Update on Undergraduate Medical Education Medical Faculty ... · Update on Undergraduate Medical Education Medical Faculty Senate Gail Morrison, MD Senior Vice Dean for Education

Update on Undergraduate Medical Education

Medical Faculty Senate

Gail Morrison, MD Senior Vice Dean for Education

Director of Academic Programs

Professor of Medicine

April 26, 2017

http://dburkephoto.smugmug.com/Penn-Medicine-Development/15-080-Date-32015-Match-Day/48128483_39CpWm#!i=3942337981&k=sFBMSW4

2

2

1. 2016 Entering Class

2. 2017 Graduating Class

3. Curriculum Update 2016 – 2017

4. Yearly Update 2016 - 2017

Update on Undergraduate Medical Education

3

3

PSOM Students – Recruitment for 2014 - 2016

School of Medicine continues to attract large numbers of

applications and recruits exceptionally strong students:

Demographics 2014 2015 2016 2017

Total Applications 5,742 5,436 5,720 6,200

Class Size * 157 * 156 * 146 * 150 *

Selectivity Ratio

(accepted/offers) 66% 64% 63% TBA

Yield

(offers/total applications) 4.1% 4.5% 4% TBA

* This includes new admits only (does not include OMF’s and returning students

4

4

The Best and the Brightest for 2014 - 2016

*Non-traditional students spend one or more years post college in activities prior to beginning medical school.

Demographics 2014 2015 2016

Gender (% M/F) 55/45 53/47 50/50

UIM (%) 25% 23% 26%

Combined Degree (%) 15% 15% 15%

Mean GPA 3.83 3.85 3.84

Mean MCAT’s 37.6 37.4

37.8

518

97%

Nontraditional Students* (%) 65% 68% 68%

5

5

2016 Incoming Class

Group of diverse students with diverse experiences and achievements prior

to entering PSOM:

4 Fulbright scholars

A number have received Goldwater, Gates-Cambridge and Thouron

awards and a Howard Hughes Fellowship award

Performed research at NIH, Penn, Yale, Harvard, Duke, Stanford, Johns

Hopkins, Sloan Kettering, Columbia

Volunteered abroad in health clinics for the underserved, worked in the

pharmaceutical and biotech industries, and Teach for America

Many have published and presented articles in journals and at national

conferences

One of our students has served our country in Afghanistan in the US Army

Infantry. Received both a Purple Heart and Bronze Star medal.

Global experiences: Africa, Central America, South America, Asia, India

and the Middle East

Recognized athletes and many with diverse artistic talents and musical

interests

6

6

2016 2017

Total graduates 140 176

Total residency

placements 132 170

Matching at

University Program 128/140 = 91% 165/176 = 94%

Matching at

Community Based

Program

4/140 = 3% 5/176 = 3%

Total graduates not

entering Match 8/140 = 6% 6/176 = 3%

Penn Med Residency Match Data

Primary Care 40.00% Family Medicine 3.53% Internal Medicine 24.12% Pediatrics 10.59% Medicine Peds 1.76%

Surgery Specialties 24.12% General Surgery 7.06% Neurosurgery 1.76% Ophthalmology 5.29% Oral Maxillo-Facial Surgery 1.76% Orthopaedic Surgery 5.29% Otolaryngology 1.76% Plastic Surgery 1.18% Urology 0.59%

Other Specialties 35.30% Anesthesiology 5.88% Dermatology 4.71% Emergency Medicine 3.53% Neurology 4.71% Obstetrics & Gynecology 2.35% Pathology 2.35% Physical Medicine & Rehab 0.59% Psychiatry 8.24% Radiation Oncology 1.18%

Specialty Match Data 2017

7

8

8

Number of

Students % of Students Matching

Total 65 38%

HUP 49 29%

CHOP 12 7%

Scheie 4 2%

Matching at Penn - 2017

9

9

Matches at Other Premier Institutions: Class of 2017

9

Institution # of Students Matched

Harvard

• Brigham & Women’s Hospital

• Massachusetts's General Hospital

• Beth Israel Deaconess

• Spaulding Rehab Hospital

16 Total

(7)

(5)

(3)

(1)

