Medical School Graduation Questionnaire 2013 All Schools Summary Report July 2013 (Revised August 2013) Association of American Medical Colleges 2013 Medical School Graduation Questionnaire This is a publication of the Association of American Medical Colleges. The AAMC serves and leads the academic medicine community to improve the health of all. www.aamc.org © 2013 Association of American Medical Colleges. May be reproduced or distributed, with attribution, for noncommercial purpose of scientific or educational advancement. 2013 Medical School Graduation Questionnaire 2013 Medical School Graduation Questionnaire All Schools Summary Report & Individual School Report Association of American Medical Colleges Executive Summary Background The 2013 Medical School Graduation Questionnaire All Schools Summary Report provides aggregate data from graduating students at the 130 U.S. medical schools accredited by the Liaison Committee on Medical Education (LCME) with current-year graduates. The All Schools Summary Report is made available to the public. In addition, each accredited medical school receives separately an Individual School Report showing data from its graduating students who responded to the Graduation Questionnaire, with comparisons to the national data. Eighty-two percent of 2013 graduates participated in the Graduation Questionnaire. The Graduation Questionnaire (GQ) was established in 1978 as a method for the Association of American Medical Colleges (AAMC), medical schools, and other organizations to identify and address issues critical to the future of medical education and the well‐being of medical students. These issues include: students’ satisfaction with their educational program’s ability to prepare them for residency; students’ career and specialty plans; the costs of medical education; and students’ experiences of mistreatment in the learning environment. Since its inception, the GQ has been a tool used by medical schools, faculty, students, researchers, and the LCME for benchmarking and improving medical education. The attached report displays five years of data, 2009 to 2013, where comparable data are available. From 2005 to 2009, the GQ consisted of two surveys: a program evaluation survey and a student survey on priorities in medical education. The program evaluation survey provided students an anonymous method to evaluate their preclerkship and clinical clerkship experiences. The student survey on priorities in medical education addressed issues of student debt, career choice, and diversity. Although the two surveys were distinct from 2005 to 2009, the combined information they collected was, and still is, reported in the annual GQ reports. Since 2010, the GQ has been administered as a single survey as it was before 2005. Selected Findings Increased Faculty Observation of Student Competencies The class of 2013 was more likely than previous classes to affirm that a faculty member personally observed them taking a patient history or performing a patient examination. This was true across all clerkships. (See report item 8.) Rising Debt and Plans to Enter Loan-Forgiveness Programs 2013 graduates reported an average scholarship amount of $36,274, a five-percent increase over what students reported in 2012. However, there was a slight decrease in the share of graduates saying they received scholarships: from 63.3 percent to 61.6 percent. (Report item 28.) 2013 graduates reported an average premedical education debt of $11,849, about eleven percent more than what students reported in 2012. This ends a previous four-year trend in which the average premedical debt had actually been decreasing. (Report item 29). 2013 Medical School Graduation Questionnaire 2013 graduates reported an average medical education debt of $135,084, an increase of two percent compared to 2012. The percent of students graduating with medical school debt remained relatively unchanged at 84.4 percent. (Report item 30.) Since 2010, indebted graduates have been asked whether they plan to enter into a loan-forgiveness program. The percent reporting they have such plans has steadily increased: from 24.4 percent in 2010 to 29.4 percent in 2012. In 2013, this figure jumped to 38.1 percent. (Report item 32.) Growth in Interprofessional Health Education To gauge the growth of collaborative models in health professions education, the 2011 GQ added new questions on this topic, including, “Have you participated in any required curricular activities where you had the opportunity to learn with students from different health professions?” From 2011 to 2012, the percent of students responding “Yes” increased from 65.6 percent to 68.8 percent. In 2013, 73.4 percent said “Yes,” indicating a marked growth in students’ reports of their involvement in interprofessional learning activities. (Report item 35.) Greater Awareness of Policies and Procedures Regarding Mistreatment The percent of students who affirmed that they are “aware that your school has policies regarding the mistreatment of medical students” rose from 84.5 percent in 2012 to 88.2 percent in 2013. When this question entered the GQ in 2000, fewer than half of respondents reported they were aware of any mistreatment policy. (Report item 39.) Last year, the 2012 GQ introduced a new question to graduates: “Do you know the procedures at your school for reporting the mistreatment of students?” In 2012, two-thirds responded “Yes”: 67.4 percent. In 2013, the share of students reporting “Yes” increased to 71.7 percent. (Report item 40.) Changes to the GQ in 2013 The following are the key changes in the 2013 GQ as compared to 2012. The Mistreatment of Students The section of the GQ regarding students’ experiences of mistreatment was substantially revised in the 2012 GQ, as noted in the Administrative Summary of the 2012 GQ Reports. In 2012, the percent of students indicating they had been “publicly humiliated” during medical school was 34.3 percent. Feedback from students and from the constituent Advisory Committee for student surveys suggested that these reports of public humiliation may have been more inclusive than intended. Specifically, students reported frequent occurrences of being publicly embarrassed; these incidents were generally characterized as not intentionally perpetrated upon them by others and were not considered to fall under mistreatment. To address this problem, an additional behavior, “publicly embarrassed,” was added to the list of specified negative or offensive behaviors that respondents could report as having experienced or witnessed during medical school. The percentage of students who reported having been “publicly embarrassed” was relatively high (47.2%), and the percent who reported being “publicly humiliated” was notably lower in 2013 (23.3%) than what was reported in the 2012 report (34.3%). Because of this change to the survey, the 2013 data for “publicly humiliated” behaviors, the overall rates of mistreatment, and the reporting of mistreatment are not comparable with 2012 data. Consequently, much of the mistreatment 2012 data are not displayed in this report at items 41 through 51. 2013 Medical School Graduation Questionnaire If a respondent reported being, or witnessing someone, “publicly embarrassed,” the survey did not generate follow-up questions about that specific behavior; therefore, apart from the initial data presented in the first row of report item 41, experiences of public embarrassment are not included in any of the subsequent mistreatment data. AAMC staff and the constituent Advisory Committee for the student surveys have kept the LCME staff informed of the changes made to the mistreatment questions, the methodological reasons for making these changes, and the implications for interpreting, and avoiding misinterpreting, the results. The Reporting of Scholarship and Debt Data The rules for calculating and reporting scholarship and debt data were altered in 2013 to limit the records considered to only those records with consistent responses to the component parts of each question. As a result, prior-year data displayed at items 28-32 in this report may differ from what was displayed in the 2012 reports. Methodology The data in the 2013 GQ All Schools Summary Report reflect the responses of 14,836 graduates of the 130 U.S. medical schools that graduated students in academic year 2012-2013. According to the AAMC Student Records System (SRS) as of July 24, 2013, these 14,836 respondents represent 81.8 percent of the 18,148 medical students who graduated from July 1, 2012 through June 30, 2013. Survey data for participating individuals may not be comparable to data for nonparticipants. The 2013 results include the responses from the first graduated classes at four medical schools: Florida International University Herbert Wertheim College of Medicine, Texas Tech University Health Sciences Center Paul L. Foster School of Medicine, The Commonwealth Medical College, and the University of Central Florida College of Medicine. The 2013 GQ was open from February 14 through June 7, 2013. The initial participants were individuals with expected graduation dates from July 1, 2012 through June 30, 2013, as identified from SRS data and confirmed by medical school personnel in January 2013. While the survey was open, medical schools could request changes to the list of eligible participants to reflect changes in expected graduation status. Through a variety of measures, medical schools independently recruited graduating students to participate. The AAMC also sent e-mails to eligible students. Copies of the GQ surveys are available at www.aamc.org/gq. Survey questions were not numbered, but the order of items in the reports largely follows the order of items in the survey. The first four items-age, gender, race/ethnicity, and degree program-report data not collected by the survey but supplied by linkage to AAMC applicant and student data. Percents displayed in the reports may not sum to 100 due to rounding or to collection formats permitting more than one response. Where the reports appear to have missing columns, rows, or blank spaces within rows, these correspond to unavailable data for a particular survey item in a given year, usually due to changes in when the survey item was offered. These are to be distinguished from data with a displayed percent of ‘0.0’, which correspond to real survey items that were selected by no, or very few, respondents. Providing Feedback For inquiries regarding the GQ surveys or reports, please e-mail gq@aamc.org. Table of Contents Demographic Data .................................................................................................................... 1 Pre-Clinical Experiences ........................................................................................................... 2 Clinical Experiences Quality of clerkships ...................................................................................................... 4 Clerkship experiences ................................................................................................... 6 Assessment methods .............................................................................................................. 13 Veterans Affairs ...................................................................................................................... 13 Elective Participation ............................................................................................................... 13 Instruction Time for Various Topics ......................................................................................... 14 Overall Satisfaction with Medical Education ............................................................................ 21 Knowledge and Skills/General Preparedness .......................................................................... 22 Satisfaction with: Office of the Dean of Students/Associate Dean for Students ....................................... 25 Office of the Dean for Educational Programs/Curricular Affairs .................................... 25 Student support ........................................................................................................... 26 Career planning services ............................................................................................. 27 Student health/wellness ............................................................................................... 27 Other student services ................................................................................................. 28 Professional Relationships with Industry ................................................................................. 29 Diversity .................................................................................................................................. 29 Specialty and Career Plans Specialty choice........................................................................................................... 30 Career intentions ......................................................................................................... 34 Research involvement ................................................................................................. 34 Underserved practice .................................................................................................. 