11,467 10,373 13,165 Premedical Debt Categories No debt $ 1 to $ 24, $ 25,000 to $ 49, $ 50,000 to $ 74, $ 75,000 to $ 99, $100,000 to $124, $125,000 to $149, $150,000 to $174, $175,000 to $199, $200,000 or more Average premedical debt of all students $8,504 $8,856 Average premedical debt of indebted students $23,068 $24,519 $13,241 $35,531 $14,055 $37,806 $11,829 $33,929

43 2010 Medical School Graduation Questionnaire AAMC Page 37 of All Schools Do you owe any money on your medical school education loans? Yes No Number of responses 8,209 8,436 11,449 10,374 13,150 Medical School Debt Categories No debt $ 1 to $ 24, $ 25,000 to $ 49, $ 50,000 to $ 74, $ 75,000 to $ 99, $100,000 to $124, $125,000 to $149, $150,000 to $174, $175,000 to $199, $200,000 or more Average medical school debt of all students $104,674 $113,458 Average medical school debt of indebted students $123,047 $131,463 $116,804 $141,330 $118,427 $143,870 $113,704 $147, Total Student Debt Categories No debt $ 1 to $ 24, $ 25,000 to $ 49, $ 50,000 to $ 74, $ 75,000 to $ 99, $100,000 to $124, $125,000 to $149, $150,000 to $174, $175,000 to $199, $200,000 or more Average total debt of all students $113,232 $122,279 Average total debt of indebted students $129,943 $138,608 $129,084 $154,069 $131,530 $157,990 $124,598 $158,996

44 2010 Medical School Graduation Questionnaire AAMC Page 38 of All Schools Do you have any non-educational, consumer debt? (This includes car loans, residency search loans, or other consumer debt). Note: Do not include home mortgage debt. Yes No Non-Educational Debt Categories No debt $ 1 to $ 4, $ 5,000 to $ 9, $10,000 to $14, $15,000 to $24, $25,000 or more Average non-educational debt of all students $6,712 $10,716 Average non-educational debt of indebted students $16,689 $28,845 $5,451 $16,685 $5,327 $16,606 $3,869 $15, Do you plan to enter into a loan-forgiveness program? (Note: Question new in 2010) Yes No Number of responses 13,096 33a. Please list the type of loan forgiveness program you plan on participating in Department of Education's Public Service Loan Forgiveness (PSLF) National Health Service Corps Indian Health Service Corps Armed Services (Navy, Army, Air Force) Uniformed Service (CDC, HHS) State loan forgiveness program Hospital program (e.g. sign-on bonus) Private loan forgiveness program Other

45 2010 Medical School Graduation Questionnaire AAMC Page 39 of All Schools Are you aware that your school has policies regarding the mistreatment of medical students? Yes No Number of responses 11,402 12,536 13,272 13,103 13, Have you personally been mistreated during medical school? Yes No Number of responses 11,401 12,532 13,269 13,102 13,156 35a. For each of the following types of mistreatment, indicate the frequency you experienced it personally:(scale:1=never to 4=Frequently) Ratings Never Once Occasionally Frequently General Mistreatment Been publicly belittled or humiliated? All Schools % 30.4 % 54.8 % 6.2 % 1,385 All Schools ,846 All Schools ,219 All Schools , ,226 Been threatened with physical harm or been physically punished (e.g., hit, slapped, kicked)? All Schools ,383 All Schools ,845 All Schools ,220 All Schools , ,226 Been required to perform personal services (e.g., shopping, babysitting)? All Schools ,383 All Schools ,844 All Schools ,215 All Schools , ,218 Sexual Mistreatment Been asked to exchange sexual favors for grades or other awards? All Schools ,383 All Schools ,846 All Schools ,218 All Schools , ,221 Been subjected to unwanted sexual advances by school personnel? All Schools ,383 All Schools ,846 All Schools ,217 All Schools , ,226