UC San Francisco-CA 7

Stanford Univ Progs – CA 7

NYP Hosp-Columbia Univ Med Ctr-NY 6

Northwestern/McGaw 6

Yale-New Haven Hosp-CT 5

NYU School Of Medicine 4

Temple Univ Hosp-PA 4

NYP Hosp-Weill Cornell Med Ctr-NY 3

UCLA Med Center 3

UPMC Med Education 3

Vanderbilt Univ Med Ctr-TN 3

Johns Hopkins Hosp-MD 2

Thomas Jefferson Univ 2

Icahn SOM at Mount Sinai-NY 2

Univ of Southern California 2

Oregon Health & Science Univ 2

Hosp For Special Surgery 2

10

10

Graduating Class 2017

170 residency locations

New England

10%

New York

11%

Pennsylvania

45%

Texas

3%

Illinois

4.2%

California

13%

Pennsylvania = Philadelphia -- Pittsburgh

New England = Boston -- Connecticut

California = San Francisco -- Los Angeles

Each = 1 individual

11

11

More than an MD Degree 2012-2017

MD + 2012 2013 2014 2015 2016 2017

MD/Master of Bioethics (MBE) 5 15 8 7 5 7

MD/Master of Business Administration (MBA) 10 5 7 6 7 9

MD/Master of Public Health (MPH) 3 2 3 4 5 13

MD/Master of Science in Clinical Epidemiology (MSCE) 2 0 0 1 0 0

MD/Master of Science in Translational Research (MTR) 2 5 4 4 1 7

MD/Master of Science in Health Policy Research (MSHP) 0 0 0 0 1 0

MD/Master of Science 1 1 0 3

0 2

TOTAL MASTER’S 23 28 22 25 19 38

DUAL

DEGREES

MD/PhD 14 23 19 24 17 22

MD/JD n/a n/a n/a n/a n/a 0

MD/Oral

Maxillofacial

Surgery (OMF) 3 2 3 3 3 3

12

12

More than an MD Degree 2012-2017

Update: Gail Morrison

CERTIFICATES 2012 2013 2014 2015 2016 2017

Bridging the Gaps and

Bridging the Gap Scholar 0 1 3 1 1 4

Clinical Neuroscience 6 5 5 2 6 4

Global Health 4 2 5 3 3 3

Healthcare Management, Entrepreneurship

& Technology N/A N/A 2 1 7 5

Medical Education N/A N/A N/A 4 6 7

Public Health Medicine N/A N/A N/A 4 6 10

Research Year Certificate 22 16 29 16 18 21

Women's Health & Women's Health Research 5 7 8 10 9 5

TOTAL 37 31 52 41 56 59

13

13

Curriculum Update

1. Report of LCME visit (June 2016)

2. Safety Net

3. Curriculum Changes

4. Wellness Initiatives

14

14

Survey Visit for Full Accreditation January 10-13, 2016

1. Outcome of LCME on June 14-15, 2016 meeting

LCME Determination: Continue full accreditation of medical education

program for an eight year term

Next Full Survey: 2023-24 Academic Year

Status Report: Due April 2, 2018

• Academic Environment

Provide data by classes on student knowledge of and satisfaction with the

Safe and Healthy Learning Environment policy (AKA: Mistreatment Policy)

• Educational Resources and Infrastructure

Provide data on availability of study/lounge/storage space; IT support; and

library resources/staff

• Monitor and report on direct observation of students on core clinical skills

(e.g., surgery, ob-gyn) and mid-course feedback (e.g., ob-gyn)

LCME

15

15

SAFETY NET

Just-in-time Tracking of a Safe and Healthy Learning Environment

(AKA-Mistreatment Policy and Procedure)

UPHS uses a Safety Net (SN), located on the UPHS main intranet site (also can be

accessed outside UPHS via a VPN), to collect information regarding safety issues

including instances of unprofessional behavior

As of January 2017, all medical students, 24/7, anonymously can report occurrences

of mistreatment that they have either experienced themselves or have observed in

interactions with others

Report includes: behaviors outlined in *Question 39 yearly AAMC graduation questionnaire

• Specific event type: e.g., humiliated

• Discipline: e.g., surgery

• Role of person: e.g., Faculty

• Description of what occurred: e.g., called “stupid”

• Location: O.R. at Pennsylvania Hospital

• Type of person affected if other than self: also nurse called an “idiot”

