Transcript Flexible Clinical Experiences (FCE) AY2014-2015 Annual Report to the CCE Curriculum Committee

Flexible Clinical Experiences (FCE)
AY1415: Review
Samir Malkani MD
Colleen Burnham MBA
December 14, 2015
FCE Program Description
• Four, one-week electives, embedded in the third year Core
Clinical Experiences curriculum
• Provides opportunity for individual exploration in a broad range
of specialties related to healthcare
• Aims to provide exposure to areas not covered by the core
curriculum.
• Student driven, to allow for career exploration and to discover
one’s interests
Specific Program Objectives
1.
2.
3.
4.
Career exploration and development
Exposure to evolving and cutting-edge branches of medicine
not covered in the core curriculum
Provide opportunity to work with recognized experts in
medicine and allied sciences
Exposure to novel concepts and systems of care
Outline
• Student Evaluation Data
• What worked particularly well...
• Implementation of recommendations made in AY1314
for program improvement
– Data where applicable
• Proposed changes
• Concerns for committee consideration
Student Evaluation Data 2014-2015
What worked particularly well…
• The wide variety of faculty designed offerings spanning
all departments in the medical school
• Increase in number and variety of student designed
experiences
• All students have completed the experiences successfully
and been granted credit
Hosting Department
AY1213
AY1314
AY1415
Medicine
242
218
170
159
Family Medicine & Community Health
89
112
34
131
Pediatrics
58
105
76
112
Surgery
111
93
39
71
Radiology
22
22
21
53
Anesthesiology
74
75
55
48
Obstetrics & Gynecology
67
62
53
47
Pathology
30
38
39
40
Orthopedics & Physical Rehabilitation
68
103
24
35
Psychiatry
53
51
33
34
Neurology
23
9
15
18
Emergency Medicine
49
46
12
12
Radiation Oncology
28
7
7
12
Ophthalmology
9
8
11
10
Urology
2
11
9
8
Program in Molecular Medicine
0
4
0
3
Quantitative Health Sciences
0
0
3
1
Biochemistry & Molecular Pharmacology
0
0
0
0
Cancer Biology
1
0
0
0
Cell Biology
0
4
0
0
Microbiology & Physiology Systems
0
0
0
0
Neurobiology
0
0
0
0
Otolaryngology
0
2
0
0
0
926
0
970
34
635
TBD (student design)
Question 1: Broad Range of Specialties and Offerings
AY1516*
0
794
Question 1: Wide variety of course offerings
• Wide variety of pre-designed experiences across all disciplines of medicine
 AY1213: 84 pre-designed & 84 student designed across 15 departments*
 AY1314: 89 pre-designed & 116 student designed across 18 departments*
 AY1415: 82 pre-designed & 135 student designed across 22 departments*
 AY1516: 90 pre-designed & 104 student designed (so far) across 22
departments!
• Careers in fields not traditionally related to medicine
–
–
–
–
Office of General Counsel (legal needs of the Umass Medical Center)
Health Insurance Policy
AGILE information technology management
Global Health Policy
*the EPC identifies 22 formal departments; Urology added AY1415
Question 1: wide variety of course offerings
Student Design FCEs since program implementation
153 (32%)
120 (25%)
114 (21%)*
91 (18%)
AY1213
AY1314
AY1415
*6 FE terms into the 10 term academic year
Question 1: Increase in student designed experiences
AY1516
How improvement suggestions were implemented
Proposed change #1 Outcome
EVOS: student
preference and
scheduling
Enrollment process partially improved; however, PSCS not conducive
environment for all hoped for changes (ie, schedule changes continue to
be processed by hand)
Goal was to increase
automation of the
enrollment process
 PSCS (student)
schedule change
management
 Program
management:
enrollment &
grades

Reduced redundancy in enrollment & grading processes
 IREA direct access to enrollment data (SharePoint)
 Reduced OSA involvement
 Bulk/batch upload enrollment (FCE program)
 Reduced registrar office work
 Program access to input grades to PSCS
How improvement suggestions were implemented
Proposed change #2 Outcomes
Faculty and Student
Focus Groups.


