PMID- 36805234
OWN - NLM
STAT- MEDLINE
DCOM- 20230501
LR  - 20230502
IS  - 1878-7452 (Electronic)
IS  - 1931-7204 (Print)
IS  - 1878-7452 (Linking)
VI  - 80
IP  - 5
DP  - 2023 May
TI  - Graduating Medical Students' Experiences with Away (In-Person and Virtual) 
      Rotations During COVID-19: Analysis of the Association of American Medical 
      Colleges (AAMC) 2021 Graduation Questionnaire (GQ).
PG  - 646-656
LID - S1931-7204(23)00031-4 [pii]
LID - 10.1016/j.jsurg.2023.01.011 [doi]
AB  - OBJECTIVE: The COVID-19 pandemic disrupted students' opportunities for away 
      rotations (ARs). Schools and specialty organizations innovated by supplementing 
      in-person ARs (ipARs) with virtual ARs (vARs). We sought to determine how ipAR 
      and vAR completion varied by intended specialty among 2021 graduates. DESIGN: 
      Using de-identified Association of American Medical Colleges 2021 Graduation 
      Questionnaire (GQ) data, we examined AR completion by specialty and 
      community-based school attendance (among other variables) in univariate analysis 
      and multivariable logistic regression models. SETTING: Students graduating from 
      MD-degree granting U.S. medical schools were invited to complete the 2021 GQ, 
      administered electronically on a confidential basis. PARTICIPANTS: Our study 
      included data for 15,451 GQ respondents (74% of all 2021 graduates). RESULTS: 
      Among GQ respondents, 18% (2,787/15,451) completed ARs: 8% (1,279/15,451) ipAR 
      only, 8% (1,218/15,451) vAR only, and 2% (290/15,541) both. In univariate 
      analysis, specialty and community-based school attendance (each p < 0.001), among 
      other variables, were associated with ipAR and with vAR. In multivariable 
      logistic regression, surgical specialties associated with greater odds of AR 
      completion (vs. general surgery reference) included neurological surgery (ipAR: 
      adjusted odds ratio [AOR]=1.9, 95% confidence interval [CI]=1.1-3.3; vAR AOR=3.1, 
      95% CI=1.9-4.9), ophthalmology (ipAR: AOR=2.3, 95% CI=1.6-3.3; vAR: AOR=2.5, 95% 
      CI=1.7-3.7), orthopedic surgery (ipAR: AOR=2.5, 95% CI=1.8-3.4; vAR: AOR=12.4, 
      95%CI=9,2-16.5), otolaryngology (ipAR: AOR=1.8, 95% CI=1.2-2.8; vAR: AOR=4,8, 95% 
      CI=3.4-6.9), plastic surgery (ipAR: AOR=2.1, 95% CI=1.2-3.5; vAR: AOR=13.9, 95% 
      CI=9.3-20.7) and urology (ipAR: AOR=2,1, 95% CI=1.4-3.2; vAR: AOR=11.9, 95% 
      CI=8.4-16.8). Community-based medical school attendance was also associated with 
      greater odds of ipAR (AOR=4.6, 95% CI=3.1-6.7) and vAR (AOR=1.8, 95% CI=1.4-2.3). 
      CONCLUSIONS: The prevalence of AR completion was low. Differences we observed by 
      specialty and medical school type aligned well with recommended circumstances for 
      ipARs for the class of 2021. Substantial specialty-specific differences in vAR 
      completion suggest that various surgical specialties were among the early 
      innovators in this regard.
CI  - Copyright (c) 2023 The Authors. Published by Elsevier Inc. All rights reserved.
FAU - Grbic, Douglas
AU  - Grbic D
AD  - Association of American Medical Colleges, Washington, DC. Electronic address: 
      dgrbic@aamc.org.
FAU - Jayas, Amy
AU  - Jayas A
AD  - Association of American Medical Colleges, Washington, DC.
FAU - McOwen, Katherine S
AU  - McOwen KS
AD  - Association of American Medical Colleges, Washington, DC.
FAU - Shaull, Lynn
AU  - Shaull L
AD  - Association of American Medical Colleges, Washington, DC.
FAU - Andriole, Dorothy A
AU  - Andriole DA
AD  - Association of American Medical Colleges, Washington, DC.
LA  - eng
PT  - Journal Article
DEP - 20230206
PL  - United States
TA  - J Surg Educ
JT  - Journal of surgical education
JID - 101303204
SB  - IM
MH  - Humans
MH  - United States/epidemiology
MH  - *Students, Medical
MH  - Pandemics
MH  - *COVID-19/epidemiology
MH  - *Medicine
MH  - Surveys and Questionnaires
MH  - Career Choice
MH  - Schools, Medical
PMC - PMC9899782
OTO - NOTNLM
OT  - COVID-19
OT  - Clinical education
OT  - away rotations
OT  - residency preparedness
COIS- Declaration of Competing Interest All authors are employed by the Association of 
      American Medical Colleges (AAMC), which administers the AAMC Graduation 
      Questionnaire. The AAMC is a member of the Coalition for Physician 
      Accountability, which issued recommendations to medical education institutions 
      regarding away rotations for the 2020-2021 academic year.
EDAT- 2023/02/23 06:00
MHDA- 2023/05/01 06:42
PMCR- 2023/02/06
CRDT- 2023/02/22 09:26
PHST- 2022/09/08 00:00 [received]
PHST- 2022/12/13 00:00 [revised]
PHST- 2023/01/27 00:00 [accepted]
PHST- 2023/05/01 06:42 [medline]
PHST- 2023/02/23 06:00 [pubmed]
PHST- 2023/02/22 09:26 [entrez]
PHST- 2023/02/06 00:00 [pmc-release]
AID - S1931-7204(23)00031-4 [pii]
AID - 10.1016/j.jsurg.2023.01.011 [doi]
PST - ppublish
SO  - J Surg Educ. 2023 May;80(5):646-656. doi: 10.1016/j.jsurg.2023.01.011. Epub 2023 
      Feb 6.