Educational Programs in US Medical Schools, 2003-2004

TLDR

US medical schools have been evolving their organizational structures, staffing, and curricula, with faculty numbers rising by 26% from 1993‑1994 to 2003‑2004 while student enrollment remained essentially unchanged. The authors reviewed the 2003‑2004 LCME Annual Medical School Questionnaire and AAMC Directory data, comparing them to 1993‑1994 and earlier years to assess changes in educational programs. In 2003‑2004, deans increasingly held dual administrative titles (48 %), most schools used standardized clinical exams with 59 requiring them for graduation, 58 schools planned to mandate the USMLE Step 2 CS, faculty numbers rose while enrollment stayed flat, and significant variability remained in the use of such evaluations.

Abstract

US medical schools continue to change their organizational structures, staffing patterns, and educational programs.To review the status of US medical school educational programs in the 2003-2004 academic year, compared with 1993-1994.The Liaison Committee on Medical Education (LCME) Annual Medical School Questionnaire for 2003-2004 and the Association of American Medical Colleges Directory of American Medical Education for the years 1983-1984, 1993-1994, and 2003-2004.The number of full-time faculty members in the 126 LCME-accredited medical schools increased from 90 975 in 1993-1994 to 114 549 in 2003-2004 (+26%), whereas the number of enrolled students remained essentially unchanged (66 453 in 1993-1994 and 67 166 in 2003-2004). In 2003-2004, 48% of medical school deans held another title at the medical center or university level, such as vice president for health affairs. There are 94 medical schools that have a comprehensive clinical examination using the standardized patient/objective structured clinical examination format; 59 schools require students to pass this examination for graduation. As of spring 2004, 58 schools will require students in the class of 2005 to pass the new US Medical Licensing Examination Step 2 Clinical Skills examination.The role of the medical school dean has expanded over time and is associated with the creation of a discrete administrative structure for the educational program. The number of full-time medical school faculty continues to increase, whereas the number of enrolled students remains steady. Considerable variability exists among medical schools in their use of standardized clinical evaluations.