presentation to the Executive Committee - SIU School of Medicine

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Feb 22, 2013 (4 years and 8 months ago)

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EPC Retreat 2010

March 22, 2010

Report to the Executive Committee






Annual

Curriculum Review


The

Future of Medical Education


EPC Retreat


Annual Curriculum Review


1.
Documents

2.
Standing Committee Annual Reports


3.
Subcommittee Reports

4.
Special Curricular Reports (Ongoing)

5.
Project Updates

6.
The AAMC Graduation Questionnaire

EPC Retreat


Annual Curriculum Review


1.
Documents

2.
Standing Committee Annual Reports


3.
Subcommittee Reports

4.
Special Curricular Reports (Ongoing)

5.
Project Updates

6.
The AAMC Graduation Questionnaire


SIUSOM Curriculum Goals

SIUSOM Curriculum Guidelines

SIUSOM Objectives for Graduation

SIUSOM Standards of Conduct

Compact Between Teachers and Learners of Medicine

Summary of Faculty and Student Comments Regarding the SIUSOM Compact Between Teachers and Learners of Medicine

(intranet access only)

SIUSOM Educational Research Policy
--

DRAFT

Year 3 Professionalism Task Force Report and Recommendations

EPC October 2002 Retreat Highlights

EPC January 2004 Retreat Agenda/Review Materials

EPC January 2004 Retreat Minutes

(intranet access only)

SIUSOM Four
-
Year Calendar

SIUSOM Classes of 1993
-
2002 AAMC Graduation Questionnaire Comments

(intranet access only)

SIUSOM Class of 2002 AAMC Graduation Questionnaire Statistical Data

(intranet access only)

SIUSOM Class of 2002 AAMC Graduation Questionnaire (GQ) Comments

(intranet access only)

SIUSOM Class of 2003 AAMC Graduation Questionnaire

(intranet access only)

SIUSOM Class of 2003 AAMC Graduation Questionnaire Comments

(intranet access only)


SIUSOM Class of 2004 AAMC Graduation Questionnaire

(intranet access only)

SIUSOM Class of 2004 AAMC Graduation
Questionnaire
Comments

(intranet access only)

SIUSOM USMLE Step 1 Charts
(1992
-
2004)
(intranet access only)

SIUSOM USMLE Step 1 Charts
(1998
-
2006)
(intranet access only)

SIUSOM USMLE Step 1 Charts
(1998
-
2008)
(intranet access only)

SIUSOM USMLE Step 2 Charts

(intranet access only)

1996 Physicians Attitudes and Conduct Task Force Recommendations

SIUSOM Assessment Report

EPC Biotechnology, Genetics and Ethics Subcommittee Recommendations to EPC (June 20, 2002)

EPC Focus Group Comments re: Genetics Recommendations (April 2005)

http://www.siumed.edu/oec/html/references2.htm

EPC Retreat


Annual Curriculum Review

EPC Retreat


Annual Curriculum Review


1.
Documents

2.
Standing Committee Annual Reports


o
Years 1, 2, 3 & 4

o
Doctoring

3.
Special Curricular Reports (Ongoing)

o
Population Health & Prevention

o
Genetics

4.
Subcommittee Reports

5.
Project Updates

6.
The AAMC Graduation Questionnaire

A Collective Vision for MD Education

Recommendations


I:
Address Individual and Community Needs

II: Enhance Admissions Processes

III: Build on the Scientific Basis of Medicine

IV: Promote Prevention and Public Health

V: Address the Hidden Curriculum

VI: Diversify Learning Contexts

VII: Value
Generalism

VIII: Advance Inter
-

and Intra
-
Professional Practice

IX: Adopt a Competency
-
Based and Flexible Approach

X: Foster Medical Leadership

http://www.afmc.ca/fmec/pdf/collective_vision.pdf


EPC Retreat


Annual Curriculum Review


1.
Documents

2.
Standing Committee Annual Reports

3.
Special Curricular Reports (Ongoing)

4.
Subcommittee Reports

a.
Master Teacher and Succession Planning

b.
Patient Safety

c.
eHIT


(Educational Applications of Health
Information Technology)