35 Practice location .......................................................................................................... 35 Finances ................................................................................................................................. 37 Added in 2011: Career Planning Resources, Interprofessional Learning ................................. 40 Revised in 2013: Mistreatment of Students ............................................................................. 42 Institutional Information ........................................................................................................... 46 2013 Medical School Graduation Questionnaire All Schools 2009 2010 2011 2012 2013 13,921 13,461 13,681 14,836 Total number of survey responses: 13,178 Note: The 2009 information in this report was collected by two GQ administrations: a program evaluation survey and a supplemental survey. Totals reported above for 2009 reflect responses to the program evaluation survey. 1. Age at graduation:* Under 24 24 through 26 27 through 29 30 through 32 33 or older Number of responses 2. Percent Percent 0.4 0.4 45.2 46.3 37.0 37.0 11.4 10.7 6.0 5.6 Percent Percent 0.4 0.3 45.1 44.0 38.0 39.4 11.2 10.9 5.3 5.4 100.0 100.0 100.0 100.0 100.0 10,461 13,921 13,461 13,681 14,836 Percent 50.4 49.6 Percent Percent 50.6 49.8 49.4 50.2 Gender:* Male Female Number of responses 3. Percent 0.5 45.8 36.7 11.0 6.0 Percent Percent 51.1 50.6 48.9 49.4 100.0 100.0 100.0 100.0 100.0 10,459 13,920 13,461 13,681 14,836 Percent 73.8 7.0 0.9 6.8 0.7 5.7 1.2 0.8 2.2 1.5 3.4 0.3 0.7 Percent Percent 72.3 72.1 7.1 7.1 0.9 1.0 7.3 7.7 0.7 0.9 6.4 6.3 1.1 0.9 1.1 0.9 2.2 2.5 1.5 1.3 2.7 2.7 0.4 0.3 0.5 0.3 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 Percent Percent 71.6 71.9 6.9 7.1 0.9 0.8 7.6 7.4 0.9 1.0 6.9 6.7 1.1 1.0 1.0 0.9 2.5 2.4 1.4 1.5 2.4 2.7 0.3 0.4 0.3 0.2 105.0 104.0 104.0 104.0 104.0 10,459 13,921 13,461 13,681 14,836 Percent 92.8 2.0 2.5 0.6 2.4 Percent Percent 93.2 92.9 2.4 2.5 1.8 1.9 0.6 0.6 2.4 2.4 Spanish/Hispanic/Latino/Latina?* Not Hispanic or Latino Mexican, Mexican American, Chicano/Chicana Puerto Rican Cuban Other Hispanic Number of responses Percent Percent 93.0 92.7 2.4 2.5 1.5 1.8 0.8 0.8 2.6 2.6 100.0 100.0 100.0 100.0 100.0 10,459 13,920 13,458 13,681 14,835 *Demographic information is based on AAMC applicant/matriculant data. Race and Hispanic ethnicity totals may sum to more than 100 percent as applicants could select more than one response. All Schools Summary 1 2013 Medical School Graduation Questionnaire All Schools 2009 4. 2011 2012 2013 Type of degree program from which you are graduating: Percent 92.1 1.9 0.4 1.1 3.3 1.1 M.D. Joint B.A./M.D. Joint M.D./M.B.A. Joint M.D./M.P.H. Joint M.D./Ph.D. Joint M.D./Other Number of responses 5. 2010 Percent Percent 92.0 92.3 2.0 2.2 0.7 0.7 1.2 1.0 3.2 3.2 0.9 0.6 Percent Percent 91.0 90.9 2.7 2.8 0.6 0.6 1.4 1.4 3.6 3.2 0.6 1.2 100.0 100.0 100.0 100.0 100.0 10,461 13,921 13,461 13,681 14,836 Based on your experiences, indicate whether you agree or disagree with the following statements about medical school: (Scale: 1=Strongly Disagree to 5=Strongly Agree) Ratings Strongly Disagree Disagree Basic science content objectives were made clear to students All Schools 2009 1.2 % 3.7 % All Schools 2010 1.2 3.2 All Schools 1.0 3.3 2011 2012 1.2 3.4 All Schools 2013 0.9 3.3 All Schools Neutral 10.2 % 9.5 8.2 8.3 8.3 Agree Strongly Agree Mean Count 56.6 % 56.3 55.3 52.6 53.5 28.4 % 29.9 32.3 34.5 34.0 4.1 4.1 4.1 4.2 4.2 13,119 13,794 13,336 13,662 14,805 Basic science content was sufficiently integrated across basic science courses All Schools 2009 2.0 8.7 15.3 All Schools 2010 1.7 12.3 6.3 All Schools 1.4 11.9 6.4 2011 2012 1.7 12.0 7.1 All Schools 2013 1.4 6.3 12.0 All Schools 51.0 52.9 51.5 49.6 50.6 23.1 26.8 28.8 29.6 29.8 3.8 4.0 4.0 4.0 4.0 13,092 13,774 13,309 13,644 14,765 Basic science content objectives and examination content matched closely All Schools 2009 2.1 7.4 15.6 All Schools 2010 1.8 15.2 6.9 All Schools 1.7 13.1 6.5 2011 2012 2.0 13.1 6.7 All Schools 2013 1.5 6.4 13.8 All Schools 52.1 52.1 53.1 50.0 50.6 22.7 23.9 25.6 28.3 27.7 3.9 3.9 3.9 4.0 4.0 13,065 13,764 13,300 13,626 14,763 Basic science content had sufficient illustrations of clinical relevance All Schools 2009 2.7 11.5 All Schools 2010 2.9 10.9 All Schools 2.5 10.4 2011 2012 2.9 10.6 All Schools 2013 2.4 10.5 All Schools 19.1 18.2 17.5 16.7 16.8 46.2 46.9 47.3 45.3 46.1 20.4 21.1 22.4 24.4 24.1 3.7 3.7 3.8 3.8 3.8 13,094 13,770 13,310 13,630 14,772 Basic science content provided relevant preparation for clerkships All Schools 2009 3.4 10.4 All Schools 2010 3.3 10.5 All Schools 3.0 10.2 2011 2012 3.3 10.1 All Schools 2013 3.1 10.6 All Schools 21.1 20.2 19.7 19.1 19.4 46.3 47.2 46.6 45.3 45.1 18.8 18.7 20.5 22.2 21.7 3.7 3.7 3.7 3.7 3.7 13,077 13,777 13,311 13,639 14,768 All Schools Summary 2 2013 Medical School Graduation Questionnaire 5. Based on your experiences, indicate whether you agree or disagree with the following statements about medical school: (Scale: 1=Strongly Disagree to 5=Strongly Agree) (Continued) Ratings Strongly Disagree Disagree Neutral Basic science was integrated in required clinical experience All Schools 2010 1.9 10.7 All Schools 1.6 9.4 2011 2012 1.6 9.7 All Schools 2013 1.6 10.6 All Schools 6. 23.9 22.7 23.3 22.8 Agree Strongly Agree Mean Count 49.2 50.5 49.7 48.7 14.3 15.7 15.7 16.3 3.6 3.7 3.7 3.7 11,987 11,804 12,512 14,438 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* Biochemistry All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 Poor Fair Good 11.8 % 11.8 11.4 12.2 11.8 29.8 % 29.1 29.7 30.7 30.4 39.5 % 39.1 38.0 37.5 38.7 Excellent Mean Count 18.9 % 20.0 20.8 19.6 19.1 2.7 2.7 2.7 2.6 2.7 12,883 13,514 13,018 13,280 14,351 Biostatistics and epidemiology All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 8.5 8.5 7.4 8.2 8.0 28.5 27.0 26.3 27.6 26.9 42.2 43.1 43.0 41.9 42.3 20.8 21.4 23.2 22.3 22.9 2.8 2.8 2.8 2.8 2.8 12,892 13,515 13,051 13,317 14,393 Genetics All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 6.2 6.4 6.1 6.6 6.3 26.1 26.2 26.3 27.5 26.7 47.7 47.7 46.2 45.9 46.4 20.0 19.7 21.3 20.0 20.5 2.8 2.8 2.8 2.8 2.8 12,925 13,592 13,108 13,355 14,387 Gross anatomy All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 2.7 2.3 2.5 2.9 2.7 9.6 8.8 9.6 10.3 10.1 34.8 32.9 33.3 34.2 35.6 52.9 56.0 54.6 52.7 51.6 3.4 3.4 3.4 3.4 3.4 12,942 13,629 13,152 13,496 14,544 Immunology All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 4.1 3.3 3.8 3.8 4.5 17.1 16.3 15.9 17.6 17.9 48.0 46.8 46.1 45.9 46.2 30.9 33.5 34.2 32.7 31.5 3.1 3.1 3.1 3.1 3.0 12,934 13,600 13,133 13,457 14,488 * Note: Respondents had the option to select "Not Applicable"; these responses are not included in the report calculations and counts. All Schools Summary 3 2013 Medical School Graduation Questionnaire 6. 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 Introduction to Clinical Medicine/Introduction to the Patient All Schools 2009 2.7 All Schools 2010 2.2 All Schools 2.1 2011 All Schools 2012 2.4 All Schools 2013 2.1 Fair Good Excellent Mean Count 9.0 8.6 8.2 8.5 8.1 33.1 31.8 30.6 31.1 31.5 55.1 57.4 59.0 58.0 58.3 3.4 3.4 3.5 3.4 3.5 12,805 13,448 12,986 13,343 14,337 Microanatomy/Histology All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 5.3 5.6 5.1 5.5 6.5 22.7 23.6 22.8 22.1 23.2 45.7 45.0 44.1 45.0 44.7 26.3 25.9 28.0 27.5 25.6 2.9 2.9 3.0 2.9 2.9 12,919 13,555 13,098 13,393 14,433 Microbiology All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 4.8 4.2 4.2 4.6 4.5 15.0 14.6 14.9 14.7 14.9 43.9 42.6 41.7 43.4 42.6 36.3 38.6 39.2 37.2 37.9 3.1 3.2 3.2 3.1 3.1 12,937 13,578 13,120 13,461 14,497 Neuroscience All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 5.1 4.1 3.6 4.4 4.1 14.2 13.8 12.8 13.6 14.0 39.0 40.0 38.8 38.7 39.4 41.7 42.2 44.7 43.3 42.5 3.2 3.2 3.2 3.2 3.2 12,937 13,568 13,096 13,472 14,499 Pathology All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 2.3 2.1 2.3 2.4 2.5 10.0 10.4 10.8 12.3 11.9 37.8 36.6 36.7 37.7 39.2 49.9 50.9 50.2 47.6 46.4 3.4 3.4 3.3 3.3 3.3 12,869 13,544 13,066 13,447 14,466 Pharmacology All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 9.3 8.3 8.3 9.1 7.8 18.3 17.8 18.8 19.0 17.8 36.5 36.9 36.3 37.3 38.2 35.9 37.1 36.6 34.6 36.1 3.0 3.0 3.0 3.0 3.0 12,898 13,583 13,116 13,490 14,519 Physiology All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 2.5 2.4 2.0 2.6 2.0 9.8 9.2 8.9 9.8 9.3 39.3 37.4 37.9 37.4 38.2 48.4 51.1 51.2 50.1 50.5 3.3 3.4 3.4 3.4 3.4 12,872 13,507 13,030 13,425 14,465 * Note: Respondents had the option to select "Not Applicable"; these responses are not included in the report calculations and counts. All Schools Summary 4 2013 Medical School Graduation Questionnaire 6. 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 Count 2009 2010 2011 2012 2013 3.5 3.1 3.1 3.3 3.1 16.0 15.3 14.5 15.0 14.2 46.1 45.9 46.1 45.9 45.5 34.4 35.7 36.3 35.8 37.2 3.1 3.1 3.2 3.1 3.2 12,817 13,442 12,948 13,236 14,262 Pathophysiology of disease All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 1.6 1.3 1.4 1.5 1.5 6.5 5.9 6.1 7.1 6.4 36.8 34.9 35.3 36.3 36.6 55.1 57.8 57.2 55.1 55.6 3.5 3.5 3.5 3.5 3.5 12,596 13,252 12,739 13,163 14,216 Excellent Mean Count Behavioral science All Schools All Schools All Schools All Schools All Schools 7. Rate the quality of your educational experiences in the following clinical clerkships: (Scale: 1=Poor to 4=Excellent) Ratings* Poor Fair Good Emergency Medicine All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 4.5 % 4.3 4.3 3.9 3.8 11.5 % 11.3 11.1 10.7 11.1 33.1 % 32.4 32.1 33.5 32.3 51.0 % 51.9 52.6 51.9 52.8 3.3 3.3 3.3 3.3 3.3 8,910 9,306 9,024 9,446 10,197 Family medicine All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 5.3 4.3 3.9 4.9 4.9 13.4 12.4 11.7 12.7 13.1 34.8 35.2 35.2 35.1 34.9 46.6 48.1 49.3 47.3 47.1 3.2 3.3 3.3 3.2 3.2 12,633 13,197 12,659 12,907 13,915 Internal medicine All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 2.3 2.0 2.0 1.9 1.9 7.9 7.4 7.1 6.9 7.2 30.5 30.1 28.6 30.2 29.1 59.3 60.5 62.3 61.0 61.8 3.5 3.5 3.5 3.5 3.5 13,086 13,732 13,150 13,419 14,469 Obstetrics and Gynecology All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 9.0 8.0 7.1 7.4 7.7 16.9 16.5 15.2 16.4 15.9 35.6 34.9 35.5 35.0 35.0 38.4 40.6 42.2 41.3 41.5 3.0 3.1 3.1 3.1 3.1 13,088 13,735 13,146 13,414 14,462 Neurology All Schools All Schools All Schools All Schools All Schools 7.8 7.0 6.9 8.3 7.7 20.7 20.0 19.7 20.1 20.7 38.7 40.0 39.3 37.7 37.1 32.8 33.1 34.1 33.9 34.5 3.0 3.0 3.0 3.0 3.0 11,612 12,145 11,529 11,751 12,788 2009 2010 2011 2012 2013 * Note: Respondents had the option to select "Not Applicable"; these responses are not included in the report calculations and counts. All Schools Summary 5 2013 Medical School Graduation Questionnaire 7. Rate the quality of your educational experiences in the following clinical clerkships: (Scale: 1=Poor to 4=Excellent) (Continued) Ratings* 8. Poor Fair Good Excellent Mean Count Pediatrics All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 3.8 3.1 3.2 3.0 3.2 11.9 10.9 9.9 10.4 10.6 36.1 35.5 34.1 35.2 34.4 48.1 50.5 52.8 51.4 51.9 3.3 3.3 3.4 3.4 3.3 13,084 13,736 13,144 13,415 14,474 Psychiatry All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 3.9 3.4 2.9 3.3 3.2 13.5 12.1 11.9 11.7 12.4 39.1 38.9 37.8 37.6 36.9 43.4 45.6 47.4 47.4 47.4 3.2 3.3 3.3 3.3 3.3 13,068 13,718 13,127 13,390 14,452 Radiology All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 9.0 8.8 8.8 8.9 8.9 20.4 21.9 21.3 19.9 20.0 37.7 37.0 37.2 37.3 37.3 32.9 32.3 32.7 33.9 33.8 2.9 2.9 2.9 3.0 3.0 8,370 8,506 8,058 8,141 8,669 Surgery All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 4.6 4.1 4.3 4.6 4.9 11.9 12.0 11.6 12.1 12.8 37.8 36.7 36.7 36.3 35.9 45.7 47.2 47.5 46.9 46.4 3.2 3.3 3.3 3.3 3.2 13,081 13,724 13,134 13,406 14,463 Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1=Strongly Disagree to 5=Strongly Agree) Ratings* Strongly Disagree Disagree Neutral Agree Strongly Agree Mean Count Family Medicine Family medicine: I received clear learning objectives for the clerkship All Schools 2009 1.4 % 4.4 % 12.8 % All Schools 2010 1.0 2.7 7.9 All Schools 0.8 3.1 7.6 2011 2012 1.2 2.9 8.0 All Schools 2013 1.0 3.1 7.3 All Schools 53.0 % 47.7 46.2 45.1 44.9 28.3 % 40.7 42.3 42.8 43.7 4.0 4.2 4.3 4.3 4.3 12,977 13,066 12,529 12,749 13,701 Family medicine: My performance was assessed against the learning objectives All Schools 2009 3.0 8.7 18.5 All Schools 2010 2.4 14.2 7.0 All Schools 2.2 13.3 7.5 2011 2012 2.6 13.5 7.4 All Schools 2013 2.3 7.7 13.3 All Schools 46.6 42.7 42.0 41.3 40.9 23.1 33.8 35.0 35.2 35.8 3.8 4.0 4.0 4.0 4.0 12,960 13,007 12,473 12,688 13,655 * Note: Respondents had the option to select "Not Applicable"; these responses are not included in the report calculations and counts. All Schools Summary 6 2013 Medical School Graduation Questionnaire 8. Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1=Strongly Disagree to 5=Strongly Agree) (Continued) Ratings* Strongly Disagree Disagree Neutral Agree Strongly Agree Mean Count Family medicine: I had an opportunity to follow a variety of different patients (with different medical conditions) on the clerkship All Schools 2009 1.3 4.0 10.3 47.1 37.3 4.2 All Schools 2010 1.0 3.1 7.0 48.8 4.3 40.1 All Schools 0.8 3.1 6.7 38.7 50.7 4.4 2011 2012 1.1 3.5 6.7 37.0 51.7 4.3 All Schools 2013 1.0 3.4 6.5 37.9 51.2 4.3 All Schools 12,949 13,023 12,487 12,714 13,661 Family medicine: A faculty member personally observed me taking a patient history during the clerkship All Schools 2009 4.4 13.7 12.2 40.9 All Schools 2010 3.6 8.4 13.1 36.3 All Schools 3.5 7.5 35.4 12.6 2011 2012 3.8 7.4 34.1 12.1 All Schools 2013 3.2 11.0 7.1 34.5 All Schools 3.8 3.9 4.0 4.0 4.1 12,966 12,988 12,450 12,680 13,624 Family medicine: A faculty member personally observed me performing physical examinations during the clerkship All Schools 2009 3.9 11.5 12.2 43.4 29.0 All Schools 2010 3.1 8.1 39.0 10.7 39.0 All Schools 2.9 7.4 38.1 41.4 10.2 2011 2012 3.3 6.7 36.5 43.5 10.0 All Schools 2013 2.7 8.9 6.7 37.1 44.6 All Schools 3.8 4.0 4.0 4.1 4.1 12,958 12,987 12,455 12,666 13,613 Family medicine: Faculty members provided me with sufficient feedback on my performance All Schools 2009 3.3 7.4 15.1 44.5 All Schools 2010 2.5 6.5 11.5 39.2 All Schools 2.1 6.2 10.6 38.8 2011 2012 2.6 6.4 10.4 37.2 All Schools 2013 2.2 6.2 10.2 37.0 All Schools 29.8 40.4 42.3 43.4 44.3 3.9 4.1 4.1 4.1 4.1 12,933 13,006 12,455 12,672 13,613 Family medicine: Residents and fellows provided effective teaching during the clerkship All Schools 2009 5.7 8.1 27.2 All Schools 2010 3.9 13.1 7.0 All Schools 3.6 11.7 6.6 2011 2012 3.3 11.2 6.4 All Schools 2013 3.3 6.4 11.0 All Schools 22.9 37.1 39.7 42.3 41.8 3.6 4.0 4.0 4.1 4.1 12,790 8,890 8,378 8,581 9,319 36.1 38.9 38.3 36.7 37.5 28.8 38.6 41.0 42.6 44.2 * Note: Respondents had the option to select "Not Applicable"; these responses are not included in the report calculations and counts. All Schools Summary 7 2013 Medical School Graduation Questionnaire 8. Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1=Strongly Disagree to 5=Strongly Agree) (Continued) Ratings* Strongly Disagree Disagree Neutral Agree Strongly Agree Mean Count Internal Medicine Internal medicine: I received clear learning objectives for the clerkship All Schools 2009 1.0 2.4 All Schools 2010 0.7 1.9 All Schools 0.6 2.0 2011 2012 0.7 1.8 All Schools 2013 0.6 1.5 All Schools 7.7 5.6 5.3 4.9 4.6 Internal medicine: My performance was assessed against the learning objectives All Schools 2009 2.4 5.9 11.6 All Schools 2010 1.8 9.4 5.3 All Schools 1.9 9.4 4.9 2011 2012 1.6 9.4 4.9 All Schools 2013 1.7 4.8 8.9 All Schools 50.6 42.0 40.6 39.8 39.1 38.3 49.9 51.5 52.7 54.2 4.2 4.4 4.4 4.4 4.4 13,078 13,618 12,967 13,167 14,129 46.9 40.3 39.2 38.5 37.7 33.2 43.2 44.5 45.6 46.9 4.0 4.2 4.2 4.2 4.2 13,055 13,597 12,950 13,143 14,105 Internal medicine: I had an opportunity to follow a variety of different patients (with different medical conditions) on the clerkship All Schools 2009 0.7 1.6 5.2 41.0 51.5 4.4 All Schools 2010 0.5 3.3 62.0 4.5 1.3 32.9 All Schools 0.3 3.2 31.5 63.8 4.6 1.1 2011 2012 0.4 3.1 29.9 65.4 4.6 1.2 All Schools 2013 0.5 1.1 3.1 29.4 65.9 4.6 All Schools 13,048 13,593 12,949 13,143 14,102 Internal medicine: A faculty member personally observed me taking a patient history during the clerkship All Schools 2009 3.9 13.2 10.0 38.6 34.3 All Schools 2010 3.3 8.3 41.2 13.2 34.0 All Schools 3.3 7.9 32.4 43.4 12.9 2011 2012 3.3 8.0 31.3 45.2 12.2 All Schools 2013 3.0 11.3 7.6 31.7 46.4 All Schools 3.9 4.0 4.0 4.0 4.1 13,066 13,567 12,912 13,126 14,073 Internal medicine: A faculty member personally observed me performing physical examinations during the clerkship All Schools 2009 3.6 11.4 9.5 40.6 34.9 All Schools 2010 3.0 7.7 42.5 10.5 36.3 All Schools 2.9 7.3 34.6 44.7 10.6 2011 2012 2.8 46.6 7.2 33.8 9.5 All Schools 2013 2.6 8.9 6.7 33.5 48.3 All Schools 3.9 4.0 4.1 4.1 4.2 13,068 13,567 12,920 13,120 14,071 Internal medicine: Faculty members provided me with sufficient feedback on my performance All Schools 2009 2.3 5.7 10.7 43.4 All Schools 2010 1.9 9.0 4.8 38.2 All Schools 1.8 8.1 36.7 5.1 2011 2012 1.8 8.3 35.2 4.5 All Schools 2013 1.8 4.4 7.8 34.9 All Schools 37.9 46.1 48.3 50.2 51.1 4.1 4.2 4.2 4.3 4.3 13,056 13,587 12,935 13,142 14,097 Internal medicine: Residents and fellows provided effective teaching during the clerkship All Schools 2009 1.9 3.4 8.6 40.0 All Schools 2010 1.5 6.3 2.7 33.6 All Schools 1.5 6.1 32.7 2.9 2011 2012 1.3 5.7 31.0 2.7 All Schools 2013 1.5 2.6 5.8 31.4 All Schools 46.0 55.8 56.8 59.3 58.7 4.2 4.4 4.4 4.4 4.4 13,047 13,451 12,800 12,987 13,858 * Note: Respondents had the option to select "Not Applicable"; these responses are not included in the report calculations and counts. All Schools Summary 8 2013 Medical School Graduation Questionnaire 8. Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1=Strongly Disagree to 5=Strongly Agree) (Continued) Ratings* Strongly Disagree Disagree Neutral Agree Strongly Agree Mean Count OBGYN OBGYN: I received clear learning objectives for the clerkship All Schools 2009 2.2 5.1 All Schools 2010 1.6 3.9 All Schools 1.5 3.8 2011 2012 1.7 4.0 All Schools 2013 1.4 3.4 All Schools 11.5 8.9 8.8 7.8 8.0 51.3 47.0 45.6 43.6 43.4 29.9 38.7 40.3 42.8 43.7 4.0 4.2 4.2 4.2 4.2 13,072 13,559 12,897 13,068 14,069 OBGYN: My performance was assessed against the learning objectives All Schools 2009 4.7 10.2 16.4 All Schools 2010 3.6 14.3 8.5 All Schools 3.4 13.7 8.5 2011 2012 3.8 13.2 8.5 All Schools 2013 3.4 7.5 13.8 All Schools 44.6 42.1 41.1 40.0 39.9 24.0 31.5 33.2 34.6 35.5 3.7 3.9 3.9 3.9 4.0 13,058 13,525 12,863 13,034 14,051 OBGYN: I had an opportunity to follow a variety of different patients (with different medical conditions) on the clerkship All Schools 2009 2.3 6.0 13.4 47.3 31.1 4.0 All Schools 2010 1.7 11.4 37.8 4.1 5.0 44.0 All Schools 1.7 10.4 43.0 40.0 4.1 4.9 2011 2012 1.9 10.2 41.6 41.5 4.2 4.9 All Schools 2013 1.8 4.7 10.4 40.8 42.3 4.2 All Schools 13,043 13,529 12,868 13,026 14,042 OBGYN: A faculty member personally observed me taking a patient history during the clerkship All Schools 2009 8.1 24.6 15.3 32.0 All Schools 2010 7.0 13.8 22.5 30.9 All Schools 6.6 12.6 30.9 22.7 2011 2012 7.1 12.9 30.4 20.7 All Schools 2013 5.8 19.0 13.2 31.3 All Schools 20.0 25.8 27.1 28.8 30.8 3.3 3.5 3.5 3.5 3.6 13,058 13,490 12,816 12,991 13,993 OBGYN: A faculty member personally observed me performing physical examinations during the clerkship All Schools 2009 6.9 17.7 12.5 38.0 24.9 All Schools 2010 5.9 10.6 31.7 16.0 35.8 All Schools 5.6 10.1 35.6 32.7 16.0 2011 2012 5.9 34.5 10.1 35.1 14.4 All Schools 2013 4.9 13.0 10.3 35.6 36.2 All Schools 3.6 3.7 3.7 3.8 3.9 13,045 13,499 12,824 12,993 13,999 OBGYN: Faculty members provided me with sufficient feedback on my performance All Schools 2009 7.0 14.6 17.8 All Schools 2010 5.4 16.0 12.9 All Schools 5.3 15.6 12.5 2011 2012 5.5 14.7 11.9 All Schools 2013 5.0 10.9 14.8 All Schools 38.3 36.6 36.9 36.2 36.6 22.2 29.0 29.6 31.6 32.7 3.5 3.7 3.7 3.8 3.8 13,047 13,533 12,866 13,030 14,036 OBGYN: Residents and fellows provided effective teaching during the clerkship All Schools 2009 7.7 10.4 17.3 All Schools 2010 7.1 13.7 9.2 All Schools 6.6 13.3 9.4 2011 2012 6.6 13.5 8.8 All Schools 2013 6.3 9.2 13.2 All Schools 38.3 36.5 35.5 34.4 34.5 26.3 33.5 35.2 36.8 36.8 3.7 3.8 3.8 3.9 3.9 13,021 12,973 12,298 12,444 13,316 * Note: Respondents had the option to select "Not Applicable"; these responses are not included in the report calculations and counts. All Schools Summary 9 2013 Medical School Graduation Questionnaire 8. Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1=Strongly Disagree to 5=Strongly Agree) (Continued) Ratings* Strongly Disagree Disagree Neutral Agree Strongly Agree Mean Count Pediatrics Pediatrics: I received clear learning objectives for the clerkship All Schools 2009 1.3 2.4 All Schools 2010 0.7 1.9 All Schools 0.8 2.0 2011 2012 0.8 1.9 All Schools 2013 0.7 1.9 All Schools 8.2 6.0 5.5 5.6 5.3 50.4 44.5 43.1 41.3 41.0 37.9 46.8 48.6 50.5 51.0 4.2 4.3 4.4 4.4 4.4 13,067 13,547 12,863 13,044 14,045 Pediatrics: My performance was assessed against the learning objectives All Schools 2009 2.6 5.3 11.7 All Schools 2010 2.0 9.6 4.5 All Schools 1.9 9.2 4.8 2011 2012 1.9 9.2 4.6 All Schools 2013 1.9 4.6 9.0 All Schools 47.5 42.6 41.5 40.0 39.7 32.8 41.3 42.5 44.3 44.7 4.0 4.2 4.2 4.2 4.2 13,048 13,525 12,840 13,023 14,023 Pediatrics: I had an opportunity to follow a variety of different patients (with different medical conditions) on the clerkship All Schools 2009 1.6 3.7 9.0 44.1 41.7 4.2 All Schools 2010 6.8 1.0 50.4 4.3 3.1 38.7 All Schools 1.1 6.6 37.8 51.5 4.4 3.1 2011 2012 1.1 6.7 35.3 53.6 4.4 3.4 All Schools 2013 1.0 3.5 6.0 36.0 53.4 4.4 All Schools 13,034 13,521 12,843 13,026 14,021 Pediatrics: A faculty member personally observed me taking a patient history during the clerkship All Schools 2009 3.7 12.6 11.7 40.2 All Schools 2010 2.7 9.3 11.4 36.4 All Schools 2.8 8.8 35.3 12.0 2011 2012 2.7 8.7 35.1 10.5 All Schools 2013 2.4 9.5 7.8 36.0 All Schools 31.8 40.2 41.1 43.1 44.2 3.8 4.0 4.0 4.1 4.1 13,054 13,519 12,813 13,003 14,005 Pediatrics: A faculty member personally observed me performing physical examinations during the clerkship All Schools 2009 3.4 10.7 10.6 42.1 33.1 All Schools 2010 2.5 8.5 41.4 9.5 38.0 All Schools 2.5 8.2 37.1 42.4 9.8 2011 2012 2.5 36.7 44.6 7.7 8.5 All Schools 2013 2.1 7.9 7.2 37.4 45.4 All Schools 3.9 4.1 4.1 4.1 4.2 13,045 13,516 12,816 12,994 14,003 Pediatrics: Faculty members provided me with sufficient feedback on my performance All Schools 2009 3.0 6.3 11.9 All Schools 2010 1.9 9.8 5.4 All Schools 2.2 9.5 5.4 2011 2012 2.1 8.8 5.1 All Schools 2013 2.1 4.9 8.5 All Schools 43.9 39.4 38.6 37.7 36.8 34.9 43.4 44.4 46.3 47.7 4.0 4.2 4.2 4.2 4.2 13,054 13,534 12,834 13,018 14,018 Pediatrics: Residents and fellows provided effective teaching during the clerkship All Schools 2009 3.2 5.0 12.7 All Schools 2010 2.1 9.5 4.5 All Schools 2.3 8.3 4.6 2011 2012 2.2 8.6 4.4 All Schools 2013 2.3 4.1 8.2 All Schools 41.6 37.6 37.0 36.0 35.9 37.4 46.3 47.8 48.9 49.5 4.0 4.2 4.2 4.3 4.3 13,022 13,082 12,385 12,583 13,457 * Note: Respondents had the option to select "Not Applicable"; these responses are not included in the report calculations and counts. All Schools Summary 10 2013 Medical School Graduation Questionnaire 8. Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1=Strongly Disagree to 5=Strongly Agree) (Continued) Ratings* Strongly Disagree Disagree Neutral Agree Strongly Agree Mean Count Psychiatry Psychiatry: I received clear learning objectives for the clerkship All Schools 2009 1.3 3.5 All Schools 2010 0.9 3.0 All Schools 0.9 2.6 2011 2012 1.0 2.6 All Schools 2013 0.7 2.7 All Schools 10.8 8.1 7.8 7.4 7.2 52.7 48.2 46.6 44.2 43.7 31.8 39.9 42.1 44.8 45.8 4.1 4.2 4.3 4.3 4.3 13,081 13,512 12,835 12,999 14,000 Psychiatry: My performance was assessed against the learning objectives All Schools 2009 2.4 6.2 14.2 All Schools 2010 1.9 12.1 5.1 All Schools 1.9 11.4 4.9 2011 2012 1.9 10.9 5.0 All Schools 2013 1.6 5.4 10.9 All Schools 49.4 45.1 44.1 41.9 41.3 27.9 35.8 37.7 40.2 40.7 3.9 4.1 4.1 4.1 4.1 13,066 13,488 12,804 12,980 13,960 Psychiatry: I had an opportunity to follow a variety of different patients (with different medical conditions) on the clerkship All Schools 2009 1.7 5.4 11.0 45.3 36.6 4.1 All Schools 2010 8.8 1.3 44.0 4.2 4.6 41.2 All Schools 1.3 8.4 40.2 45.8 4.2 4.3 2011 2012 1.4 8.3 38.3 47.7 4.3 4.4 All Schools 2013 1.3 4.1 8.4 38.6 47.6 4.3 All Schools 13,061 13,486 12,810 12,974 13,975 Psychiatry: A faculty member personally observed me taking a patient history during the clerkship All Schools 2009 3.0 9.1 9.9 40.9 All Schools 2010 2.4 7.6 8.7 36.5 All Schools 2.2 7.3 36.1 8.3 2011 2012 2.3 7.2 33.7 8.0 All Schools 2013 2.2 7.2 6.8 34.5 All Schools 4.0 4.1 4.2 4.2 4.2 13,059 13,472 12,789 12,964 13,934 Psychiatry: A faculty member personally observed me performing mental health examinations during the clerkship All Schools 2009 3.4 9.5 11.5 40.2 35.4 All Schools 2010 2.6 8.5 43.3 9.6 36.1 All Schools 2.3 7.9 35.9 44.4 9.6 2011 2012 2.5 33.9 47.5 7.6 8.6 All Schools 2013 2.3 8.0 7.2 34.5 47.9 All Schools 3.9 4.1 4.1 4.2 4.2 13,067 13,211 12,536 12,690 13,654 Psychiatry: Faculty members provided me with sufficient feedback on my performance All Schools 2009 3.1 6.8 13.1 All Schools 2010 2.3 10.7 6.0 All Schools 2.2 10.5 6.0 2011 2012 2.3 10.4 5.5 All Schools 2013 2.2 5.9 9.9 All Schools 44.3 40.2 39.2 37.7 37.5 32.8 40.7 42.1 44.0 44.4 4.0 4.1 4.1 4.2 4.2 13,073 13,496 12,813 12,964 13,972 Psychiatry: Residents and fellows provided effective teaching during the clerkship All Schools 2009 3.7 6.9 17.3 All Schools 2010 2.6 11.5 6.0 All Schools 2.3 11.3 5.5 2011 2012 2.3 10.9 4.6 All Schools 2013 2.3 5.2 10.6 All Schools 41.4 39.4 38.8 37.5 37.9 30.6 40.5 42.0 44.7 44.0 3.9 4.1 4.1 4.2 4.2 13,000 12,264 11,505 11,629 12,456 37.0 44.8 46.1 48.9 49.3 * Note: Respondents had the option to select "Not Applicable"; these responses are not included in the report calculations and counts. All Schools Summary 11 2013 Medical School Graduation Questionnaire 8. Indicate whether you agree or disagree with the statements about the following clerkships at your medical school: (Scale: 1=Strongly Disagree to 5=Strongly Agree) (Continued) Ratings* Strongly Disagree Disagree Neutral Agree Strongly Agree Mean Count Surgery Surgery: I received clear learning objectives for the clerkship All Schools 2009 1.7 4.5 All Schools 2010 1.4 4.2 All Schools 1.5 4.5 2011 2012 1.7 4.0 All Schools 2013 1.5 4.4 All Schools 10.8 8.7 8.7 8.2 8.5 51.4 45.0 44.9 43.7 42.7 31.6 