46 2010 Medical School Graduation Questionnaire AAMC 35a. For each of the following types of mistreatment, indicate the frequency you experienced it personally:(scale:1=never to 4=Frequently) (Continued) Ratings Page 40 of 43 Never Once Occasionally Frequently Been subjected to offensive sexist remarks/names directed at you personally? All Schools ,383 All Schools ,843 All Schools ,218 All Schools , ,208 Gender Mistreatment Been denied opportunities for training or rewards based on your gender? All Schools ,384 All Schools ,846 All Schools ,216 All Schools , ,217 Received lower evaluations or grades solely because of your gender rather than performance? All Schools ,382 All Schools ,843 All Schools ,211 All Schools , ,202 Sexual Orientation Mistreatment Been denied opportunities for training or rewards because of your sexual orientation? All Schools ,378 All Schools ,844 All Schools ,211 All Schools , ,217 Been subjected to offensive remarks/names directed at you personally because of your sexual orientation? All Schools ,381 All Schools ,845 All Schools ,212 All Schools , ,222 Received lower evaluations or grades solely because of your sexual orientation rather than performance? All Schools ,378 All Schools ,843 All Schools ,201 All Schools , ,217

47 2010 Medical School Graduation Questionnaire AAMC Page 41 of All Schools b. If you experienced mistreatment during medical school, please identify the source? Preclinical Faculty Clinical Faculty (in classroom) Clinical Faculty (in hospital) Residents/Interns Nurses Other hospital staff (eg. Pharmacists, custodial) Administrators Students Patients c. Did you report the incident(s) to a designated faculty member or a member of the medical school administration empowered to handle such complaints? Yes No Number of responses 1,386 1,847 2,214 2,230 2,251 35d. Whom did you tell about your experience(s) of mistreatment? Dean of Students Designated counselor/advocate/ombudsman Other medical school administrator Faculty member Other e. If you did not report the incident(s) of witnessed mistreatment, why or why not? Incident(s) did not seem important enough to report Did not know what to do Fear of reprisal Other f. How satisfied are you with the application of your school's student mistreatment procedures: (Scale: 1=Very Dissatisfied to 5=Very Satisfied) Very Dissatisfied Dissatisfied Ratings Neutral Satisfied Very Satisfied Provided a non-threatening and easily accessible mechanism for the submission and processing of your complaint(s) All Schools % 13.8 % 46.5 % 19.7 % 8.0% 3.0 1,366 All Schools ,839 All Schools ,202 All Schools , ,189 Objectively determined if further investigation was warranted All Schools ,363 All Schools ,836 All Schools ,193 All Schools , ,172 Mean

48 2010 Medical School Graduation Questionnaire AAMC Page 42 of 43 35f. How satisfied are you with the application of your school's student mistreatment procedures: (Scale: 1=Very Dissatisfied to 5=Very Satisfied)(Continued) Very Dissatisfied Dissatisfied Ratings Neutral Satisfied Very Satisfied Equitably investigated and adjudicated complaint(s) All Schools ,362 All Schools ,836 All Schools ,193 All Schools , ,171 Appropriately protected your rights All Schools ,366 All Schools ,836 All Schools ,188 All Schools , ,177 Mean 36. Have you personally witnessed a student being mistreated during medical school? * All Schools Yes No Number of responses 13,159 36a. If you witnessed a student being mistreated during medical school, please identify the source? * Preclinical Faculty Clinical Faculty (in classroom) Clinical Faculty (in hospital) Residents/Interns Nurses Other hospital staff (eg. Pharmacists, custodial) Administrators Students Patients b. Did you report the incident(s) to a designated faculty member or a member of the medical school administration empowered to handle such complaints? * Yes No Number of responses 2,376 * Note: Question is new on 2010 survey.

49 2010 Medical School Graduation Questionnaire AAMC Page 43 of All Schools c. Whom did you tell about your experience(s) with witnessing mistreatment of another student? * Dean of Students Designated counselor/advocate/ombudsman Other medical school administrator Faculty member Other d. If you did not report the incident(s) of witnessed mistreatment, why or why not? * Incident(s) did not seem important enough to report Did not know what to do Fear of reprisal Asked not to report by subject of mistreatment Other * Note: Question is new on 2010 survey. Other Institutional Information Control of medical school: * Private Public Number of responses 8,249 8,472 11,525 10,461 13,906 Region of medical school: * Northeast South Central West Number of responses 8,249 8,472 11,525 10,461 13,922 Release of data to school: Yes, release data No, do not release data Number of responses 8,248 8,472 11,498 10,389 13,105 * Source: AAMC Data Warehouse