A National Survey of Pediatric Clerkship Directors' Approaches to Meeting the LCME ED-2 Requirement for Quantified Patient Criteria for Medical Students

Background: The Liaison Committee on Medical Education (LCME) recently reinterpreted ED-2, their quantified patient criteria requirement. Purpose: The purpose is to describe pediatric clerkship directors' response to ED-2. Method: We used a survey of U.S. and Canadian pediatric clerkship directors. Results: Survey response rate was 76% (108/142). The most frequent categories that clerkship directors used to describe quantified patient criteria were age group (77%), organ systems (65%), or symptoms (61%). Computer simulations were the alternative patient experience in 83% of clerkships. Patient logs (90%) and checklists (31%) tracked student completion of ED-2. Thirty-two respondents had an LCME visit since ED-2 was reinterpreted, and 69% reported that LCME had concerns about their clerkships' fulfillment of ED-2. There was no difference in method of ED-2 implementation between schools who were cited by LCME and those who were not. Conclusions: Clerkship directors have used a variety of approaches to speci...