title: Residents' perspectives on the final year of medical school.
abstract: OBJECTIVE
  To characterize junior residents' perspectives on the purpose, value, and potential improvement of the final year of medical school.
  
  
  METHODS
  Eighteen interviews were conducted with junior residents who graduated from nine different medical schools and who were in internal medicine, surgery, and psychiatry programs at one institution in the United States. Interview transcripts were coded and analyzed inductively for themes.
  
  
  RESULTS
  Participants' descriptions of the purpose of their recently completed final year of medical school contained three primary themes: residency-related purposes, interest- or need-based purposes, and transitional purposes. Participants commented on the most valued aspects of the final year. Themes included opportunities to: prepare for residency; assume a higher level of responsibility in patient care; pursue experiences of interest that added breadth of knowledge, skills and perspective; develop and/or clarify career plans; and enjoy a period of respite. Suggestions for improvement included enhancing the learning value of clinical electives, augmenting specific curricular content, and making the final year more purposeful and better aligned with career goals.
  
  
  CONCLUSIONS
  The final year of medical school is a critical part of medical education for most learners, but careful attention is needed to ensure that the year is developmentally robust. Medical educators can facilitate this by creating structures to help students define personal and professional goals, identify opportunities to work toward these goals, and monitor progress so that the value of the final year is optimized and not exclusively focused on residency preparation.
authors.affiliation: Department of Medicine and Office of Medical Education, School of Medicine, University of California, San Francisco, CA, USA.
authors.forename: Bridget C
authors.initials: BC
authors.lastname: O'Brien
authors.affiliation: Department of Psychiatry, School of Medicine, University of California, San Francisco, CA, USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Niehaus
authors.affiliation: Department of Medicine and Office of Medical Education, School of Medicine, University of California, San Francisco, CA, USA.
authors.forename: Arianne
authors.initials: A
authors.lastname: Teherani
authors.affiliation: Department of Psychiatry, School of Medicine, University of California, San Francisco, CA, USA.
authors.forename: John Q
authors.initials: JQ
authors.lastname: Young
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004501:Education, Medical; D005260:Female; D006801:Humans; D007396:Internship and Residency; D007407:Interviews as Topic; D008297:Male; D010465:Perception; D012577:Schools, Medical; D013337:Students, Medical / Q000523:psychology*; D014481:United States; D055815:Young Adult
keywords: Undergraduate medical education; personal and professional development; transition