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Medical Student Perceptions of Education in Health Care Systems
Academic Medicine, 08/27/09

Patel M et al. – The percentage of students reporting appropriate training was 90% to 92% for clinical decision making, 80% to 82% for clinical care, and 40% to 50% for the practice of medicine. Students from the school with a higher–intensity curriculum in health care systems reported higher satisfaction than students from the school with a lower–intensity curriculum for training in four of five practice of medicine components: medical economics, health care systems, managed care, and practice management. Importantly, the high commitment to education in health care systems in the higher–intensity curriculum did not lead to lower perceived levels of adequate training in other domains of instruction. Nationally, students consistently reported that inadequate instructional time was devoted to the practice of medicine, specifically medical economics. A higher–intensity curriculum in health care systems may hold substantial potential to overcome these perceptions of training inadequacy.

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