40.7 40.5 42.4 42.9 4.1 4.2 4.2 4.2 4.2 13,085 13,518 12,837 12,988 14,001 Surgery: My performance was assessed against the learning objectives All Schools 2009 4.0 8.8 15.5 All Schools 2010 3.5 13.1 8.5 All Schools 3.3 14.0 8.5 2011 2012 3.8 13.2 8.5 All Schools 2013 3.6 8.6 13.9 All Schools 45.5 41.1 40.2 39.1 38.1 26.2 33.9 34.1 35.4 35.8 3.8 3.9 3.9 3.9 3.9 13,076 13,494 12,822 12,967 13,977 Surgery: I had an opportunity to follow a variety of different patients (with different surgical conditions) on the clerkship All Schools 2009 1.7 3.3 8.5 46.5 40.0 All Schools 2010 7.2 1.1 46.8 3.2 41.7 All Schools 1.2 6.9 41.1 47.4 3.5 2011 2012 1.4 6.5 38.5 50.0 3.6 All Schools 2013 1.2 3.6 7.2 38.8 49.2 All Schools 4.2 4.3 4.3 4.3 4.3 13,033 13,490 12,803 12,949 13,957 Surgery: A faculty member personally observed me taking a patient history during the clerkship All Schools 2009 10.0 27.4 16.2 27.7 All Schools 2010 9.0 14.4 26.4 26.5 All Schools 9.2 13.8 25.0 27.6 2011 2012 9.3 14.0 25.4 24.9 All Schools 2013 8.7 24.4 13.3 26.2 All Schools 18.6 23.6 24.4 26.4 27.4 3.2 3.3 3.3 3.3 3.4 13,078 13,425 12,723 12,884 13,873 Surgery: A faculty member personally observed me performing physical examinations during the clerkship All Schools 2009 9.5 24.7 15.2 31.2 19.5 All Schools 2010 8.6 13.4 24.9 23.3 29.7 All Schools 8.6 12.9 27.9 26.0 24.6 2011 2012 8.7 29.2 27.9 12.6 21.6 All Schools 2013 8.2 21.2 12.2 29.5 28.9 All Schools 3.3 3.4 3.4 3.5 3.5 13,067 13,415 12,723 12,890 13,875 Surgery: Faculty members provided me with sufficient feedback on my performance All Schools 2009 6.7 14.1 17.2 All Schools 2010 6.1 16.1 12.9 All Schools 6.0 15.6 13.7 2011 2012 6.0 15.4 12.6 All Schools 2013 6.0 12.9 15.1 All Schools 38.5 35.4 34.3 34.2 33.9 23.6 29.5 30.4 31.8 32.2 3.6 3.7 3.7 3.7 3.7 13,072 13,496 12,810 12,969 13,963 Surgery: Residents and fellows provided effective teaching during the clerkship All Schools 2009 4.3 6.8 13.9 All Schools 2010 3.5 11.7 6.1 All Schools 3.8 11.3 6.4 2011 2012 4.1 10.9 5.8 All Schools 2013 4.3 6.5 11.8 All Schools 40.6 37.0 36.5 35.3 34.9 34.4 41.7 41.9 44.0 42.5 3.9 4.1 4.1 4.1 4.0 13,026 13,109 12,408 12,534 13,436 * Note: Respondents had the option to select "Not Applicable"; these responses are not included in the report calculations and counts. All Schools Summary 12 2013 Medical School Graduation Questionnaire All Schools 2009 9. 2010 2011 2012 2013 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 Percent 60.1 97.1 91.6 79.0 37.4 Percent Percent 60.2 58.4 98.3 98.3 93.8 93.7 97.2 97.7 74.7 74.4 65.6 65.8 40.1 41.6 36.7 35.1 Percent Percent 55.5 56.1 98.2 98.3 92.9 92.6 97.5 98.0 73.2 73.0 64.5 64.6 42.6 46.2 36.4 37.9 * Note: As of 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? Percent Percent Percent Percent Percent 66.2 66.6 64.6 66.4 62.7 Yes 33.6 37.3 33.8 33.4 35.4 No Number of responses 100.0 100.0 100.0 100.0 100.0 13,124 13,195 12,175 12,317 14,050 10b. How would you rate the value of your Department of Veterans Affairs clinical training experience? Percent Percent Percent 2.4 1.9 2.2 Poor 5.4 5.8 6.0 Fair 20.3 21.8 22.3 Adequate 38.1 39.5 38.3 Very Good 33.7 31.1 31.3 Excellent Number of responses Percent Percent 2.1 2.4 6.0 6.0 22.1 21.0 38.4 37.3 31.5 33.3 100.0 100.0 100.0 100.0 100.0 8,689 8,793 7,872 8,166 8,802 11. Did you participate in structured service learning (a structured opportunity to examine service in the context of educational goals and personal reflection)? Percent Percent Percent Percent 43.6 44.5 47.9 46.9 Yes 52.1 53.1 56.4 55.5 No Number of responses 100.0 100.0 100.0 13,424 12,602 12,808 100.0 13,766 12. Indicate the activities you will have participated in during medical school on an elective (for credit) or volunteer (not required) basis: Percent Percent Percent Percent Percent 41.6 41.4 42.2 42.4 42.4 Independent study project for credit 64.8 64.2 66.3 68.1 68.2 Research project with faculty member 38.0 39.1 40.6 41.8 41.7 Authorship (sole or joint) of a research paper submitted for publication 9.9 10.0 10.1 10.1 10.5 Thesis project 29.9 30.8 30.5 30.4 30.2 Global health experiences 43.1 43.2 44.2 44.0 45.1 Educating elementary, high school or college students about careers in health professions or biological sciences 56.1 57.2 57.9 57.7 57.6 Providing health education (e.g., HIV/AIDS education, breast cancer awareness, smoking cessation, obesity)** ** The word "obesity" was added in 2010. All Schools Summary 13 2013 Medical School Graduation Questionnaire All Schools 2009 2010 2011 2012 2013 12. Indicate the activities you will have participated in during medical school on an elective (for credit) or volunteer (not required) basis:(Continued) Percent Percent Percent Percent Percent 44.3 44.8 44.3 42.9 41.2 Field experience in community health (e.g., adult/child protective services, family violence program, rape crises hotline) 34.7 33.5 33.7 33.5 31.7 Field experience in home care 32.4 33.0 32.4 31.8 30.7 Field experience in nursing home care 28.1 26.9 25.8 25.3 24.8 Learned another language in order to improve communication with patients 69.2 69.3 71.2 71.5 70.8 Learned the proper use of the interpreter when needed 65.3 65.5 67.6 68.6 68.6 Experience related to health disparities 67.0 67.0 69.1 68.5 67.5 Experience related to cultural awareness and cultural competence 26.3 25.5 27.1 27.5 27.5 Community-based research project 70.8 73.3 72.5 Experience with a free clinic for the underserved population 3.9 3.4 3.6 3.5 2.9 Other 13. Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: Ratings Inadequate Appropriate Excessive Count 89.0 % 90.2 90.7 90.6 90.5 9.3 % 8.2 7.8 8.1 8.3 13,105 13,468 12,697 12,841 13,810 12.0 11.2 11.7 11.1 10.2 85.3 86.3 86.0 86.3 87.0 2.7 2.5 2.2 2.6 2.7 13,094 13,455 12,688 12,835 13,802 Clinical Decision Making and Clinical Care Patient interviewing skills All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 Physical examination skills All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 1.7 % 1.5 1.5 1.3 1.2 Diagnosis of disease All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 5.9 5.3 5.6 5.4 5.2 93.4 94.1 93.8 94.0 94.0 0.7 0.6 0.6 0.6 0.8 13,092 13,454 12,679 12,825 13,791 Clinical reasoning All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 8.2 7.3 7.8 7.7 7.9 91.1 92.0 91.5 91.6 91.2 0.8 0.8 0.7 0.7 0.9 13,084 13,453 12,677 12,837 13,788 Management of disease All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 10.7 9.4 9.9 9.9 10.0 88.7 90.2 89.6 89.6 89.4 0.5 0.5 0.5 0.5 0.6 13,092 13,450 12,681 12,827 13,788 All Schools Summary 14 2013 Medical School Graduation Questionnaire 13. Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Ratings Inadequate Appropriate Excessive Count Care of hospitalized patients All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 4.1 3.7 3.9 3.9 4.2 93.8 94.4 94.2 94.0 93.7 2.1 1.9 1.9 2.0 2.1 13,093 13,456 12,684 12,831 13,792 Care of ambulatory patients All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 10.4 9.8 10.0 11.1 10.5 86.1 87.0 87.1 85.7 86.1 3.5 3.1 2.9 3.2 3.4 13,097 13,455 12,680 12,832 13,785 Health maintenance All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 10.7 10.5 10.1 11.2 9.9 86.7 87.3 87.7 86.4 87.7 2.6 2.2 2.2 2.4 2.4 13,095 13,455 12,680 12,825 13,786 Long-term health care All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 20.1 19.8 19.7 19.6 18.6 78.7 79.1 79.3 79.1 80.3 1.1 1.1 1.0 1.3 1.1 13,091 13,451 12,683 12,821 13,789 Continuity of care All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 18.0 18.0 18.1 17.7 17.8 80.2 80.5 80.5 80.8 80.7 1.7 1.5 1.4 1.5 1.5 13,079 13,441 12,670 12,824 13,786 2.5 2.4 2.2 2.2 2.1 86.2 87.3 88.1 88.6 88.9 11.4 10.3 9.7 9.3 9.0 13,087 13,446 12,674 12,826 13,777 Physician-patient communication skills with proper use of interpreter as needed All Schools 2009 14.3 82.5 All Schools 2010 13.1 84.3 All Schools 2011 12.7 84.8 13.7 84.0 All Schools 2012 All Schools 2013 13.7 83.9 3.1 2.6 2.4 2.3 2.4 13,089 13,448 12,681 12,829 13,786 Physician-physician communication skills All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 2.0 1.9 1.6 1.9 1.9 13,094 13,453 12,673 12,830 13,791 Physician-patient communication skills All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 15.2 14.9 14.8 14.5 14.3 82.8 83.1 83.6 83.6 83.8 All Schools Summary 15 2013 Medical School Graduation Questionnaire 13. Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Ratings Inadequate Appropriate Excessive Count 10.4 9.9 10.8 10.6 10.5 87.0 87.3 86.8 86.1 85.7 2.5 2.7 2.4 3.4 3.8 13,081 13,446 12,659 12,820 13,783 2009 2010 2011 2012 2013 6.5 6.8 6.2 6.5 5.9 83.0 84.3 84.8 85.1 86.3 10.6 8.9 9.0 8.5 7.8 13,043 13,449 12,666 12,829 13,784 Care of Geriatric Patients All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 16.5 16.5 15.4 15.3 78.4 78.7 79.2 79.9 5.1 4.8 5.4 4.9 13,421 12,647 12,800 13,745 Health care quality improvement All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 29.1 28.8 27.2 26.5 69.3 69.7 71.0 71.4 1.6 1.6 1.8 2.1 13,447 12,666 12,812 13,777 Practice management All Schools All Schools All Schools All Schools 2010 2011 2012 2013 53.4 52.2 49.3 49.7 46.3 47.5 50.3 49.8 0.4 0.3 0.4 0.5 13,433 12,652 12,808 13,763 Medical record-keeping All Schools All Schools All Schools All Schools 2010 2011 2012 2013 32.8 31.8 29.8 28.7 65.9 66.8 68.9 69.8 1.3 1.4 1.3 1.5 13,445 12,650 12,798 13,779 Managed care All Schools All Schools All Schools All Schools 2010 2011 2012 2013 49.8 45.9 41.7 38.8 49.7 53.8 57.9 60.7 0.5 0.4 0.4 0.4 13,387 12,629 12,782 13,735 2.9 2.8 2.6 2.0 75.9 78.5 79.6 79.3 21.2 18.7 17.8 18.7 13,445 12,655 12,797 13,762 Teamwork with other health professionals All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 Ethical decision making All Schools All Schools All Schools All Schools All Schools Practice of Medicine Patient confidentiality and privacy/HIPAA All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 All Schools Summary 16 2013 Medical School Graduation Questionnaire 13. Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Ratings Inadequate Appropriate Excessive Count Health care systems All Schools All Schools All Schools All Schools 2010 2011 2012 2013 39.8 37.1 34.8 34.7 59.3 62.1 64.3 64.3 0.9 0.8 0.9 1.0 13,432 12,649 12,792 13,744 Medical economics All Schools All Schools All Schools All Schools 2010 2011 2012 2013 65.2 63.8 62.5 62.4 34.5 35.9 37.2 37.1 0.3 0.4 0.4 0.5 13,440 12,652 12,801 13,767 Medical licensure/regulation All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 65.8 65.2 64.3 63.3 33.9 34.6 35.5 36.5 0.2 0.2 0.3 0.3 13,429 12,648 12,793 13,744 Population Based Medicine Public health All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 30.0 24.4 22.8 21.8 22.1 67.7 73.4 74.8 75.9 75.3 2.3 2.1 2.4 2.3 2.6 13,079 13,323 12,488 12,654 13,616 Community medicine All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 19.4 16.7 15.5 14.8 15.2 77.3 80.3 81.5 82.0 81.2 3.3 3.0 3.1 3.2 3.7 13,063 13,298 12,466 12,648 13,606 Role of community health and social service agencies All Schools 2009 29.9 All Schools 2010 25.8 All Schools 2011 24.0 All Schools 2012 24.1 All Schools 2013 24.4 68.1 72.5 74.4 74.1 73.4 2.0 1.7 1.6 1.8 2.2 13,064 13,304 12,478 12,639 13,602 Disease prevention All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 11.3 9.1 8.3 7.9 8.1 87.6 90.0 90.8 91.0 90.8 1.1 0.9 0.9 1.0 1.1 13,062 13,294 12,475 12,629 13,608 Epidemiology All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 17.4 14.3 13.6 13.5 13.3 80.8 83.8 84.0 84.7 84.9 1.8 1.8 2.4 1.7 1.8 13,065 13,301 12,465 12,640 13,612 All Schools Summary 17 2013 Medical School Graduation Questionnaire 13. Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Ratings Inadequate Appropriate Excessive Count Biostatistics All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 22.2 18.9 18.3 18.4 17.4 75.2 78.5 78.6 79.4 80.1 2.6 2.5 3.1 2.2 2.6 13,063 13,305 12,474 12,641 13,621 Women's health All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 12.3 9.5 9.6 9.3 8.3 85.8 88.7 88.5 88.6 89.7 2.0 1.9 1.9 2.1 2.0 13,054 13,300 12,465 12,633 13,609 Culturally appropriate care for diverse populations All Schools 2009 13.6 All Schools 2010 12.0 All Schools 2011 11.1 All Schools 2012 11.4 All Schools 2013 11.0 80.0 82.3 83.3 83.1 83.9 6.4 5.8 5.6 5.5 5.2 13,059 13,311 12,475 12,636 13,605 Occupational medicine All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 42.1 38.9 38.7 36.7 37.3 57.3 60.5 60.7 62.7 62.3 0.7 0.6 0.5 0.6 0.5 13,055 13,291 12,480 12,630 13,601 Environmental health All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 39.8 36.7 35.9 33.8 34.3 59.6 62.8 63.5 65.6 65.2 0.6 0.5 0.6 0.5 0.5 13,042 13,281 12,457 12,629 13,598 Health and healthcare disparities All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 15.7 15.7 13.3 12.7 12.8 80.0 79.9 82.0 82.7 82.5 4.4 4.4 4.7 4.6 4.7 13,053 13,300 12,463 12,628 13,604 Health determinants All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 19.4 20.2 18.3 16.5 16.2 79.6 79.0 80.6 82.2 82.3 1.0 0.8 1.0 1.3 1.5 13,028 13,270 12,437 12,611 13,581 Health Policy All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 41.6 43.9 41.1 39.5 39.9 57.2 55.1 58.0 59.6 59.1 1.2 0.9 0.8 0.8 1.0 13,053 13,297 12,469 12,630 13,602 All Schools Summary 18 2013 Medical School Graduation Questionnaire 13. Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Ratings Inadequate Global health issues All Schools All Schools All Schools All Schools All Schools Appropriate Excessive Count 2009 2010 2011 2012 2013 41.3 39.8 38.1 35.6 35.9 57.7 59.2 60.7 63.2 62.9 1.0 1.0 1.2 1.2 1.2 13,048 13,287 12,462 12,616 13,598 Health surveillance strategies All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 31.1 32.1 29.1 27.7 26.6 68.4 67.5 70.5 71.9 72.9 0.5 0.4 0.4 0.5 0.5 13,027 13,253 12,436 12,598 13,568 53.8 52.6 53.7 55.3 54.4 1.2 1.0 0.7 0.8 0.6 13,005 13,250 12,434 12,598 13,561 Interpretation of clinical data and research reports All Schools 2009 14.0 All Schools 2010 9.6 All Schools 2011 9.2 All Schools 2012 9.5 All Schools 2013 9.2 82.0 86.0 85.9 86.5 86.9 4.0 4.3 4.9 4.0 3.9 13,095 13,242 12,418 12,549 13,548 Conduct systematic literature review All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 17.0 10.8 11.1 10.8 11.2 77.1 83.0 82.7 83.8 83.7 5.9 6.2 6.2 5.4 5.2 13,091 13,236 12,408 12,545 13,547 9.8 7.1 6.3 6.5 6.4 88.3 90.6 91.3 91.3 91.6 1.9 2.3 2.4 2.2 2.0 13,082 13,226 12,403 12,533 13,533 15.8 11.4 11.2 11.5 11.3 82.3 86.4 86.5 86.6 86.9 1.9 2.2 2.3 1.9 1.8 13,054 13,184 12,350 12,480 13,478 Biological, chemical and natural disaster management All Schools 2009 45.0 All Schools 2010 46.4 All Schools 2011 45.6 All Schools 2012 43.9 All Schools 2013 45.0 Evidence Based Medicine Interpretation of laboratory results All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 Decision analysis All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 All Schools Summary 19 2013 Medical School Graduation Questionnaire 13. Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Ratings Inadequate Appropriate Excessive Count Other Medical Topics Law and medicine All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 48.2 52.6 51.1 50.5 52.7 50.9 46.8 48.2 48.9 46.8 0.9 0.6 0.7 0.6 0.5 13,067 13,301 12,479 12,635 13,599 Behavioral sciences All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 8.2 7.8 7.3 7.8 7.7 88.3 88.9 89.7 89.1 89.6 3.5 3.3 3.1 3.1 2.7 13,056 13,299 12,471 12,619 13,600 Medical genetics All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 12.7 11.0 11.1 10.8 11.3 85.5 87.1 87.2 87.5 86.8 1.8 1.9 1.7 1.8 1.9 13,048 13,287 12,457 12,615 13,586 Complementary and alternative medicine All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 34.4 32.6 31.5 31.7 32.1 61.7 62.9 64.5 63.9 64.1 3.9 4.5 4.0 4.4 3.8 13,062 13,304 12,473 12,632 13,603 Human sexuality All Schools All Schools All Schools All Schools All Schools 22.2 20.9 20.9 21.6 22.2 74.8 76.2 76.3 75.2 74.9 3.1 2.9 2.8 3.1 2.9 13,055 13,295 12,474 12,626 13,596 Palliative care/pain management All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 22.1 19.9 19.5 19.2 19.4 75.5 78.1 78.7 78.9 78.8 2.4 2.0 1.8 1.9 1.8 13,064 13,307 12,472 12,633 13,607 End of life care All Schools All Schools All Schools All Schools All Schools 19.2 17.8 18.1 17.6 18.2 77.6 79.7 79.7 80.1 80.0 3.2 2.5 2.2 2.3 1.9 13,057 13,305 12,477 12,626 13,597 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 All Schools Summary 20 2013 Medical School Graduation Questionnaire 13. Do you believe that your instruction in the following areas was inadequate, appropriate, or excessive: (Continued) Ratings Inadequate Family/domestic violence All Schools 2009 All Schools 2010 All Schools 2011 All Schools 2012 All Schools 2013 Appropriate Excessive Count 19.5 17.3 17.8 17.0 17.4 79.2 81.6 81.2 82.0 81.4 1.3 1.1 1.0 1.0 1.1 13,054 13,286 12,468 12,618 13,603 Drug and alcohol abuse All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 7.9 6.8 6.2 6.2 6.2 89.6 90.8 91.2 91.4 91.5 2.5 2.4 2.5 2.3 2.3 13,057 13,296 12,475 12,627 13,595 Biomedical ethics All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 10.6 10.4 9.9 8.9 9.4 84.3 84.9 85.5 87.1 86.5 5.1 4.7 4.7 4.0 4.1 13,054 13,285 12,462 12,617 13,594 Professionalism All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 2.6 2.3 2.0 1.8 1.8 82.2 81.7 81.7 82.8 82.6 15.3 16.0 16.2 15.4 15.6 13,055 13,302 12,466 12,621 13,596 Rehabilitative care All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 37.1 35.0 34.4 33.4 32.6 62.1 64.3 65.2 65.8 66.7 0.9 0.6 0.4 0.8 0.7 13,037 13,279 12,452 12,611 13,561 14. Indicate whether you agree or disagree with the following statement: (Scale: 1=Strongly Disagree to 5=Strongly Agree) Ratings Strongly Disagree Disagree Overall, I am satisfied with the quality of my medical education. All Schools 2009 1.5 % 3.6 % 1.1 All Schools 2010 3.6 All Schools 0.9 2.9 2011 2012 1.1 2.9 All Schools 2013 1.0 3.0 All Schools Neutral 8.3 % 8.0 7.3 6.8 6.9 Agree 48.8 % 46.8 48.8 47.0 47.6 Strongly Agree 37.8 % 40.6 40.1 42.2 41.6 Mean Count 4.2 4.2 4.2 4.3 4.3 13,096 13,351 12,258 12,400 13,353 All Schools Summary 21 2013 Medical School Graduation Questionnaire 15. Indicate your level of agreement with the following statements: (Scale: 1=Strongly Disagree to 5=Strongly Agree) I am confident that I have the knowledge and skills to: Ratings Strongly Disagree Disagree Neutral Agree Strongly Agree Mean Count Communication Skills Discuss a prescription error I made with the patient All Schools 2009 0.5 % All Schools 2010 0.4 All Schools 0.6 2011 2012 0.6 All Schools 2013 0.7 All Schools 3.2 % 3.2 4.6 4.3 4.3 10.1 % 8.8 10.5 10.3 10.5 59.1 % 59.8 59.6 59.2 58.0 27.1 % 27.8 24.7 25.6 26.5 4.1 4.1 4.0 4.0 4.1 13,093 13,291 12,410 12,561 13,518 Provide safe sex counseling to a patient whose sexual orientation differs from mine All Schools 2009 0.4 2.3 7.4 All Schools 2010 0.3 2.1 5.9 All Schools 0.4 2.5 6.8 2011 2012 0.5 2.7 6.8 All Schools 2013 0.5 2.6 7.3 All Schools 50.6 49.9 50.5 48.6 48.0 39.3 41.7 39.7 41.4 41.5 4.3 4.3 4.3 4.3 4.3 13,084 13,286 12,400 12,544 13,513 Discuss treatment options with a patient with a terminal illness All Schools 2009 0.4 3.7 All Schools 2010 0.4 3.8 All Schools 0.5 4.5 2011 2012 0.6 4.3 All Schools 2013 0.6 4.5 All Schools 11.8 10.3 11.7 11.1 11.2 54.5 54.2 55.1 53.7 53.4 29.5 31.3 28.2 30.2 30.4 4.1 4.1 4.1 4.1 4.1 13,080 13,275 12,389 12,537 13,497 Discuss DNR orders with a patient or family member All Schools 2009 0.7 4.8 All Schools 2010 0.4 4.9 All Schools 0.6 5.3 2011 2012 0.7 5.0 All Schools 2013 0.7 4.9 All Schools 13.0 11.0 11.7 11.3 11.5 51.0 51.4 52.9 51.1 50.8 30.4 32.3 29.5 31.8 32.2 4.1 4.1 4.1 4.1 4.1 13,074 13,265 12,369 12,531 13,474 Negotiate with a patient who is requesting unnecessary tests or procedures All Schools 2009 0.5 2.2 10.5 All Schools 2010 0.3 2.4 10.0 All Schools 0.3 3.0 10.6 2011 2012 0.3 2.5 10.0 All Schools 2013 0.3 2.6 10.2 All Schools 58.9 58.9 60.2 59.0 58.7 27.9 28.5 25.8 28.1 28.1 4.1 4.1 4.1 4.1 4.1 13,072 13,273 12,373 12,521 13,478 Assess the health practices of a patient using alternative therapies All Schools 2009 1.3 9.2 All Schools 2010 0.9 8.0 All Schools 0.9 8.4 2011 2012 1.0 8.4 All Schools 2013 1.1 7.9 All Schools 19.0 17.0 17.5 16.8 17.1 50.0 51.4 52.3 52.1 51.5 20.4 22.7 20.9 21.7 22.5 3.8 3.9 3.8 3.9 3.9 13,038 13,227 12,347 12,484 13,450 10.4 10.2 10.9 10.1 10.2 51.7 50.4 50.8 49.6 49.4 33.9 35.4 34.0 36.8 36.7 4.1 4.2 4.1 4.2 4.2 13,090 13,283 12,402 12,553 13,509 Technology Skills Carry out sophisticated searches of medical information databases All Schools 2009 0.6 3.3 All Schools 2010 0.5 3.5 All Schools 0.6 3.6 2011 2012 0.5 3.0 All Schools 2013 0.5 3.2 All Schools All Schools Summary 22 2013 Medical School Graduation Questionnaire 15. Indicate your level of agreement with the following statements: (Scale: 1=Strongly Disagree to 5=Strongly Agree) I am confident that I have the knowledge and skills to: (Continued) Ratings Strongly Disagree Agree Strongly Agree Mean Count 50.3 49.7 49.9 48.9 49.1 28.1 28.8 28.6 31.3 31.3 4.0 4.0 4.0 4.1 4.1 13,074 13,271 12,382 12,526 13,483 Use a computer-based clinical record keeping program, both for finding and recording patient-specific information All Schools 2009 0.7 2.1 6.8 49.1 41.3 All Schools 2010 0.5 6.1 43.9 1.9 47.5 All Schools 0.5 6.6 48.7 42.2 2.0 2011 2012 0.4 5.8 46.0 46.0 1.8 All Schools 2013 0.5 1.8 6.1 46.1 45.5 All Schools 4.3 4.3 4.3 4.4 4.3 13,074 13,252 12,373 12,517 13,480 Use telemedicine All Schools All Schools All Schools All Schools All Schools Disagree Critically review published research All Schools 2009 0.8 All Schools 2010 0.7 All Schools 0.7 2011 2012 0.8 All Schools 2013 0.7 All Schools 2009 2010 2011 2012 2013 5.6 5.5 5.4 4.9 4.9 3.4 3.6 3.7 3.4 3.5 Use point of care technology for clinical purposes All Schools 2009 1.7 All Schools 2010 1.5 All Schools 1.6 2011 2012 1.0 All Schools 2013 1.4 All Schools Neutral 15.3 15.4 15.4 14.2 14.1 17.2 18.7 18.8 18.8 19.3 33.6 33.4 33.8 32.3 31.4 32.3 31.3 31.6 31.7 32.2 13.4 13.1 12.1 13.7 13.6 3.4 3.3 3.3 3.3 3.3 13,042 13,245 12,365 12,525 13,477 7.3 6.9 6.9 6.1 6.1 24.7 24.1 23.1 22.1 21.6 46.3 46.3 47.7 47.4 47.3 20.0 21.2 20.7 23.3 23.6 3.8 3.8 3.8 3.9 3.9 13,020 13,229 12,298 12,438 13,401 16. Indicate whether you agree or disagree with the following statements about your preparedness for beginning a residency program: (Scale: 1=Strongly Disagree to 5=Strongly Agree) Ratings Strongly Disagree Disagree Neutral Agree I am confident that I have acquired the clinical skills required to begin a residency program. All Schools 2009 0.5 % 1.7 % 9.2 % 54.1 % All Schools 2010 0.3 7.6 1.3 52.8 All Schools 0.3 7.8 53.8 1.7 2011 2012 0.4 7.6 53.0 1.9 All Schools 2013 0.4 1.7 8.5 53.2 All Schools Strongly Agree 34.5 % 38.1 36.3 37.0 36.2 Mean Count 4.2 4.3 4.2 4.2 4.2 13,084 13,250 12,329 12,461 13,411 I have the fundamental understanding of common conditions and their management encountered in the major clinical disciplines. All Schools 2009 0.4 0.9 6.0 58.5 34.2 4.3 All Schools 2010 0.2 5.4 35.5 4.3 0.7 58.2 All Schools 0.2 5.6 59.7 33.7 4.3 0.8 2011 2012 0.2 5.5 58.1 35.2 4.3 1.0 All Schools 2013 0.3 0.9 5.7 58.8 34.3 4.3 All Schools 13,077 13,243 12,314 12,447 13,402 I have the communication skills necessary to interact with patients and health professionals. All Schools 2009 0.2 0.2 2.9 39.3 All Schools 2010 0.1 2.3 0.2 39.3 All Schools 0.1 2.3 39.9 0.2 2011 2012 0.1 2.0 37.7 0.3 All Schools 0.2 0.2 2.2 37.9 2013 All Schools 13,069 13,235 12,309 12,434 13,394 57.3 58.2 57.5 59.9 59.5 4.5 4.6 4.5 4.6 4.6 All Schools Summary 23 2013 Medical School Graduation Questionnaire 16. Indicate whether you agree or disagree with the following statements about your preparedness for beginning a residency program: (Scale: 1=Strongly Disagree to 5=Strongly Agree) (Continued) Ratings Strongly Disagree Disagree Neutral Agree Strongly Agree I have basic skills in clinical decision making and the application of evidence based information to medical practice. All Schools 2009 0.2 0.9 6.2 55.4 37.3 All Schools 2010 0.1 4.8 40.4 0.7 54.0 All Schools 0.2 5.3 56.0 37.8 0.7 2011 2012 0.2 4.8 54.0 40.2 0.7 All Schools 2013 0.3 0.6 5.0 53.9 40.2 All Schools Mean Count 4.3 4.3 4.3 4.3 4.3 13,062 13,223 12,293 12,419 13,382 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 2009 0.3 0.9 5.9 52.8 40.1 13,073 4.3 All Schools 2010 0.2 5.7 41.1 4.3 13,237 0.9 52.1 All Schools 0.2 5.8 53.7 39.3 4.3 12,303 0.9 2011 2012 0.2 5.9 51.6 41.2 4.3 12,440 1.1 All Schools 2013 0.3 1.1 5.5 50.8 42.4 4.3 13,395 All Schools I understand the ethical and professional values that are expected of the profession. All Schools 2009 0.2 0.2 3.0 All Schools 2010 0.1 2.4 0.2 All Schools 0.2 2.3 0.2 2011 2012 0.2 2.0 0.2 All Schools 2013 0.2 0.2 2.3 All Schools 43.5 42.3 44.0 41.8 41.5 53.0 55.0 53.3 55.7 55.8 4.5 4.5 4.5 4.5 4.5 13,061 13,232 12,311 12,423 13,386 I believe I am adequately prepared to care for patients from different backgrounds. All Schools 2009 0.3 0.5 4.7 All Schools 2010 0.2 3.9 0.5 All Schools 0.2 3.9 0.5 2011 2012 0.2 3.7 0.6 All Schools 2013 0.3 0.5 3.8 All Schools 47.6 45.7 47.7 45.3 45.4 46.8 49.7 47.7 50.3 49.9 4.4 4.4 4.4 4.4 4.4 13,060 13,221 12,292 12,415 13,359 17. Indicate whether you agree or disagree with the following statements: (Scale: 1=Strongly Disagree to 5=Strongly Agree) Ratings Strongly Disagree Disagree Neutral Agree Strongly Agree Mean Count I received appropriate guidance in the selection of electives. All Schools 2009 5.6 % 17.2 % All Schools 2010 4.7 16.3 All Schools 4.8 16.5 2011 2012 5.0 15.3 All Schools 2013 4.4 16.0 All Schools 21.3 % 21.8 21.7 20.6 20.5 41.3 % 41.6 43.0 42.8 43.2 14.7 % 15.6 14.1 16.3 16.0 3.4 3.5 3.5 3.5 3.5 13,091 13,240 12,282 12,415 13,368 At my school, elective time was adequate. All Schools 2009 4.8 All Schools 2010 4.3 All Schools 4.4 2011 2012 4.0 All Schools 2013 4.0 All Schools 10.0 9.6 9.7 8.5 9.6 47.2 47.1 48.5 48.0 47.5 28.2 28.9 27.5 29.7 29.0 3.8 3.9 3.8 3.9 3.9 13,053 13,209 12,240 12,369 13,303 13.2 12.3 12.7 12.5 12.9 5.5 5.7 4.9 5.7 5.7 2.2 2.2 2.2 2.2 2.2 13,070 13,216 12,259 12,384 13,334 9.8 10.1 9.9 9.7 9.9 Additional required activities should be added to my final year at my medical school. All Schools 2009 33.8 35.5 11.9 All Schools 2010 32.5 11.3 38.1 All Schools 32.0 11.5 38.9 2011 2012 31.8 12.0 38.1 All Schools 2013 32.3 37.0 12.0 All Schools All Schools Summary 24 2013 Medical School Graduation Questionnaire 17. Indicate whether you agree or disagree with the following statements (Scale: 1=Strongly Disagree to 5=Strongly Agree):(Continued) Ratings Strongly Disagree Disagree Neutral Agree Strongly Agree Mean Count The final year was helpful in my preparation for residency. All Schools 2009 2.5 6.8 All