Transcript UF College of Medicine: LCME Self-Study Opportunities Ahead Joseph Fantone, M.D. Senior Associate Dean Educational Affairs Joseph Fantone, M.D. Senior Associate Dean of Educational Affairs University of.

UF College of Medicine: LCME Self-Study
Opportunities Ahead
Joseph Fantone, M.D.
Senior Associate Dean
Educational Affairs
Joseph Fantone, M.D.
Senior Associate Dean of Educational Affairs
University of Florida College of Medicine
UF-COM Educational Programs
Medical Students
Graduate Students
Physician Assistant Students
Undergraduate Students
Distant Education Students
Residents and Fellows
Post-doctoral Fellows
CME & MOC
Patient Care
Service
Discovery
Scholarship
Education
UFCOM LCME SELF-STUDY
Summary of Strengths
Quality of Students and Graduates
Quality of Faculty
Quality of Education Program
Dean’s Offices and Student Services
Diversity of the Medical Student Body
Extracurricular Opportunities
Research and Scholarship
University Campus
Clinical Programs - Education Sites
LCME Preliminary Findings
• New curriculum - Faculty highly responsive to
student feedback
• Comprehensive and proactive student counseling
services - highly responsive to student needs
• Admissions process widely praised by students
for patient-centeredness - strong factor in
choosing UF
• Faculty development and mentoring programs
• Accommodations made for space constraints –
New ed. bldg. will address
LCME Preliminary Findings: Opportunities
• Diversity – programs in place – too early to assess
effectiveness
• New curriculum is incomplete – unable to
determine if program objectives have been
attained and competencies realized
• Observation of core clinical skills (history &
physical exam) has not systematically occurred in
each required clerkship – AAMC GQ
• Timeliness of clerkship grades
Diversity: A Commitment to Inclusion
2014-15
Medical students
PA students
Graduate Students
Residents - GNV
Residents - JAX
Faculty - GNV
Faculty- JAX
% URM
Incoming
25.9
13.3
9.0
17.7
20.4
10.9
19.5
% URM
Total
22.3
15.8
8.4
10.6
14.9
7.7
19.6
UF MATCH DAY 2015
MATCH 2015
UF Graduates
Incoming UF
Residents
Match Results (2010-2015)
Outcome
2015
2014
2013
2012
2011
2010
# in Match
121
125
127
131
120
126
Primary care
specialty *
UF-GNV
UF-JAX
Florida: total
* Includes Ob-Gyn
Match Results (2010-2015)
Outcome
2015
2014
2013
2012
2011
2010
# in Match
121
125
127
131
120
126
Primary care
specialty *
42 %
47 %
41 %
44 %
35%
38%
UF-GNV
UF-JAX
Florida: total
* Includes Ob-Gyn
Match Results (2010-2015)
Outcome
2015
2014
2013
2012
2011
2010
# in Match
121
125
127
131
120
126
Primary care
specialty *
42 %
47 %
41 %
44 %
35%
38%
UF-GNV
22 %
23 %
23 %
9%
17%
14%
UF-JAX
2.4 %
3.2 %
2.4 %
5.3 %
3.3 %
2.3 %
Florida: total
* Includes Ob-Gyn
Match Results (2010-2015)
Outcome
2015
2014
2013
2012
2011
2010
# in Match
121
125
127
131
120
126
Primary care
specialty *
42 %
47 %
41 %
44 %
35%
38%
UF-GNV
22 %
23 %
23 %
9%
17%
14%
UF-JAX
2.4 %
3.2 %
2.4 %
5.3 %
3.3 %
2.3 %
Florida: total
32 %
36 %
31 %
23 %
27%
26%
* Includes Ob-Gyn
2015 RESIDENCY MATCH UF-COM
SPECIALTY
Anesthesiology
Cardiothoracic
Surgery
Dermatology
Emergency
Medicine
Family
Medicine
Medicine
Med - Peds
Neurology
Neurosurgery
OB-GYN
Ophthalmology
# STUDENTS # UF-GNV
(%)
+ UF JAX
4 (3.3)
1
1 (0.8)
4 (3.3)
2
14 (11.5)
1+3
7 (5.7)
1
18 (14.8)
2 (1.6)
2 (1.6)
4 (3.3)
8 (6.6)
5 (4.1)
8
1
1
1
3
SPECIALTY