Obtain student

feedback on how well
course meets its
objectives

Faculty feedback re:
results & rewards
Poor attendance at Student Focus group in Spring 2015
Pursuing scheduling focus group on interstitial day
o We have been in touch with Julie Jonassen and Mary Philbin
Faculty Focus group in Retreat format scheduled for January 8,
2016
o Good response (26) faculty members are scheduled to attend
and share their feedback
Implemented program evaluation in addition to course and faculty
evaluations to get student feedback regarding four program
objectives.
o 113 students have provided feedback- results are very
encouraging
o Curriculum Development Summer student administered
surveys to pre-clinical students to analyze program
expectations (K. Li)
o A fourth year student analyzed the impact of the FCE in
preparing students for a career in surgical specialties (D.
Perry)
How improvement suggestions were implemented
Proposed change #3
Outcomes
Increase Faculty
We were able to increase faculty offered experiences
Recruitment to increase
the number of offered
 Direct mailing to faculty
courses (experiences)
 one on one communication
 FMCH retreat attendance
 Student design faculty staying with the program
Data for Faculty Recruitment shown previously in “what worked well…”
Assessment of how the FCE Program meets the
objective: Career Exploration and Development
To formally assess how well the FCE meets this objective we…
• Surveyed classes of 2014 - 2016
• Compared FCEs completed with residency match
• Developed End of Year Program Evaluation (specifically for
this objective)
• Summer Curriculum Development Student to continue work
Proposed Change #2: Student feedback on course objectives
Survey #1: Classes of 2014-2016 (Perry, 2015)
How important were the following experiences in deciding to
pursue the field you are in or going in to?
Pre-medical experience
10%
Pre-clinical medical school experience
10%
3rd year core clerkship rotation
63%
3rd year surgery clerkship specialty…
69%
3rd year Flexible Clinical…
37%
4th year rotation or sub-internship
other (specify below)
63%
6%
0% 10% 20% 30% 40% 50% 60% 70% 80%
Most important
Perry, 2015
Proposed Change # 2: student feedback on course objectives
Flexible Clinical Experiences as career decision factor
Surgeons
1
2
10
No impact on my
decision
Non-Surgeons
7
19
9
Somewhat important
4
Most important
Core
6
Non-Core
17
2
0%
4
20%
11
2
80%
100%
8
40%
60%
Perry, 2015
Proposed Change # 2: student feedback on course objectives
N/A
Survey #2: Pre-FCE on career expectations
Classes 2018, 2019 (n = 135)
Li, 2015
Proposed Change # 2: student feedback on course objectives
Survey #3 Post-FCE assessment of Career
Exploration: Agree
sparked interest in a new field that I
am now planning to enter
55%
one or more of your four FCEs
helpful in career planning
made me decide not to pursue a field
in which I was previously interested
End of Year Program Evaluation AY1415
Proposed Change # 2: student feedback on course objectives
97%
62%
Objective 2: Exposure to evolving and cutting-edge
branches of medicine not covered in the core curriculum
93%
7%
disagree
agree
End of Year Program Evaluation AY1415
Proposed Change # 2: student feedback on course objectives
Objective 3: Provide opportunity to work with
recognized experts in medicine and allied sciences
95%
5%
disagree
agree
End of Year Program Evaluation AY1415
Proposed Change # 2: student feedback on course objectives
Objective 4: Exposure to novel concepts and
systems of care
5. provided exposure to innovative
experiences
4. provided exposure to novel
healthcare concepts or systems of care
not normally available within the core
clinical experience
End of Year Program Evaluation AY1415
Proposed Change # 2: student feedback on course objectives
96.56
97.39
Changes for AY2015-2016, 2016-2017
Proposed change
Rationale
 Faculty have communicated they are not clear about
the expectation of a Capstone-specific FCE
 Students seem to use the two FCE terms to continue
work on their capstone project without a clearly
defined objective specific to the FCE week
 Capstone FCEs frequently designed around selfstudy in the library
Make changes based on the
We need to respond to feedback from students and
feedback obtained from the planned faculty on how well the program is working for all
faculty and student sessions
involved.
Investigate a more streamline
Current system is prone to breakdown. Over 500
process (ie, application) for record
experiences each year from over 1000 slots are
keeping for a program with so many manually managed, by a single person, after initial
moving parts.
EVOS process. Enrollment records maintained in
SharePoint. (PSCS)
Current enrollment flexibility allows for high number
of last minute student change requests
Clarify requirements for using selfdesigned FCEs for the benefit of
Capstone Projects to Capstone
faculty and to rising MS3s
Question 3: proposed future changes
Problem and concerns for committee consideration
• Technology- ideas for technology solutions or software for record
keeping, enrollment and grading
• Ideas for experiences with recognized experts and cutting-edge and
novel areas of health sciences including information technology, public
health policy, global health
• Increase faculty and student awareness of appropriate use of FCE time
Contact FCE Program
[email protected]
FCE Program website
http://umassmed.edu/oume/fce