Schools 2010 2.5 6.5 All Schools 2.3 4.9 2011 2012 2.4 4.5 All Schools 2013 2.7 5.6 All Schools 14.6 14.7 13.0 12.6 13.3 47.7 47.9 47.5 45.6 45.9 28.3 28.3 32.3 35.0 32.6 3.9 3.9 4.0 4.1 4.0 13,082 13,233 12,207 12,333 13,310 The final year was important for enhancing my clinical education. All Schools 2009 2.2 5.1 All Schools 2010 2.2 5.0 All Schools 2.7 7.0 2011 2012 2.7 6.8 All Schools 2013 3.3 8.3 All Schools 13.2 12.8 14.9 14.3 15.6 46.3 46.3 48.5 47.2 46.1 33.3 33.7 26.9 28.9 26.7 4.0 4.0 3.9 3.9 3.8 13,082 13,228 12,272 12,409 13,364 Mean Count 18. Indicate your level of satisfaction with the following: (Scale: 1=Very Dissatisfied to 5=Very Satisfied) Ratings Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied Office of the Dean of Students / Associate Dean for Students Accessibility All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 2.6 % 2.4 2.1 1.8 1.8 4.1 % 3.9 3.8 3.6 3.3 18.6 % 14.1 14.7 13.6 13.2 40.2 % 41.0 40.2 39.4 40.4 34.5 % 38.6 39.2 41.6 41.4 4.0 4.1 4.1 4.2 4.2 13,070 13,235 12,246 12,375 13,335 3.9 4.3 3.6 3.4 3.0 6.4 6.8 6.7 6.4 6.1 19.3 15.5 15.8 14.9 15.0 38.6 38.8 39.3 38.8 39.1 31.8 34.5 34.5 36.5 36.8 3.9 3.9 3.9 4.0 4.0 13,063 13,218 12,234 12,363 13,312 Responsiveness to student problems All Schools 2009 4.5 All Schools 2010 5.1 All Schools 4.8 2011 2012 4.3 All Schools 2013 3.6 All Schools 6.6 7.5 7.4 7.0 6.7 20.1 16.8 16.9 15.9 16.0 36.7 36.3 36.6 36.2 36.4 32.1 34.3 34.2 36.6 37.4 3.9 3.9 3.9 3.9 4.0 12,988 13,138 12,147 12,286 13,235 21.8 19.9 20.3 18.8 19.2 42.7 43.8 42.6 42.9 43.7 29.4 30.4 31.7 33.0 32.4 3.9 4.0 4.0 4.0 4.0 13,018 13,189 12,194 12,341 13,276 Awareness of student concerns All Schools 2009 All Schools 2010 All Schools 2011 2012 All Schools 2013 All Schools Office of the Dean for Educational Programs / Curricular Affairs Accessibility All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 2.3 2.4 1.9 1.8 1.6 3.8 3.6 3.5 3.6 3.1 All Schools Summary 25 2013 Medical School Graduation Questionnaire 18. Indicate your level of satisfaction with the following:(Scale: 1=Very Dissatisfied to 5=Very Satisfied) (Continued) Ratings Very Dissatisfied Awareness of student concerns All Schools 2009 All Schools 2010 All Schools 2011 2012 All Schools 2013 All Schools Dissatisfied Neutral Satisfied Very Satisfied Mean Count 3.1 3.2 2.7 2.8 2.4 5.5 5.9 5.3 5.8 5.2 22.1 20.4 20.5 18.9 19.8 41.0 41.7 42.0 41.6 41.9 28.3 28.8 29.5 30.9 30.7 3.9 3.9 3.9 3.9 3.9 13,010 13,165 12,195 12,328 13,261 Responsiveness to student problems All Schools 2009 3.7 All Schools 2010 4.2 All Schools 3.7 2011 2012 3.7 All Schools 2013 3.0 All Schools 6.4 7.0 6.7 6.7 6.2 22.7 21.0 20.9 19.7 20.4 38.7 39.4 39.5 39.3 39.7 28.5 28.5 29.2 30.6 30.8 3.8 3.8 3.8 3.9 3.9 13,004 13,164 12,187 12,318 13,262 23.5 21.9 21.2 19.8 20.8 41.3 42.2 42.1 42.0 41.9 29.6 30.3 31.5 32.7 32.5 3.9 3.9 4.0 4.0 4.0 12,978 13,159 12,160 12,301 13,227 Participation of students on key medical school committees All Schools 2009 2.4 3.2 All Schools 2010 3.4 2.3 All Schools 2.0 3.2 2011 2012 2.0 3.4 All Schools 2013 1.8 3.1 All Schools Student Support Personal counseling* All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 2.8 4.3 4.2 3.7 3.3 6.0 8.6 8.3 8.0 7.3 29.9 16.9 17.1 12.6 12.5 38.6 37.7 35.6 37.8 37.8 22.7 32.6 34.7 37.9 39.1 3.7 3.9 3.9 4.0 4.0 13,016 7,771 7,464 6,589 7,278 Financial aid administrative services* All Schools 2009 4.5 All Schools 2010 4.3 All Schools 4.2 2011 2012 3.5 All Schools 2013 2.9 All Schools 7.9 7.9 7.4 7.0 6.3 20.8 12.6 12.7 11.6 11.1 39.2 39.6 39.1 38.8 40.8 27.6 35.6 36.6 39.1 38.9 3.8 3.9 4.0 4.0 4.1 13,019 11,415 10,509 10,357 11,053 10.6 11.3 11.0 10.0 9.4 25.8 19.1 19.6 17.7 17.0 37.1 38.1 37.2 38.9 40.2 21.4 26.2 27.5 29.5 30.2 3.6 3.7 3.7 3.8 3.8 12,997 10,643 9,812 9,594 10,141 4.8 5.2 4.6 4.5 4.0 35.7 22.2 22.6 19.3 19.8 35.5 40.2 39.4 41.0 41.3 21.3 29.8 30.7 33.1 33.3 3.7 3.9 3.9 4.0 4.0 12,886 9,548 8,693 8,445 8,817 Overall educational debt management counseling* All Schools 2009 5.1 All Schools 2010 5.3 All Schools 4.7 2011 2012 3.9 All Schools 2013 3.3 All Schools Senior loan exit interview* All Schools 2009 All Schools 2010 All Schools 2011 2012 All Schools 2013 All Schools 2.7 2.7 2.6 2.1 1.7 *Note: As of 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. All Schools Summary 26 2013 Medical School Graduation Questionnaire 18. Indicate your level of satisfaction with the following: (Scale: 1=Very Dissatisfied to 5=Very Satisfied) (Continued) Ratings Very Dissatisfied Faculty mentoring* All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 Dissatisfied Neutral Satisfied Very Satisfied Mean Count 4.5 4.1 3.5 3.4 3.1 10.7 9.3 9.0 8.2 8.3 22.3 16.0 15.9 14.5 13.6 38.4 37.5 37.8 37.2 37.5 24.1 33.1 33.8 36.7 37.4 3.7 3.9 3.9 4.0 4.0 13,010 12,171 11,252 11,299 12,220 Career preference assessment activities* All Schools 2009 5.0 All Schools 2010 4.7 All Schools 4.1 2011 2012 4.3 All Schools 2013 4.0 All Schools 12.6 13.2 13.0 12.4 11.6 30.2 23.4 24.1 22.1 22.2 38.2 40.1 39.6 39.8 40.1 14.1 18.7 19.2 21.4 22.1 3.4 3.6 3.6 3.6 3.6 13,044 10,448 9,843 9,441 10,263 Information about specialties* All Schools 2009 All Schools 2010 All Schools 2011 2012 All Schools All Schools 2013 11.2 10.5 11.0 10.3 9.5 24.1 19.2 19.2 18.2 18.8 44.0 16.2 22.0 22.0 23.9 24.2 3.6 3.7 3.7 3.7 3.8 13,046 11,840 11,001 10,885 11,722 Information about alternative medical careers* All Schools 2009 8.6 All Schools 2010 9.4 All Schools 8.6 2011 All Schools 2012 8.7 All Schools 2013 8.4 20.0 23.6 23.4 23.8 23.4 35.0 28.1 28.5 26.8 26.5 26.0 25.7 25.3 25.8 10.3 13.0 13.8 15.4 15.9 3.1 3.1 3.1 3.1 3.2 13,005 9,710 8,976 8,605 9,264 Overall satisfaction with career planning services* All Schools 2010 4.5 4.4 2011 All Schools 2012 4.3 All Schools 2013 4.0 All Schools 12.2 12.2 11.4 11.0 23.4 24.0 22.3 22.5 41.8 41.1 41.7 41.6 18.1 18.3 20.4 21.0 3.6 3.6 3.6 3.6 11,708 10,870 10,737 11,590 Student Programs/Activities that promote effective stress management, a balanced lifestyle and overall well being* All Schools 2010 3.7 8.5 21.2 25.7 40.9 All Schools 3.3 8.1 20.4 41.1 27.2 2011 2012 2.8 7.2 18.4 43.2 28.4 All Schools 2013 2.6 7.2 17.9 42.4 29.8 All Schools 3.8 3.8 3.9 3.9 10,868 10,234 9,881 10,873 Student health services* All Schools All Schools All Schools All Schools All Schools 3.6 3.8 3.8 3.9 3.9 13,035 11,495 10,553 10,536 11,317 Career Planning Services 4.6 3.8 3.8 3.4 3.2 44.4 44.1 44.2 44.3 26.1 Student Health/Wellness 2009 2010 2011 2012 2013 5.0 4.3 4.0 4.1 3.4 9.9 9.7 8.9 8.9 8.3 23.5 14.4 14.2 12.7 12.6 43.0 45.6 45.6 45.1 45.3 18.6 26.0 27.2 29.3 30.4 *Note: As of 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. All Schools Summary 27 2013 Medical School Graduation Questionnaire 18. Indicate your level of satisfaction with the following: (Scale: 1=Very Dissatisfied to 5=Very Satisfied) (Continued) Ratings Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied Mean Count Student mental health services* All Schools 2009 All Schools 2010 All Schools 2011 2012 All Schools 2013 All Schools 3.2 4.6 4.7 4.3 4.1 4.9 7.0 6.6 6.5 6.4 42.1 19.9 18.9 14.8 14.4 32.9 40.7 39.5 40.8 40.3 16.9 27.8 30.3 33.5 34.8 3.6 3.8 3.8 3.9 4.0 12,909 5,516 5,418 5,057 5,604 Student health insurance* All Schools 2009 All Schools 2010 All Schools 2011 2012 All Schools 2013 All Schools 12.3 13.6 12.0 10.5 8.4 16.3 17.9 18.1 16.5 14.9 27.5 18.9 18.4 16.7 18.0 31.5 33.8 34.7 37.1 37.7 12.4 15.8 16.8 19.2 20.9 3.2 3.2 3.3 3.4 3.5 12,978 10,515 9,490 9,083 9,509 2009 2010 2011 2012 2013 2.2 1.6 1.5 1.6 1.3 5.2 4.6 4.8 4.7 4.7 11.6 8.3 7.9 7.9 8.2 47.5 44.1 43.2 44.4 43.8 33.5 41.4 42.6 41.4 42.0 4.1 4.2 4.2 4.2 4.2 13,081 12,943 11,946 12,090 12,987 Computer resource center* All Schools 2009 All Schools 2010 All Schools 2011 2012 All Schools 2013 All Schools 1.8 1.3 1.4 1.1 1.2 4.4 3.8 4.0 3.9 4.2 12.4 8.8 8.7 8.9 9.1 48.2 45.3 44.1 46.1 45.5 33.3 40.8 41.8 40.0 40.1 4.1 4.2 4.2 4.2 4.2 13,049 12,738 11,684 11,743 12,531 Student study space* All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 3.8 3.2 2.8 2.8 2.3 10.6 9.4 8.7 8.8 8.4 14.4 10.7 10.3 9.9 10.5 43.1 41.6 41.0 41.5 41.8 28.1 35.2 37.2 36.9 37.0 3.8 4.0 4.0 4.0 4.0 13,071 12,833 11,839 12,006 12,937 Student relaxation space* All Schools 2009 All Schools 2010 All Schools 2011 2012 All Schools 2013 All Schools 5.6 4.8 4.3 4.1 3.7 13.1 12.8 12.1 11.5 11.2 20.7 17.0 16.6 16.4 16.4 38.2 38.1 37.3 37.1 38.3 22.5 27.3 29.7 30.8 30.5 3.6 3.7 3.8 3.8 3.8 13,068 12,134 11,186 11,227 12,073 Other Student Services Library* All Schools All Schools All Schools All Schools All Schools *Note: As of 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. All Schools Summary 28 2013 Medical School Graduation Questionnaire 19. Based on your experiences, indicate whether you agree or disagree with the following statements about medicine and the profession: (Scale: 1=Strongly Disagree to 5=Strongly Agree) Ratings Strongly Disagree Disagree I was educated about professional relationships with industry* All Schools 2009 2.2 % 5.5 % All Schools 2010 3.1 13.2 All Schools 3.0 14.2 2011 2012 3.4 12.4 All Schools 2013 2.8 12.5 All Schools Neutral 16.1 % 22.0 22.9 21.1 20.9 Agree Strongly Agree 44.6 % 46.1 46.1 46.3 46.7 31.6 % 15.6 13.8 16.9 17.0 Mean Count 4.0 3.6 3.5 3.6 3.6 13,075 13,032 12,028 12,111 13,096 *Note: In 2009 the question wording read: "I was encouraged/challenged to consider my professional relationships with pharmaceutical and other industries." Diversity 20. Based on your experiences, indicate whether you agree or disagree with the following statements: (Scale: 1=Strongly Disagree to 5=Strongly Agree) Ratings Strongly Disagree Disagree Neutral Agree Strongly Agree Mean Count My knowledge or opinion was influenced or changed by becoming more aware of the perspectives of individuals from different backgrounds. All Schools 2009 2.1 % 5.4 % 18.1 % 46.9 % 27.4 % 10,341 3.9 All Schools 2010 1.2 17.9 19.2 3.9 13,116 4.5 57.2 All Schools 0.9 18.7 58.0 18.0 3.9 12,132 4.4 2011 2012 1.1 18.2 56.6 20.4 3.9 12,245 3.7 All Schools 2013 1.0 3.7 17.3 56.4 21.6 3.9 13,188 All Schools The diversity within my medical school class enhanced my training and skills to work with individuals from different backgrounds. All Schools 2009 5.6 12.4 22.3 36.0 23.7 10,361 3.6 All Schools 2010 3.9 22.2 19.7 3.7 13,132 10.4 43.8 All Schools 3.3 22.0 46.1 19.4 3.7 12,134 9.2 2011 2012 3.4 21.3 43.8 22.3 3.7 12,242 9.3 All Schools 2013 3.1 8.9 20.7 44.9 22.4 3.7 13,188 All Schools All Schools Summary 29 2013 Medical School Graduation Questionnaire All Schools 2009 2010 2011 2012 2013 21. Are you planning to become certified in a specialty? Yes No Undecided whether to seek certification in a specialty Number of responses Percent 89.7 2.9 7.4 Percent Percent 84.7 84.9 5.0 4.7 10.3 10.4 Percent Percent 83.2 85.5 5.1 3.8 11.8 10.6 100.0 100.0 100.0 100.0 100.0 10,422 13,192 12,170 12,319 13,269 Percent Percent Percent 0.2 0.1 7.8 7.7 0.1 0.0 2.6 2.6 8.4 8.9 5.6 6.3 6.7 6.0 15.3 15.8 1.4 0.1 0.0 1.3 1.3 2.4 2.8 6.9 6.4 3.0 2.9 5.3 5.4 2.2 2.0 0.0 0.1 2.3 1.9 9.5 10.4 1.3 1.2 1.1 1.1 0.1 0.1 4.6 4.4 6.7 6.4 1.1 1.1 0.3 0.4 1.8 1.8 3.0 1.7 21a. Choice of specialty: Allergy and Immunology Anesthesiology Colon and Rectal Surgery Dermatology Emergency Medicine Family Medicine General Surgery Internal Medicine Internal Medicine/Pediatrics 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 8.4 2.8 8.3 6.4 7.5 16.0 1.3 0.0 1.3 2.5 6.6 2.9 2.1 2.5 10.1 1.2 0.9 0.1 4.7 6.6 1.7 6.1 Percent Percent 0.1 0.2 7.9 7.5 0.1 0.1 2.6 2.5 9.0 9.5 5.9 6.2 6.3 6.6 16.1 16.4 1.1 1.5 0.0 0.0 1.3 1.4 2.6 2.6 6.4 6.6 3.1 2.6 5.4 4.8 2.3 2.3 2.0 9.9 1.3 0.9 0.1 4.0 5.8 1.4 0.5 2.1 1.7 1.7 10.4 1.3 1.0 0.1 4.2 5.3 1.0 0.3 1.9 1.9 100.0 100.0 100.0 100.0 100.0 9,356 11,149 10,278 10,167 11,230 All Schools Summary 30 2013 Medical School Graduation Questionnaire All Schools 2009 2010 2011 2012 2013 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? Percent Percent Percent Percent Percent 73.0 73.7 70.3 75.1 72.3 Yes 24.9 27.7 27.0 26.3 29.7 No Number of responses 100.0 100.0 100.0 100.0 100.0 3,145 3,484 2,414 3,359 3,868 21c. How confident do you feel about your specialty choice? Not Confident Slightly Confident Moderately Confident Very Confident Number of responses Percent 1.1 3.4 20.6 74.9 Percent Percent 1.3 0.8 3.8 3.3 21.8 20.0 73.0 75.9 Percent Percent 1.0 1.0 4.0 4.1 19.9 20.9 75.1 74.0 100.0 100.0 100.0 100.0 100.0 9,340 11,170 10,264 10,227 11,315 21d. Are you planning on seeking fellowship training after residency? Yes No Undecided Number of responses Percent 58.4 8.6 33.0 Percent Percent 61.0 60.3 8.1 8.3 30.9 31.4 100.0 100.0 100.0 100.0 100.0 9,329 11,170 10,255 10,218 11,317 21e. How satisfied are you with your opportunities during medical school to explore potential career choices? Percent Percent Percent 2.0 3.1 2.7 Very Dissatisfied 8.8 11.3 10.8 Dissatisfied 13.8 18.6 17.2 Neutral 46.9 44.1 44.8 Satisfied 28.5 22.9 24.5 Very Satisfied Number of responses Percent Percent 63.0 60.8 8.1 8.7 28.9 30.5 Percent Percent 2.8 2.8 10.3 10.4 17.3 17.9 44.3 43.4 25.3 25.5 100.0 100.0 100.0 100.0 100.0 9,347 11,171 10,270 10,231 11,326 21f. If you could revisit your career choice, would you choose to become a physician again? * No Probably not Neutral Probably yes Yes Number of responses Percent Percent 1.7 1.5 5.8 5.4 9.0 8.6 30.3 30.4 53.2 54.2 Percent Percent 1.6 1.8 4.7 5.3 8.2 8.7 29.8 30.3 55.7 54.0 100.0 100.0 100.0 11,168 10,267 10,226 100.0 11,327 * Note: Special Topic Question All Schools Summary 31 2013 Medical School Graduation Questionnaire 22. 