Orthopedics
Otolaryngology
Pathology
Pediatrics
Plastic Surgery
Prelim. Medicine
Prelim. Surgery
Psychiatry
Radiation
Oncology
Radiology
Surgery
Urology
TOTAL
# STUDENTS # UF-GNV
(%)
+ UF JAX
3 (2.5)
2 (1.6)
2 (1.6)
16 (13.2)
1 (0.8)
3 (2.5)
1 (0.8)
3 (2.5)
1
4 (3.3)
1
8 (6.6)
7 (5.7)
2 (1.6)
121
1
1
2
2
30 (25 %)
OUTSTATE PROGRAM MATCHES
Beth Israel – Boston
Children’s Hospital-Boston
Children’s Hospital-Philadelphia
Colorado
Duke
Emory
Mayo - Rochester
M.D. Anderson
MGH
Michigan
Mt. Sinai – New York
NYU
Oregon
Stanford
UAB
UCSF
UTSW – Dallas
Washington University
TOTAL
# STUDENTS
1
1
1
1
1
3
2
1
1
2
2
1
1
2
1
1
6
1
29 (24%)
School of Physician Assistant Studies
• 60 students per year: 24 month program
• Surgery, CCU, and EM: most popular
• Approx. 30% enter primary care
• 2014: all graduates had jobs within 3 months of
graduation
• Distinguished Young Alumnus
Award: David Indarawis ,
Director of Clinical Education
School of Physician Assistant Studies:
Opportunities & Challenges
• New clinical affiliations:
Competition for clinical sites
o FSU med school
o 5 PA programs in the state - expansion
o Payment up to: $2000/mo./student
• Funding and costs of tuition
• Independent practice: Florida Academy of PAs – PAs
are part of a healthcare team headed by a physician
School of Physician Assistant Studies
Accreditation Review Commission on Education for
Physician Assistant (ARC-PA)
Self-study underway – submitted May 2015
Site visit: June 12-13, 2017
Graduate Programs
New Programs
IDP-BMS: Cancer Biology Concentration
Medical Physics
Certificate Programs and Distant Education Courses
Opportunities
Recruitment
Stabilize Funding Model for Ph.D.
(~ $42,000/yr.)
Curriculum: Flexible and design
for future workforce needs
IDP-2
Department or Program
2013-14
Biochemistry and Molecular
Biology
Genetics
Immunology and Microbiology
Molecular Cell Biology
Neuroscience
Physiology and Pharmacology
Cancer Biology
Interdisciplinary Program in
Biomedical Sciences
Epidemiology
Biostatistics
Genetics & Genomics
Clinical and Translational
Science
Health Outcomes and Policy
Translational Biotechnology
Medical Science
# of Master’s
Students
# of Doctoral
Students
0
23
0
0
0
0
0
new
35
41
20
39
19
new
0
20
33
14
0
26
16
26
5
0
3
2
7
0
0
0
IDP-BMS Admissions
Total
%
%
Offers Enrolled
Apps
Offers Enrolled
20082009
20092010
20102011
20112012
20122013
20132014
20142015
20152016
359
92
49
26
53
308
70
37
23
53
289
84
43
29
51
333
64
30
19
47
290
69
41
24
59
274
60
25
22
42
239
66
44
26
67
294
58
28+
20
UF College of
Medicine
Celebration of
Research
Graduate Student
Medical Guild
Awards
Medical Student Research: MSRP
Year
2012
2013
2014
# Medical
Students
82
92
95
Percent of Class
60.7
69.7
70.9
Undergraduate Student Teaching
•
•
•
•
•
BMS 4905: Senior Research (>320)
BMS 3521: Human Physiology
MDU 4000+: 5 Junior Honors Courses
MDU4000+: 5 Psychiatry Courses
BMS 400?: New Histology
UFCOM Strategic Plan
https://oea.sites.medinfo.ufl.edu/files/2014/10/UFCOM-Strategic-Plan-20141.pdf
Strategic Plan
UFCOM Strategic Plan
I. Excellence in Education: 9 objectives and 34 Strategies
OBJECTIVE 1: Recruit the brightest, most empathetic and serviceoriented students who possess leadership potential and reflect the
diversity of the state of Florida and nation. Engage in ongoing, systematic
and focused efforts to attract and retain students from diverse
backgrounds.
