Differences in clerkship development between public and private Brazilian medical schools: an overview
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RESEARCH ARTICLE
Open Access
Differences in clerkship development between public and private Brazilian medical schools: an overview Mauricio Braz Zanolli1* , Derly Silva Streit2ˆ, Dione Tavares Maciel3, Evelin Massae Ogata Muraguchi4, Milton Arruda Martins5 and Iolanda Fátima Lopes Calvo Tibério5
Abstract Background: Around the world, it is very expensive to become a physician. Although public medical schools are less expensive than private medical schools, tuition fees are charged at public medical schools in the majority of countries. In Brazil, public medical schools, with the exception of municipal schools, are free. There has been little investigation of any differences in conditions offered by paid or free medical schools or what occurs in public and private clerkships in Brazil. We investigated the clerkship conditions offered to the students in both public and private Brazilian medical schools by gathering the opinions of clerkship coordinators and others responsible for clerkships. Methods: A cross-sectional, descriptive, analytical study using an electronic questionnaire was answered by clerkship coordinators to compare the clerkships of 30 public and 38 private Brazilian medical schools from all regions of the country. The questionnaires covered various aspects of the clinical environments, student supervision, faculty development, student assessments, rotation evaluations and extracurricular activities developed by students. Results: We observed significant differences between public and private medical schools in several aspects investigated. Based on the opinions of the clerkship coordinators, with the exception of access to university hospitals, which was predominantly offered by public medical schools, private medical schools offer better clerkship conditions. The main differences were related to the number of positions, infrastructure, clinical learning environments, faculty development, student assessments, rotation evaluations and students’ extracurricular activities. Conclusion: This is the first study comparing Brazilian medical clerkships in private and public medical schools and provides a general vision of these programmes. It is necessary to further investigate clerkship development in the Brazilian medical school system and to study the differences between private and public medical schools globally. Keywords: Internship and residency, Schools, medical, Education, medical, Educational measurement, Institutional evaluation, Infrastructure, Curriculum, Public medical schools, Private medical schools, Brazilian medical schools
* Correspondence: [email protected] ˆDerly Silva Streit is deceased. 1 Department of Internal Medicine, Marilia Medical School, Rua Comandante Romão Gomes, 33, Marilia, SP CEP: 17515-280, Brazil Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any me
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