title: A national survey of pediatric clerkship directors' approaches to meeting the LCME ED-2 requirement for quantified patient criteria for medical students.
abstract: BACKGROUND
  The Liaison Committee on Medical Education (LCME) recently reinterpreted ED-2, their quantified patient criteria requirement.
  
  
  OBJECTIVE
  The purpose is to describe pediatric clerkship directors' response to ED-2.
  
  
  METHODS
  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 specify and monitor quantified patient criteria.
authors.affiliation: Department of Pediatrics, University of California Davis, Sacramento, California 95817, USA. su-ting.li@ucdmc.ucdavis.edu
authors.forename: Su-Ting T
authors.initials: ST
authors.lastname: Li
authors.forename: Sherilyn
authors.initials: S
authors.lastname: Smith
authors.forename: Joseph
authors.initials: J
authors.lastname: Gigante
mesh_terms: D000367:Age Factors; D002170:Canada; D002983:Clinical Competence / Q000592:standards; D003198:Computer Simulation; D003479:Curriculum; D003625:Data Collection; D004503:Education, Medical, Graduate / Q000592:standards*; D004521:Educational Measurement; D004522:Educational Status; D005180:Faculty, Medical / Q000592:standards*; D006801:Humans; D020407:Internet; D010372:Pediatrics / Q000193:education*; D012577:Schools, Medical / Q000592:standards*; D013337:Students, Medical; D014481:United States