d.
Videotaping Task Force

5.
Project Updates

6.
The AAMC Graduation Questionnaire

EPC Retreat


Annual Curriculum Review


1.
Documents

2.
Annual Reports


3.
Subcommittee Reports

4.
Special Curricular Reports (Ongoing)

5.
Project Updates

a.
Longitudinal Performance Assessment

b.
CCX

c.
LCME Standards

Action: New Subcommittee


Translational Research

d.
Academy for Scholarship and Education

SIU
-
SOM Teacher of the Year


Gary
Dunnington

6.
The AAMC Graduation Questionnaire

EPC Retreat


Annual Curriculum Review


1.
Documents

2.
Annual Reports


3.
Subcommittee Reports

4.
Special Curricular Reports (Ongoing)

5.
Project Updates

6.
The AAMC Graduation Questionnaire

2009 GQ
1=Poor 4=Excellent



Intro
Clin

Med


3.9

3.4

3.8

Pathology


3.8

3.4

3.6

Physiology


3.5

3.3

3.3

Pharmacology


3.4

3.0

3.2

Microbiology


3.1

3.1

3.1

Histology


3.1

2.9

3.0

Behavioral Science

3.1

3.1

2.8

Gross Anatomy


2.9

3.4

2.7

Biostatistics


2.8

2.8

2.3

Genetics


2.7

2.8

2.3

Biochemistry


2.6

2.7

2.3

Immunology


2.5

3.1

2.5

SIU

2009

US

2009

SIU

2005


Rating of SIU
Students for
Instruction in
Sciences Basic
to Medicine


2009 GQ
1=Poor 4=Excellent



Surgery


3.6

3.2

3.4

Internal Medicine

3.5

3.5

3.5

Family Medicine

3.5

3.2

3.6

OB
-
Gyn


3.4

3.0

3.1

Psychiatry


3.3

3.2

2.6

Pediatrics


3.1

3.3

3.0

Neurology


3.0

3.0

2.7

Radiology


2.7

2.9

2.3

SIU

2009

US

2009

SIU

2005


Rating of SIU
Students for
Quality of
Education in the
Clinical
Clerkships



Public Health

Community Medicine

Interaction with Social Service Agencies

Health Policy

Law and Medicine

Domestic Violence



2009 GQ
-

Appropriate Training
Far, Far Above the U.S. Mean
-

99
th

Percentile

Do you believe the time devoted to instruction in the
following area was inadequate, appropriate or excessive?


Diagnosis of Disease

Care of Ambulatory Patients

Health Maintenance

Long
-
term Health Care

Ethical Decision Making

Disease Prevention

Health Surveillance Strategies



2009 GQ
-

Appropriate Training

Significantly Above the US


95
th

Percentile

Do you believe the time devoted to instruction in the
following area was inadequate, appropriate or excessive?


Interviewing Skills

Physical Exam Skills

Clinical Reasoning

Management of Disease

Hospital Care

Continuity of Care

Communication Skills

Teamwork

Interpretation of Data

Literature Reviews

Interpret Lab Results

Decision Analysis

2009 GQ
-

Appropriate Training

Above the US Mean
-

50
th

to 95
th

Percentile


Epidemiology

Women’s Health

Occupational Medicine

Health Disparities

Health Determinants

Global Health

Complementary Medicine

End of Life Care

Drug


Alcohol Abuse

Professionalism

Rehabilitative Care







Biostatistics

Culturally Appropriate Care

Environmental Health

Bioterrorism

Behavioral Science

Human Sexuality

Palliative Pain Control

Biomedical Ethics



2009 GQ
-

Appropriate Training

Below the US Mean


Not Statistically Significant


Use of a Medical Interpreter

Medical Genetics


2009 GQ
-

Appropriate Training

Significantly Below the US Mean


5
th

Percentile



(Nothing)

2009 GQ
-

Appropriate Training

Far, Far Below the US Mean


1
st

Percentile

Do you believe the time devoted to instruction in the
following area was inadequate, appropriate or excessive?


Basic Science Content was sufficiently integrated

Basic Science Content sufficiently illustrates clinical relevance

Basic Science Content prepares student for clerkships

All Clerkships


Faculty member personally observed history

All Clerkships


Faculty member personally observed P.E.

All Clerkships


Faculty members personally provided sufficient

feedback

All Clerkships


Received clear learning objectives

All Clerkships


My performance was assessed against


learning objectives

Surgery and OB
-
Gyn

Clerkships


Residents and Fellows


provided effective teaching


2009 GQ
-

Other Things
Far, Far Above the U.S. Mean


99
th

Percentile


Guidance With Electives

Elective Time

Accessibility of Assoc Dean of Students

Awareness of Concerns


Assoc Dean of Students

Responsiveness of Assoc Dean of Students

Accessibility of Assoc Dean of Education & Curriculum

Awareness of Concerns


Assoc Dean of Education & Curriculum

Participation of Students on Key SOM Committees


2009 GQ
-

Other Things
Far, Far Above the US Mean


99
th

Percentile


Basic Science content objectives and exam content match

closely

Overall Satisfaction With Medical Education

Responsiveness of Assoc Dean of E&C

Financial Aid Administrative Services

Student Relaxation Space



2009 GQ
-

Other Things

Significantly Above the US Mean


95th Percentile


(Nothing)


2009 GQ
-

Other Things

Significantly Below the US Mean


5th Percentile


If it
ain’t

broke, make it
better



How can we implement
those principles to
create an even better
doctor working in an
even better system?