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 Count 1.0 0.9 1.1 1.2 1.2 9,297 11,108 10,209 10,158 11,243 Competitiveness of specialty All Schools 2009 All Schools 2010 All Schools 2011 2012 All Schools 2013 All Schools 39.8 % 42.2 35.5 31.3 30.6 29.6 % 27.8 30.1 27.5 27.5 24.3 % 23.3 26.7 31.4 31.5 Level of educational debt All Schools 2009 All Schools 2010 All Schools 2011 2012 All Schools 2013 All Schools 54.8 54.5 53.9 50.2 49.0 23.3 22.1 22.0 22.7 23.3 15.5 15.9 16.9 18.3 19.0 6.4 7.6 7.2 8.7 8.8 0.7 0.8 0.8 0.9 0.9 9,283 11,109 10,207 10,141 11,228 Role model influence All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 11.0 12.0 10.1 8.6 8.2 13.6 14.5 12.6 11.8 11.8 31.8 29.4 30.6 29.2 29.7 43.6 44.1 46.7 50.5 50.3 2.1 2.1 2.1 2.2 2.2 9,294 11,105 10,204 10,149 11,241 Options for fellowship training All Schools 2009 All Schools 2010 All Schools 2011 2012 All Schools 2013 All Schools 22.4 26.5 20.9 20.2 20.1 22.0 22.0 19.9 19.8 19.3 32.1 28.3 30.3 30.0 31.4 23.5 23.2 28.9 30.0 29.1 1.6 1.5 1.7 1.7 1.7 9,285 11,095 10,201 10,146 11,238 Income expectations All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 26.9 28.9 23.4 22.5 21.6 32.7 32.4 31.4 30.0 30.6 30.3 27.8 32.8 33.3 33.9 10.1 10.9 12.4 14.2 13.9 1.2 1.2 1.3 1.4 1.4 9,296 11,111 10,213 10,148 11,237 Length of residency training All Schools 2009 All Schools 2010 All Schools 2011 2012 All Schools 2013 All Schools 29.7 35.6 27.5 27.6 25.5 35.6 33.0 32.8 32.0 31.7 26.7 23.3 29.6 29.4 31.3 7.9 8.1 10.1 11.0 11.5 1.1 1.0 1.2 1.2 1.3 9,296 11,114 10,212 10,148 11,239 Family expectations All Schools All Schools All Schools All Schools All Schools 44.3 48.2 45.7 43.7 42.5 23.9 23.0 21.9 23.4 22.8 21.0 18.4 20.3 20.3 21.1 10.8 10.4 12.0 12.7 13.6 1.0 0.9 1.0 1.0 1.1 9,292 11,100 10,203 10,151 11,240 2009 2010 2011 2012 2013 6.2 % 6.6 7.6 9.7 10.4 All Schools Summary 32 2013 Medical School Graduation Questionnaire 22. 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 Count My future family plans All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 18.1 21.3 18.0 17.3 17.1 21.5 22.0 19.4 20.1 19.4 34.7 30.7 32.3 32.0 32.9 25.8 26.0 30.3 30.6 30.6 1.7 1.6 1.7 1.8 1.8 9,293 11,100 10,207 10,150 11,241 Work/Life balance All Schools All Schools All Schools All Schools All Schools 2009 2010 2011 2012 2013 8.2 10.2 6.7 7.1 6.6 17.2 19.2 15.3 15.6 15.2 36.7 33.0 34.7 33.9 34.5 37.8 37.6 43.3 43.4 43.7 2.0 2.0 2.1 2.1 2.2 9,303 11,099 10,203 10,138 11,216 Fit with personality, interests, and skills All Schools 2009 0.8 All Schools 2010 1.0 All Schools 0.6 2011 2012 0.4 All Schools 2013 0.3 All Schools 2.0 2.3 1.3 1.3 1.4 14.4 14.7 11.4 11.2 12.3 82.8 82.0 86.7 87.1 86.0 2.8 2.8 2.8 2.9 2.8 9,311 11,113 10,206 10,151 11,243 Content of specialty All Schools All Schools All Schools All Schools All Schools 2.0 2.5 1.7 1.6 1.7 17.1 17.5 15.9 15.1 16.2 80.2 79.2 81.9 83.0 81.8 2.8 2.7 2.8 2.8 2.8 9,307 11,116 10,204 10,139 11,226 2009 2010 2011 2012 2013 0.7 0.9 0.5 0.3 0.3 All Schools Summary 33 2013 Medical School Graduation Questionnaire All Schools 2009 2010 2011 2012 2013 23. Indicate your career intention from the different activities listed below: 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 Percent 4.3 0.7 28.3 8.1 2.0 0.2 2.0 0.2 22.1 2.3 0.5 0.1 6.8 0.6 2.3 Percent Percent 3.8 3.7 0.8 0.5 30.3 32.4 8.4 7.9 1.7 1.6 0.2 0.1 2.1 1.8 0.1 0.1 20.4 20.0 2.0 2.1 0.6 0.6 0.2 0.1 6.7 8.0 0.9 0.7 2.3 2.0 Percent Percent 3.9 3.8 0.5 0.4 32.8 33.8 7.5 7.2 1.2 1.3 0.2 0.2 1.7 1.6 0.2 0.2 21.0 19.9 1.6 1.7 0.8 0.8 0.1 0.1 8.7 8.9 0.6 0.6 2.1 2.2 0.1 0.0 2.5 16.8 0.2 0.0 2.3 17.2 0.2 0.1 2.5 15.6 0.2 0.0 2.3 14.5 0.3 0.1 2.3 14.8 100.0 100.0 100.0 100.0 100.0 10,386 13,143 12,104 12,248 13,180 Percent 32.6 8.8 33.4 3.5 4.9 16.8 Percent Percent 34.0 36.1 9.1 8.4 31.4 32.0 3.3 3.2 4.9 4.8 17.2 15.6 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 100.0 100.0 100.0 100.0 100.0 10,386 13,143 12,104 12,248 13,180 24. How exclusively do you expect to be involved in research during your medical career? Percent 7.5 Not involved 27.9 Involved in a limited way 45.7 Somewhat involved 18.4 Significantly involved 0.4 Exclusively Number of responses Percent Percent 36.8 37.6 8.0 7.6 33.4 32.4 2.6 2.7 4.6 4.9 14.5 14.8 Percent Percent 7.7 8.7 30.6 29.3 45.0 44.9 16.4 16.7 0.4 0.4 Percent Percent 8.3 8.0 28.5 28.7 45.8 46.2 16.9 16.5 0.5 0.5 100.0 100.0 100.0 100.0 100.0 10,402 13,151 12,118 12,242 13,206 All Schools Summary 34 2013 Medical School Graduation Questionnaire All Schools 2009 2010 2011 2012 2013 25. Do you plan to locate your practice in an underserved area? Percent 29.2 25.1 45.7 Yes No Undecided Number of responses Percent Percent 29.6 30.7 23.8 23.7 46.6 45.6 Percent Percent 30.9 30.6 23.9 22.6 45.1 46.7 100.0 100.0 100.0 100.0 100.0 10,410 13,164 12,122 12,245 13,213 Percent 30.2 58.2 11.6 Percent Percent 32.7 29.9 54.9 58.2 12.4 11.9 25a. If Yes, what is the likely location? Rural community Inner-city community Other Number of responses Percent Percent 30.2 30.7 59.3 58.8 10.6 10.5 100.0 100.0 100.0 100.0 100.0 3,053 3,923 3,741 3,786 4,043 26. Regardless of location, do you plan to care primarily for an underserved population? Ratings Yes All Schools All Schools All Schools 2011 2012 2013 27.5 % 27.8 27.7 No 31.4 % 31.8 30.7 Undecided Count 41.1 % 40.4 41.7 12,115 12,236 13,213 27. 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 Nebraska Nevada Percent Percent 0.8 0.6 0.2 0.3 0.7 0.6 0.7 0.3 12.4 11.7 1.6 1.8 0.5 0.3 0.1 0.1 1.0 1.1 2.5 2.9 1.9 1.7 0.7 0.5 0.2 0.3 3.4 3.5 0.7 0.9 0.2 0.4 0.6 0.3 0.9 0.8 1.7 1.2 0.2 0.2 1.2 1.2 2.5 2.4 1.9 2.0 1.4 1.6 0.3 0.6 1.0 1.0 0.3 0.3 0.6 0.4 0.2 0.2 Percent 0.9 0.2 0.7 0.5 12.7 1.6 0.5 0.1 0.9 2.7 1.7 0.6 0.2 3.8 0.9 0.4 0.4 0.7 1.4 0.2 1.2 2.5 1.8 1.7 0.6 1.0 0.3 0.5 0.2 Percent 0.9 0.1 0.7 0.6 12.1 1.4 0.5 0.0 0.9 2.9 1.9 0.4 0.2 3.8 0.8 0.4 0.6 0.9 1.2 0.4 1.2 2.5 1.9 1.4 0.5 0.8 0.4 0.5 0.2 All Schools Summary 35 2013 Medical School Graduation Questionnaire All Schools 2010 2011 2012 2013 27. Where do you plan to practice?* (Continued) 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 Newfoundland/Labrador New Brunswick Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory American Samoa Guam Northern Mariana Islands Puerto Rico Virgin Islands APO-FPO Americas APO-FPO Europe APO-FPO Pacific US Territories / Possessions Foreign Unknown USA Totally Unknown Unknown Canadian Number of responses Percent Percent 0.2 0.2 0.9 0.9 0.4 0.5 7.0 6.7 2.4 2.3 0.2 0.2 1.9 2.2 0.6 0.5 1.0 0.9 2.1 2.3 0.2 0.1 0.7 1.0 0.2 0.2 0.9 0.9 6.0 6.5 0.7 0.7 0.3 0.2 1.5 1.3 1.4 1.5 0.2 0.3 0.7 1.0 0.2 0.1 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.9 0.7 0.0 0.0 0.1 0.1 0.0 0.0 0.0 0.0 0.1 0.1 1.4 1.5 20.9 21.8 6.3 6.0 0.1 0.1 Percent 0.1 1.2 0.3 6.6 2.0 0.2 1.9 0.4 0.9 2.6 0.1 0.8 0.3 1.1 5.5 0.7 0.2 1.3 1.7 0.3 1.1 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.7 0.0 0.1 0.0 0.0 0.1 1.4 21.4 5.6 0.1 Percent 0.1 1.0 0.3 6.6 2.2 0.2 2.2 0.4 0.9 2.4 0.2 0.9 0.3 1.1 6.1 0.6 0.2 1.4 1.2 0.3 1.2 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.8 0.0 0.1 0.0 0.0 0.1 1.2 22.2 5.5 0.1 100.0 12,886 100.0 100.0 100.0 12,860 11,768 12,005 *Note: Marshall Islands and Manitoba are excluded from the report because no graduates selected these options over the reporting period. All Schools Summary 36 2013 Medical School Graduation Questionnaire All Schools 2009 2010 2011 2012 2013 28. Did you receive any scholarships, stipends, grants (not loans) for medical school? Percent 59.2 40.8 Yes No Number of responses Percent Percent 58.3 59.0 41.7 41.0 Percent Percent 63.3 61.6 36.7 38.4 100.0 100.0 100.0 100.0 100.0 10,389 13,161 12,117 12,255 13,218 Percent 41.7 34.0 8.5 4.1 2.7 2.7 0.9 1.6 0.5 3.2 Percent Percent 43.0 42.2 33.2 32.5 8.0 8.2 4.3 4.6 2.7 2.5 2.9 3.1 0.8 0.8 1.3 1.7 0.5 0.7 3.4 3.6 Scholarship Categories* No scholarships $ 1 to $ 24,999 $ 25,000 to $ 49,999 $ 50,000 to $ 74,999 $ 75,000 to $ 99,999 $100,000 to $124,999 $125,000 to $149,999 $150,000 to $174,999 $175,000 to $199,999 $200,000 to $750,000 100.0 Average scholarship amount of all respondents* Average scholarship amount of those with scholarships* 2009 $26,184 $44,949 100.0 2010 $26,147 $45,898 100.0 2011 $27,474 $47,570 Percent Percent 37.4 39.2 34.6 31.9 8.9 8.4 4.7 5.1 2.7 2.9 3.2 3.3 0.9 1.0 1.7 2.0 0.8 0.8 5.0 5.4 100.0 2012 $34,387 $54,948 100.0 2013 $36,274 $59,628 29. Do you still owe $1000 or more on your premedical/college educational loans? ** Percent 38.8 61.2 Yes No Number of responses Percent Percent 38.3 36.2 61.7 63.8 Percent Percent 36.7 36.6 63.3 63.4 100.0 100.0 100.0 100.0 100.0 10,373 13,164 11,897 12,235 13,204 Percent 62.0 21.9 7.9 3.1 1.2 1.3 0.4 0.8 0.3 1.0 Percent Percent 62.6 63.8 22.3 22.2 7.7 6.9 3.3 3.2 1.3 1.2 1.0 1.0 0.3 0.2 0.5 0.5 0.2 0.2 0.8 0.7 Premedical Debt Categories** No debt $ 1 to $ 24,999 $ 25,000 to $ 49,999 $ 50,000 to $ 74,999 $ 75,000 to $ 99,999 $100,000 to $124,999 $125,000 to $149,999 $150,000 to $174,999 $175,000 to $199,999 $200,000 to $300,000 100.0 Average premedical debt of all respondents** Average premedical debt of those with debt** 2009 $14,356 $37,813 2010 $12,684 $33,933 100.0 100.0 2011 $11,982 $33,119 Percent Percent 64.1 64.4 22.5 21.1 7.4 7.1 2.9 3.3 1.2 1.4 0.9 1.1 0.2 0.2 0.4 0.5 0.1 0.1 0.4 0.6 100.0 2012 $10,707 $29,806 100.0 2013 $11,849 $33,285 *The scholarship categories and averages for 2009-2012 do not include respondents reporting more than $500,000. In 2013, the maximum reportable amount was $750,000. **The maximum reportable premedical debt was $300,000. Prior to 2011, the question text was 'Do you still owe money on your premedical/college educational loans?' All Schools Summary 37 2013 Medical School Graduation Questionnaire All Schools 2009 2010 2011 2012 2013 30. Do you still owe $1000 or more on your medical school educational loans? (including loan service commitments) * Percent Percent Percent Percent Percent 85.2 84.3 84.1 84.3 84.4 Yes 15.7 15.6 14.8 15.7 15.9 No Number of responses 100.0 100.0 100.0 100.0 100.0 10,374 13,149 11,773 12,212 13,165 Percent 15.1 9.4 13.8 22.2 27.8 11.7 0.0 0.0 Percent Percent 16.1 15.9 9.7 10.2 12.5 12.8 20.4 18.3 27.0 25.1 14.3 16.6 0.0 1.0 0.0 0.1 Medical School Debt Categories* No debt $ 1 to $ 50,000 $ 50,001 to $100,000 $100,001 to $150,000 $150,001 to $200,000 $200,001 to $300,000 $300,001 to $400,000 $400,001 to $500,000 100.0 Average medical school debt of all respondents* Average medical school debt of those with debt* 2009 $122,091 $143,870 100.0 2010 $123,632 $147,383 100.0 2011 $127,482 $151,600 Percent Percent 15.9 15.9 10.2 10.6 11.1 10.7 17.1 15.1 26.0 25.9 17.8 19.6 1.6 1.9 0.2 0.1 100.0 100.0 2013 2012 $132,363 $135,084 $157,473 $160,702 31. Total Educational Debt Categories** Percent 13.7 8.9 11.9 19.5 25.8 17.7 1.9 0.3 0.2 No debt $ 1 to $ 50,000 $ 50,001 to $100,000 $100,001 to $150,000 $150,001 to $200,000 $200,001 to $300,000 $300,001 to $400,000 $400,001 to $500,000 $500,001 to $800,000 Percent Percent 14.3 14.8 9.6 10.1 11.2 11.2 17.9 16.1 25.1 22.9 19.3 21.0 2.1 3.3 0.3 0.5 0.1 0.2 100.0 Average total educational debt of all respondents** Average educational debt of those with educational debt** 2009 $136,278 $157,985 2010 $136,268 $159,035 100.0 100.0 2011 $139,419 $163,546 Percent Percent 14.5 14.5 10.3 10.8 10.0 9.7 15.1 13.3 23.3 22.5 22.1 23.8 4.1 4.7 0.5 0.6 0.1 0.2 100.0 100.0 2013 2012 $142,906 $146,873 $167,053 $171,710 *From 2011-2013, the maximum reportable medical school debt was $500,000. From 2009-2010, the maximum was $300,000 and the question text was 'Do you still owe money on your medical school educational loans?' **Total educational debt is the sum of premedical debt and medical school debt. The displayed categories and averages are calculated using only records with complete responses to both questions. All Schools Summary 38 2013 Medical School Graduation Questionnaire All Schools 2009 2010 2011 2012 2013 32. 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. Percent Percent Percent Percent Percent 33.3 27.3 26.3 25.7 24.1 Yes 74.3 75.9 66.7 72.7 73.7 No 100.0 100.0 100.0 100.0 100.0 Non-Educational Debt Categories Percent 67.4 27.6 3.3 0.8 0.3 0.7 No debt $ 1 to $ 24,999 $ 25,000 to $ 49,999 $ 50,000 to $ 74,999 $ 75,000 to $ 99,999 $100,000 to $300,000 Percent Percent 73.4 73.7 22.0 23.2 3.6 2.4 0.7 0.4 0.1 0.1 0.2 0.2 100.0 Average non-educational debt of all students Average non-educational debt of indebted students 2009 $5,395 $16,531 100.0 2010 $4,124 $15,476 100.0 2011 $3,359 $12,762 Percent Percent 74.8 76.6 22.3 20.7 2.1 2.2 0.5 0.3 0.1 0.0 0.2 0.1 100.0 2012 $3,130 $12,418 100.0 2013 $2,832 $12,108 33. Do you plan to enter into a loan-forgiveness program? Yes No Percent Percent 24.4 27.8 75.6 72.2 100.0 100.0 100.0 Number of responses 13,095 12,040 12,191 Percent Percent 29.4 38.1 70.6 61.9 100.0 11,096 33a. [If "Yes"] Please list the type of loan forgiveness program in which you plan to participate. 