All reports are sent daily to APO and to CMO of Penn Medicine and are reviewed for trends,

and decisions of next steps made expeditiously when needed

* Attachment at the end of presentation-see question 39

16

16

CURRICULUM

Reviewing and revising, if needed, all lectures and small group cases

across

modules 1 and 2

Expanding required core Ultrasound curriculum

• Embedded as of 2016: Modules 1 and 2

• Implementing into core clerkships specifically Medicine, Ob/Gyn and

Emergency Medicine

Expanding Topics

• Opioid use and abuse

Dr. Michael Ashburn, Dr. Jean Marie Perrone

• Nutrition

Participating in HRSA grant-MS Weight Study-(counseling stress)

• Cancer Biology and personalized medicine

17

17

Expanding and implementing Wellness Programs* for

medical students: Prevention and Intervention

• Academic → managing academic stress on mental stability

• Emotional → being able to understand and cope with one’s feelings

• Spiritual → growth of one’s sense of meaning in life

• Intellectual → expanding one’s knowledge, skills and creativity

• Physical → proper eating habit, exercises and mental health

• Social → creating positive relationships with others

• Career → finding purpose and satisfaction in one’s work

CURRICULUM-continued

* See attachment at end of presentation

18

18

Curriculum Outcomes

Assessments

19

19

2008-2016 Step 1 Performance

221 221 222

224

227 228

229 229 228

239 239

242

240

243

246 246

244 244

205

210

215

220

225

230

235

240

245

250

2008 2009 2010 2011 2012 2013 2014 2015 2016

Me

an

Sc

ore

Year of Exam National Mean U of Penn Mean

20

20

2007-08 - - 2014-16 Step 2 CK Performance

226

229 230

233

237 238

240 240

242

238 237

241

245

251 250

251

249 250

210

215

220

225

230

235

240

245

250

255

2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16

Me

an

Sc

ore

Year of Exam National U of Penn

21

21

2007-08 - - 2014 -16 Step 2 CS Passing Rate

97 97 97 98 97 98 96 96 96

99 98 99 98 98 100

98 99 99

0

20

40

60

80

100

2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16

% P

ass

Year of Exam National % U of Penn %

22

22

MD+ Programs

Vast Resources/Interdisciplinary Student Dual Degrees (5 years)

• MD/PhD (8 years)

• MD/JD

• MBE – Master of Bioethics

• MBA-Master of Business Administration

• MSCE-Master of Science in Clinical

Epidemiology

• MTR-Masters in Translational Research

• MPH-Master of Public Health

• MSHP-Masters of Science Program

in Health Policy Research

• MSME-Master of Science in Medical Ethics

• ML-Master in Law and Health

Certificates (4 years)

• Clinical Neuroscience

• Community Health (Bridging the Gaps)

• IMPaCT – Health Care Disparities

• Global Health

• Healthcare Management,

Entrepreneurship,

and Technology (H-MET)

• Law

• Medical Education

• Public Health Medicine

• Research

• Sayre Clinic

• Spirituality and Health

• Women’s Health

Fifth Year Fellowship-Research

23

23

Yearly Update: 2016 - 2017

Successfully recruited outstanding entering class 2016

Graduating class (2017): Outstanding Match across all

disciplines

US News & World Report Rank: #5

Continue to expand and implement new programs with support

of our outstanding faculty and staff and their commitment to

teaching our exceptional students

24

24

Request a Vote

MS1 Wellness Programming

Required ElectiveEstimated

Cost

Supported

by:

Prevention (P)

or Intervention

(I)?

AOA: Tutoring Service and Study Skills

Workshop

OSA P

Bi-weekly meetings (? need more info)

GHHS Peer Mentoring OSA P, I

Learning Teams Curriculum P, I

Master Clinicians OSA P, I

OSA Faculty and Staff OSA P, I

PDI Faculty Office Hours PDI P, I

Administer a burnout tool (e.g. Maslach

Burnout Inventory) once/yr.

P, I

CAPS Toolkit OSA P, I

Shedding the Burden of Perfectionism

Session (October)

Curriculum P

Stress Awareness: Symptoms, Neurobiology

and Recovery Session (Jan/Feb at start of

B&B) Curriculum P

A Look Back: What is Sustaining and

Draining You (June) Curriculum P

Caritas 200$ MSG P

Healer’s Art I 540$ PDI P

Maimonides Society 350$ MSG P

Open Meditation Sessions 350$ MSG P

Penn Med Christian Fellowship MSG P

Penn Med Yoga 2,000$ PDI P

Wellness is defined as a dynamic and ongoing process involving self-awareness and healthy choices resulting in a

successful, balanced lifestyle. Components of Wellness (derived from gutsygirlwellness.wordpress.com):

Spiritual

Emotional

Academic

Academic → Managing academic stresses on mental stability

Emotional → Being able to understand and cope with one's feelings

Spiritual → Growth of one's sense of meaning in life

Intellectual → Expanding one's knowledge, skills, and creativity

Physical → Proper Eating habits, exercise, and medical health

Social → Creating positive relationships with others

Career → Finding purpose and satisfaction in one's work



Cost

Supported

by:

Prevention (P)

or Intervention

(I)?