Disruptive Innovations



A Collective Vision for MD Education

Recommendations


I:
Address Individual and Community Needs

II: Enhance Admissions Processes

III: Build on the Scientific Basis of Medicine

IV: Promote Prevention and Public Health

V: Address the Hidden Curriculum

VI: Diversify Learning Contexts

VII: Value
Generalism

VIII: Advance Inter
-

and Intra
-
Professional Practice

IX: Adopt a Competency
-
Based and Flexible Approach

X: Foster Medical Leadership

http://www.afmc.ca/fmec/pdf/collective_vision.pdf


A Collective Vision for MD Education

Recommendations


I:
Address Individual and Community Needs

II: Enhance Admissions Processes

III: Build on the Scientific Basis of Medicine

IV: Promote Prevention and Public Health

V: Address the Hidden Curriculum

VI: Diversify Learning Contexts

VII: Value
Generalism

VIII:
Advance Inter
-

and Intra
-
Professional Practice

IX
: Adopt a Competency
-
Based and Flexible Approach

X:
Foster Medical Leadership

http://www.afmc.ca/fmec/pdf/collective_vision.pdf


7

3

5

2

0

1

9

12

6

4


If it
ain’t

broke, make it
better



How can we implement
those principles to create
an even better doctor
working in an even better
system?



Disruptive Innovations



Heavyweight teams


1.
Adopt a
Competency
Based and
Flexible
Approach


2.
Advance Inter
-

and Intra
-

Professional
Practice


3.
Address
Individual and
Community
Needs


Social
Accountability
and Leadership

EPC
-

Competency
-
Based Curriculum

Ideas in Blue


Policy Action in Red


1.
Bottom
-
Line (Minimum) Competencies


2.
Core and Explore (Clinical Years)


3.
Sequential Rotations


4.
Renew Vertical Assessment of Curriculum (Year Directors)


5.
Tracks for Advanced Students (“Move Excellence Forward”)


6.
Live and Breathe Practices (System Assessment)


7.
New Methods of Assessment


In Training Evaluation, Remediate at Point of Detection, etc.


A.
Informal Discussion


Brainstorming Innovations Group


B.
New Subcommittee


nTIME



New Technologies in
Medical Education


Simulation, Google Wave, etc.

EPC


Inter and Intra Professional Education

Ideas in Blue


Policy Action in Red


1.
Competencies

o
Virtual Office (CQI, Role Play, Simulation)

o
Leadership (Of Integrated Teams, For Health System Improvement)

o
Coordination and Integration: Work at “The Top of the License”, “The Top
of the Degree” (No silos, Proper risk assessment)



2.
Live and Breathe Exemplary Practices

o
Patient
-
Centered Medical Homes and Specialty Practice

o
CARE projects after Year 1


3.
Expand EPC Membership (Other health professionals, lay members)



4.
Explore the total SIU Potential

o
PA,
PharmD
, NP, Midwives, PT/OT, Counseling

o
Collaboration


Community Colleges & Technical Schools


5.
Intraprofessional

o
The Hidden Curriculum


EPC


Individual & Community Needs, Social
Accountability and Leadership

Ideas in Blue


Policy Action in Red


1.
Community Educational Assessment

o
Open Forums



2.
CARE Project after Year 1

o
Boot Camp for Community Assessment or Leadership Training


3.
Tracks for Advanced Students


4.
Leadership Training (For Health System Improvement)

o
Board of Directors


training

o
Utilize Health Professions Leaders

o
Advocacy

o
How to Effect Change







Students


Brandt Whitehurst (2010)


Erin Shafer (2011)


Chris Stephenson (2012)


Joshua
Billington

(2013)


Elected Faculty Members


Reed Williams (2010)


Jodi
Huggenvik

(2010)


Erica Nelson (2010)


Don
Torry

(2011)


Jerry Kruse (2011)


Nicole Roberts (2012)


Susan
Hingle

(2012)



Curriculum Directors


Sandra

Shea, Year 1


Peter Borgia, Year 2


Gina Kovach, Year 3 & SPC


Tracy

Lower, Year 4


Gary

Rull
, Doctoring


Faculty Council Appointee


Ross

Silverman


Ex Officio (Non
-
voting)


Debra
Klamen
,
AssocDEC


Erik Constance,
AssocDSA


Linda
Herrold
,
AsstDSA



EPC Membership


A Collective Vision for MD Education

Recommendations


I:
Address Individual and Community Needs

II: Enhance Admissions Processes

III: Build on the Scientific Basis of Medicine

IV: Promote Prevention and Public Health

V: Address the Hidden Curriculum

VI: Diversify Learning Contexts

VII: Value
Generalism

VIII: Advance Inter
-

and Intra
-
Professional Practice

IX: Adopt a Competency
-
Based and Flexible Approach

X: Foster Medical Leadership

http://www.afmc.ca/fmec/pdf/collective_vision.pdf



If it
aint

broke, make it better



How can we implement those principles to
create an even better doctor working in an
even better system?



Heavyweight teams