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 Number of responses Percent Percent 44.5 47.8 10.7 11.0 1.5 0.9 1.7 1.7 0.2 0.3 14.7 13.4 14.5 14.8 2.5 1.5 9.8 8.7 Percent Percent 54.7 56.1 10.6 9.4 0.9 0.6 1.2 1.4 0.3 0.2 10.9 11.3 12.8 13.6 1.6 1.1 7.0 6.3 100.0 100.0 100.0 3,220 3,386 3,551 100.0 4,167 All Schools Summary 39 2013 Medical School Graduation Questionnaire Added in 2011: Career Planning Resources, Interprofessional Learning 34. How useful were the following resources in learning about specialty choice and career planning? (Scale: 0=Did Not Use, 1=Not Useful through 4=Very Useful) Ratings Did not use Advising/Mentoring All Schools All Schools All Schools % Somewhat Useful 26.7 28.5 29.2 % Very Useful 31.9 41.8 41.1 % Mean Count 2.7 2.9 2.9 10,206 10,140 11,227 25.0 15.2 15.4 7.7 6.2 6.3 28.6 20.5 20.1 22.6 26.1 27.6 10.1 16.1 15.4 1.7 1.9 1.9 10,174 10,114 11,191 Specialty Interest Group-sponsored panels and presentations All Schools 15.9 6.6 2011 2012 14.9 4.8 All Schools 2013 14.8 4.4 All Schools 28.0 19.5 19.8 31.3 33.7 34.4 18.1 27.1 26.6 2.3 2.5 2.5 10,173 10,122 11,178 School-sponsored Career Planning Workshops and Courses All Schools 33.4 11.1 2011 2012 33.6 8.1 All Schools 2013 33.9 8.1 All Schools 25.6 17.9 18.0 21.2 26.0 25.6 8.6 14.4 14.4 1.6 1.8 1.8 10,149 10,095 11,166 Participation in in-house and extramural electives All Schools 14.0 2011 2012 14.9 All Schools 2013 15.0 All Schools 3.9 2.7 3.2 17.5 9.9 11.1 25.9 25.9 26.1 38.7 46.5 44.7 2.7 2.9 2.8 10,172 10,125 11,206 Other publications and web-based resources All Schools 23.4 2011 2012 24.0 All Schools 2013 24.6 All Schools 4.4 3.3 3.1 29.5 17.1 18.6 28.5 33.0 32.1 14.2 22.7 21.5 2.1 2.3 2.2 10,144 10,099 11,152 AAMC's Careers in Medicine Web Site All Schools 31.1 2011 2012 31.1 All Schools 2013 30.7 All Schools % Moderately Useful 9.7 % 7.1 7.0 2011 2012 2013 6.8 7.4 7.3 Not Useful 35. Have you participated in any required curricular activities where you had the opportunity to learn with students from different health professions? All Schools 2011 Yes No Not Sure Number of responses Percent 65.6 24.4 9.9 2012 2013 Percent Percent 68.8 73.4 21.8 18.5 9.4 8.1 100.0 100.0 100.0 12,393 12,532 13,517 All Schools Summary 40 2013 Medical School Graduation Questionnaire All Schools 2011 2012 2013 36. [If "Yes"] Which other profession(s) have you had the opportunity to participate or interact in educational activities? Select all that apply. (Note: multiple responses permitted; totals thus exceed 100%). Percent Percent Percent 31.6 28.7 27.2 Dentistry 80.0 81.9 79.4 Nursing 36.4 37.0 36.3 Occupational Therapy 30.0 30.7 29.2 Osteopathic Medicine 79.6 80.8 79.1 Pharmacy 50.0 49.3 48.8 Physical Therapists 66.3 65.7 65.4 Physician Assistants 27.7 27.1 25.2 Psychology 23.1 22.0 21.7 Public Health 53.7 53.0 51.6 Social Work 1.3 1.4 1.7 Veterinary Medicine 4.3 5.0 4.8 Other 37. What was the nature of the learning experience(s) with other health professions students? (Select all that apply) Percent Percent Percent 27.4 26.0 23.7 Lecture only, basic science 33.7 33.0 31.8 Lecture only, clinical subject (i.e., universal precautions, informed consent, advanced cardiac life support (ACLS) certification, population health) 40.1 41.5 43.7 Patient-centered case problems (classroom or student setting) 26.3 28.4 32.7 Clinical simulations 79.9 78.6 76.8 Active engagement with patients (i.e., inpatient or ambulatory based team rotation, longitudinal clinics, practice-based clerkships) 24.5 25.1 24.3 Community projects or service learning activities 17.8 21.3 25.5 Team Skills Training 2.6 3.1 2.9 Other 38. The learning experience with other health professions students helped me gain a better understanding of the roles of other professions in care of patients (Scale: 1=Strongly Disagree to 5=Strongly Agree) Ratings Strongly Disagree All Schools All Schools All Schools 2011 2012 2013 4.6 4.6 4.3 Disagree % 3.7 % 4.3 3.7 Neutral 14.8 14.5 15.6 Strongly Agree Agree % 50.8 47.8 49.1 % 26.0 28.9 27.3 % Mean Count 3.9 3.9 3.9 8,077 8,573 9,864 All Schools Summary 41 2013 Medical School Graduation Questionnaire Revised in 2013: Mistreatment of Students This section was significantly changed in 2012, and altered slightly in 2013. Refer to the Executive Summary for explanation of these changes. In most cases prior year data are not displayed as the data are not comparable. All Schools 2009 2010 2011 39. Are you aware that your school has policies regarding the mistreatment of medical students? Percent Percent Percent 79.1 78.0 88.7 Yes 20.9 22.0 11.3 No Number of responses 2012 2013 Percent Percent 84.5 88.2 15.5 11.8 100.0 100.0 100.0 100.0 100.0 13,103 13,161 12,096 12,293 13,192 40. Do you know the procedures at your school for reporting the mistreatment of medical students? Percent Percent 67.4 71.7 32.6 28.3 Yes No Number of responses 100.0 100.0 12,251 13,160 41. For each of the following behaviors, please indicate the frequency you personally experienced that behavior during medical school. Include in your response any behaviors performed by faculty, nurses, residents/interns, other institution employees or staff, and other students. Please do not include behaviors performed by patients. Ratings Never Once Occasionally Frequently Count 1.5 13,014 Publicly embarrassed All Schools 2013 52.8 Publicly humiliated All Schools 2013 76.7 11.8 10.8 0.7 13,011 Threatened with physical harm All Schools 2012 All Schools 2013 98.5 98.1 1.1 1.5 0.4 0.4 0.0 0.1 12,180 13,113 Physically harmed All Schools All Schools 97.9 97.6 1.8 2.1 0.2 0.3 0.0 0.1 12,171 13,115 Required to perform personal services All Schools 2012 All Schools 2013 90.6 91.0 5.7 5.4 3.5 3.3 0.2 0.2 12,150 13,100 Subjected to offensive sexist remarks All Schools 2012 All Schools 2013 84.3 85.7 6.4 6.0 8.7 7.6 0.7 0.7 12,093 13,058 Denied opportunities for training or rewards based solely on gender All Schools 2012 94.1 2.4 All Schools 2013 94.4 2.4 3.1 2.8 0.4 0.4 12,154 13,113 Received lower evaluations or grades solely because of gender All Schools 2012 93.5 All Schools 2013 93.9 1.9 1.7 0.3 0.3 12,158 13,103 2012 2013 % 18.1 4.4 4.1 % 27.5 % % All Schools Summary 42 2013 Medical School Graduation Questionnaire 41. For each of the following behaviors, please indicate the frequency you personally experienced that behavior during medical school. Include in your response any behaviors performed by faculty, nurses, residents/interns, other institution employees or staff, and other students. Please do not include behaviors performed by patients. (Continued) Ratings Frequently Count 1.9 1.8 0.2 0.2 12,149 13,098 0.1 0.1 0.0 0.0 12,170 13,121 Denied opportunities for training or rewards based solely on race or ethnicity All Schools 2012 97.3 0.9 All Schools 2013 96.9 1.1 1.3 1.5 0.6 0.6 12,161 13,112 Subjected to racially or ethnically offensive remarks All Schools 2012 93.0 All Schools 2013 93.1 3.3 3.1 3.3 3.3 0.3 0.4 12,125 13,086 Received lower evaluations or grades solely because of race or ethnicity All Schools 2012 97.4 1.4 All Schools 2013 97.7 1.2 0.9 0.8 0.2 0.3 12,151 13,102 Denied opportunities for training or rewards based solely on sexual orientation All Schools 2012 99.6 0.2 All Schools 2013 99.5 0.1 0.1 0.2 0.0 0.1 12,148 13,102 Subjected to offensive remarks/names related to sexual orientation All Schools 2012 97.6 0.8 All Schools 2013 97.7 0.8 1.4 1.3 0.2 0.2 12,119 13,072 Received lower evaluations or grades solely because of sexual orientation All Schools 2012 99.7 0.2 All Schools 2013 99.6 0.2 0.1 0.1 0.0 0.1 12,129 13,066 Subjected to unwanted sexual advances All Schools 2012 All Schools 2013 Never Once 95.4 95.3 2.6 2.7 0.1 0.1 Asked to exchange sexual favors for grades or other rewards All Schools 2012 99.8 All Schools 2013 99.7 Occasionally 42. Percent of respondents who indicated they personally experienced any of the listed behaviors, excluding 'publicly embarrassed.' The data are derived from the responses to the survey question reported in item 41 above. All Schools 2013 Yes No Percent 42.1 57.9 Number of responses 100.0 13,146 All Schools Summary 43 2013 Medical School Graduation Questionnaire 43a. Sources of ‘publicly humiliated’-only behaviors experienced personally, as percent of all who answered question 41 above, including those who indicated they ‘Never’ experienced any of the listed behaviors. For example, 14.1% of respondents nationally in 2013 indicated they were publicly humiliated by a faculty member in a clinical setting. The actual question was: ‘Indicate below which person(s) engaged in the behavior that was directed at you. Check all that apply.’ Prior-year data are not comparable and so are not displayed; refer to the Executive Summary for more information. All Schools 2013 Pre-clerkship faculty: Clerkship faculty (in classroom) Clerkship faculty (in clinical settings) Resident/Intern Nurse Administrator Other institution employee Student Percent 0.9 1.4 14.1 11.7 5.0 0.6 1.1 1.8 Number of respondents 13,146 43b. Sources of behaviors experienced personally, excluding ‘publicly embarrassed’ and ‘publicly humiliated,’ as percent of all who answered question 41 above, including those who indicated they ‘Never’ experienced any of the listed behaviors. For example, 18.6% of respondents nationally in 2013 indicated they experienced a resident or intern engaging in behavior other than public embarrassment or humiliation. The actual question was: ‘Please indicate below which person(s) engaged in the behavior that was directed at you. Check all that apply.' All Schools 2012 2013 Pre-clerkship faculty: Clerkship faculty (in classroom) Clerkship faculty (in clinical settings) Resident/Intern Nurse Administrator Other institution employee Student Percent Percent 1.9 1.7 1.8 1.9 19.0 19.4 19.4 18.6 5.0 4.4 1.6 1.6 3.1 3.4 4.4 4.3 Number of respondents 12,195 13,146 44. Did you report any of the behaviors listed above to a designated faculty member of the medical school administration empowered to handle such complaints? (Note: the results include those who indicated they had personally experienced at least 'Once' any of the behaviors, excluding 'publicly embarrassed,' listed in item 41 above.) All Schools 2013 Yes No Number of responses Percent 18.7 81.3 100.0 5,487 All Schools Summary 44 2013 Medical School Graduation Questionnaire All Schools 2013 45. [If “Yes” to item 44 ] To whom did you report the behavior(s)? Check all that apply. (Note: As multiple responses were permitted, totals may exceed 100%.) Percent Dean of Students 25.3 Designated counselor/advocate/ombudsman 17.0 Other medical school administrator 20.5 Faculty member 51.3 Other 20.3 Number of respondents 1,015 46. [If you reported any behaviors] How satisfied are you with the outcome of having reported the behavior(s)? Ratings Very Dissatisfied All Schools 2013 14.6 % Dissatisfied 15.2 % Neutral 30.4 % Satisfied 25.6 % Very Satisfied Count 14.2 % 1,014 All Schools 2013 47. If there were any incidents of these behaviors that you did not report, why didn't you report them? Check all that apply. (Note: As multiple responses were permitted, totals may exceed 100%.) Percent The incident did not seem important enough to report 57.3 I resolved the issue myself 19.4 I did not think anything would be done about it 36.6 Fear of reprisal 27.9 I did not know what to do 11.8 Other 7.6 Number of respondents 5,538 48. Percent of respondents who indicated they witnessed any of the listed behaviors, excluding 'publicly embarrassed,' directed at other students. The data are derived from responses to the second part of the survey question reported in item 41, which read: 'Check here if you witnessed any other students subjected to this behavior'. Percent Yes 23.1 No 76.9 100.0 Number of responses 13,146 49. Did you report any of the witnessed behaviors to a designated faculty member or a member of the medical school administration empowered to handle such complaints? (Note: the results include only those who responded they had witnessed other students subjected to the listed behaviors, excluding 'publicly embarrassed.' ) Percent Yes 10.8 No 89.2 100.0 Number of responses 3,015 All Schools Summary 45 2013 Medical School Graduation Questionnaire All Schools 2013 50. [If “Yes” to item 49] To whom did you report the [witnessed] behavior(s)? Check all that apply. (Note: As multiple responses were permitted, totals may exceed 100%.) Percent Dean of Students 19.9 Designated counselor/advocate/ombudsman 18.0 Other medical school administrator 24.5 Faculty member 51.2 Other 17.7 Number of respondents 322 51. If there were any incidents of these behaviors that you did not report, why didn't you report them? Check all that apply. (Note: As multiple responses were permitted, totals may exceed 100%.) Percent The incident did not seem important enough to report 39.8 The student involved resolved the issue 25.4 I did not think anything would be done about it 35.3 Fear of reprisal 23.3 I did not know what to do 18.9 The student involved asked that it not be reported 13.7 Other 7.8 Number of respondents 3,039 Other Institutional Information All Schools 2009 2010 2011 2012 2013 Control of medical school: Private Public Number of responses Percent 39.2 60.8 Percent Percent 40.7 41.4 59.3 58.6 Percent Percent 40.5 40.0 59.5 60.0 100.0 100.0 100.0 100.0 100.0 10,461 13,921 13,461 13,681 14,836 Percent 28.4 31.9 27.5 12.2 Percent Percent 30.0 29.7 31.1 30.9 26.8 28.0 12.1 11.4 Region of medical school: Northeast South Central West Number of responses Percent Percent 30.0 30.1 30.8 32.2 27.3 26.6 12.0 11.0 100.0 100.0 100.0 100.0 100.0 10,461 13,921 13,461 13,681 14,836 All Schools Summary 46