Preparing for the MD: How Long, at What Cost, and With What Outcomes?

• Published in: Academic medicine Vol. 96; no. 1; p. 101
• Main Authors: Gonnella, Joseph S, Callahan, Clara A, Erdmann, James B, Veloski, J Jon, Jafari, Niusha, Markle, Ronald A, Hojat, Mohammadreza
• Format: Journal Article
• Language: English
• Published: United States 01.01.2021
• Subjects: Adult; Clinical Competence - standards; Clinical Competence - statistics & numerical data; Education, Medical, Undergraduate - economics; Education, Medical, Undergraduate - standards; Education, Medical, Undergraduate - statistics & numerical data; Educational Measurement - economics; Educational Measurement - standards; Educational Measurement - statistics & numerical data; Female; Humans; Longitudinal Studies; Male; Students, Medical - psychology; Students, Medical - statistics & numerical data; United States; Young Adult; United States
• DOI: 10.1097/ACM.0000000000003298

To assess educational and professional outcomes of an accelerated combined bachelor of science-doctor of medicine (BS-MD) program using data collected from 1968 through 2018. Participants of this longitudinal study included 2,235 students who entered medical school between 1968 and 2014: 1,134 in the accelerated program and 1,101 in the regular curriculum (control group)-matched by year of entrance to medical school, gender, and Medical College Admission Test (MCAT) scores. Outcome measures included performance on medical licensing examinations, academic progress, satisfaction with medical school, educational debt, first-year residency program directors' ratings on clinical competence, specialty choice, board certification, and faculty appointments. The authors found no practically important differences between students in the accelerated program and those in the control group on licensing examination performance, academic progress, specialty choice, board certification, and faculty appointments. Accelerated students had lower mean educational debt (P < .01, effect sizes = 0.81 and 0.45 for, respectively, their baccalaureate debt and medical school debt), lower satisfaction with their second year of medical school (P < .01, effect size = 0.21), and lower global satisfaction with their medical school education (P < .01, effect size = 0.35). Residency program directors' ratings in 6 postgraduate competency areas showed no practically important differences between the students in the accelerated program and those in the control group. The proportion of Asian students was higher among program participants (P < .01, effect size = 0.43). Students in the accelerated program earned BS and MD degrees at a faster pace and pursued careers that were comparable to students in a matched control who were in a regular MD program. Findings indicate that shortening the length of medical education does not compromise educational and professional outcomes.