OBJECTIVE 2: Enhance the curricula of our educational programs to
improve students’ ability to master educational program learning
outcomes and stated competencies.
OBJECTIVE 3: Promote individual academic pursuits.
OBJECTIVE 4: Promote the career development of teaching faculty.
OBJECTIVE 5: Promote service learning in the educational programs.
OBJECTIVE 6: Recruit the highest quality applicants of diverse
backgrounds for our Graduate Medical Education (GME) programs.
UFCOM Strategic Plan
OBJECTIVE 7: Train the next generation of excellent medical and
biomedical science educators.
OBJECTIVE 8: Integrate patient safety and quality improvement training
into all health care-related educational programs.
OBJECTIVE 9: Develop students, trainees and faculty into lifelong learners.
Strategy: Engage students in interprofessional and collaborative teambased patient care, education and research.
Strategy: Leverage technology to promote individualized self-directed
education.
Strategy: Stabilize funding support for graduate education programs.
Strategy: Develop and implement assessments of Entrustable Professional
Activities (EPAs) for each developmental transition
Timothy Flynn, M.D., Chair
Senior Associate Dean for Clinical affairs
University of Florida
Motivation: Patient Safety
“… aligning the professional development at the UME-GME
transition with safe, effective, and compassionate care.”
What do we want the person to do?
EPA 1: Gather a history and perform a physical examination
EPA 2: Prioritize a differential diagnosis following a clinical encounter
EPA 3: Recommend and interpret common diagnostic and screening
EPA 4: Enter and discuss orders and prescriptions
EPA 5: Document a clinical encounter in the patient record
EPA 6: Provide an oral presentation of a clinical encounter
EPA 7: Form clinical questions and retrieve evidence to advance
patient care
EPA 8: Give or receive a patient handover to transition care
responsibility
EPA 9: Collaborate as a member of an interprofessional team
EPA 10: Recognize a patient requiring urgent or emergent care and
initiate evaluation and management
EPA 11: Obtain informed consent for tests and/or procedures
EPA 12: Perform general procedures of a physician
EPA 13: Identify system failures and contribute to a culture of safety and
improvement
EPA 1: Gather a history and perform a
physical examination
Description of the activity: “Day 1 residents should be able to do …….”
Functions:
History: examples
• Obtain a complete and accurate history in an organized fashion.
• Demonstrate patient-centered interview skills ……..
Physical Exam: examples
• Perform a complete and accurate physical exam in logical and fluid
sequence.
• Identify, describe, and document abnormal physical exam findings.
Curriculum
Assessments
Clinical Skills Exams
THE POWER OF TOGETHER
UF Health Strategic Plan 2015 – 2020
Patient Care
Service
Discovery
Scholarship
Education
UF Health: Education
“UF Health professional and academic programs will produce
graduates who excel and lead in clinical care, science, teaching,
and community health.”
Goal #1: Train leaders of the future in science, the health
professions, education and community service
Goal #2: UF HSC is an inclusive learning community.
Goal #3: UF Health interprofessional and team learning programs
are nationally recognized for excellence and innovation.
Goal #4: Professionals and scientists training at UF HSC are
prepared for a technology-facilitated career.
Goal #5: UF HSC graduates are prepared for a broad range of
science careers
UF Health Research (6 total)
Goal #3: Support research and research training programs of
existing research faculty at UF Health.
Goal #4: Attract well prepared and highly motivated graduate
students and chart new pathways for developing the translational
workforce
Goal #5: UF Health will become a leading Learning Health System.
UF Health Clinical (8 total)
Goal 5: UF Health will provide integrated team care throughout
the patient experience
George T. Harrell, M.D.
Medical Education
Building
Thank You
Patient Care
Service
Discovery
Scholarship
Education