Penn Med Orchestra -$ MSG P

Penn Med Salsa -$ MSG P

Penn Med Ultrasounds 350$ MSG P

Perelman Narrative Medicine 400$ MSG P

Various lunch talks P

Anatomy Yoga Curriculum P

Field Day OSA P

MSG: Healthy Eating Workshop, Fitness

Buddy System, and activities at Penn Park

after exams

150$ MSG P

MS1 Backpacking Trip 2,040$ PDI P

Penn Med Soccer 500$ MSG P

Penn Med Ultimate Frisbee MSG P

Book Club P

Challenges Among Us dinners

850$

MSG, OSA

and PDI P

House system events, including: Dinners

with Advisory Deans and Master Clinicians;

Community Conversations; Dinners with

Acquaintances; Happy Hours; House Lunch

Time; all-House social events

MSG and

OSA P

GHHS: Pet Therapy and National Solidarity

Week for Compassionate Care

P


MS1 Backpacking Trip PDI P

MSG: Penn Med Formal, Media Screening

and Games Night, and Perelman Pals

MSG P

Office of Development events P


PDI: Penn RE-View and Faculty Office Hours

PDI P, I

Healer’s Art I PDI P



Total 7,730$

Intellectual

Physical Health

Social

Career



Cost

Supported

by:

Prevention (P)

or Intervention

(I)?

AOA Tutoring Service and Study Skills

Workshop

OSA P

AOA/GHHS Intro to the Clinics (December)

OSA P


GHHS: Peer Mentoring and Clinical

Resources Webpage Initiative

OSA P





Reorientation: Surviving the Clinics with

Your Soul Intact with Ken Ginsburg

P



P, I


Processing Difficult Emotions (April) Curriculum P

Understanding Burnout (December) Curriculum P

Wellness in the Clinics Round Robin P

Caritas 200$ MSG P




Penn Med Yoga 2,000$ PDI










Academic

Emotional

Spiritual



Cost

Supported

by:

Prevention (P)

or Intervention

(I)?


Penn Med Salsa -$ P



Various lunch talks P

Fitness Buddy System 300$ MSG P



Book Club P


850$

MSG, OSA

and PDI P






MSG and

OSA P

GHHS: Clerkship Student Support Initiative,

Pet Therapy, and National Solidarity Week

for Compassionate Care

P




MSG P






Total 5,300$

Physical Health

Social

Career

Intellectual



Cost

Supported

by:

Prevention (P)

or Intervention

(I)?


Workshop

OSA P




OSA P







P, I


Energy Balance Exercise (September, prior

to 3rd block)

Curriculum P

Recovering from the Clerkship Year

(January, maybe again in March)

Curriculum P

Caritas 200$ MSG P














Academic

Emotional

Spiritual



Cost

Supported

by:

Prevention (P)

or Intervention

(I)?








Book Club P


850$

MSG, OSA

and PDI P




P






MSG and

OSA P

Learning Teams P, I


and Games Night , and Perelman Pals

MSG P






Total 5,300$

Physical Health

Social

Career

Intellectual



Cost

Supported

by:

Prevention (P)

or Intervention

(I)?


Workshop

OSA P




OSA P

Learning Teams Curriculum P






P, I


Caritas 200$ MSG P














Academic

Emotional

Spiritual



Cost

Supported

by:

Prevention (P)

or Intervention

(I)?








Book Club P


850$

MSG, OSA

and PDI P




P






MSG and

OSA P

Learning Teams P, I

MSG: Penn Med FormaL, Media Screening


MSG P




Healer's Art II PDI P



Total 5,300$

Physical Health

Social

Career

Intellectual

Documents

Update on Undergraduate Medical Education Medical Faculty ... · Update on Undergraduate Medical Education Medical Faculty Senate Gail Morrison, MD Senior Vice Dean for Education