uf college of medicine: lcme self-study opportunities ahead joseph fantone, m.d. senior associate...
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UF College of Medicine: LCME Self-Study Opportunities Ahead
Joseph Fantone, M.D.Senior Associate Dean of Educational Affairs
University of Florida College of Medicine
Joseph Fantone, M.D.Senior Associate Dean
Educational Affairs
UF-COM Educational ProgramsMedical Students
Graduate Students
Physician Assistant Students
Undergraduate Students
Distant Education Students
Residents and Fellows
Post-doctoral Fellows
CME & MOC
Patient Care
EducationDiscovery
Scholarship
Service
UFCOM LCME SELF-STUDYSummary 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
2014-15 % URM Incoming
% URM Total
Medical students 25.9 22.3PA students 13.3 15.8Graduate Students 9.0 8.4Residents - GNV 17.7 10.6Residents - JAX 20.4 14.9Faculty - GNV 10.9 7.7Faculty- JAX 19.5 19.6
Diversity: A Commitment to Inclusion
UF MATCH DAY 2015
UF Graduates
Incoming UF Residents
MATCH 2015
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 # STUDENTS (%)
# UF-GNV + UF JAX
Anesthesiology 4 (3.3) 1Cardiothoracic Surgery 1 (0.8)
Dermatology 4 (3.3) 2Emergency Medicine 14 (11.5) 1 + 3
Family Medicine 7 (5.7) 1
Medicine 18 (14.8) 8Med - Peds 2 (1.6) Neurology 2 (1.6) 1Neurosurgery 4 (3.3) 1OB-GYN 8 (6.6) 1Ophthalmology 5 (4.1) 3
SPECIALTY # STUDENTS (%)
# UF-GNV + UF JAX
Orthopedics 3 (2.5) 1Otolaryngology 2 (1.6) Pathology 2 (1.6) Pediatrics 16 (13.2) 2Plastic Surgery 1 (0.8) Prelim. Medicine 3 (2.5) 2Prelim. Surgery 1 (0.8) Psychiatry 3 (2.5) Radiation Oncology 4 (3.3) 1
Radiology 8 (6.6) 1Surgery 7 (5.7) 1Urology 2 (1.6) TOTAL 121 30 (25 %)
OUTSTATE PROGRAM MATCHES # STUDENTSBeth Israel – Boston 1Children’s Hospital-Boston 1Children’s Hospital-Philadelphia 1Colorado 1Duke 1Emory 3Mayo - Rochester 2M.D. Anderson 1MGH 1Michigan 2Mt. Sinai – New York 2NYU 1Oregon 1Stanford 2UAB 1UCSF 1UTSW – Dallas 6Washington University 1TOTAL 29 (24%)
• 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
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 - expansiono 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 ProgramsIDP-BMS: Cancer Biology Concentration
Medical Physics Certificate Programs and Distant Education Courses
OpportunitiesRecruitment
Stabilize Funding Model for Ph.D. (~ $42,000/yr.)
Curriculum: Flexible and design for future workforce needs
IDP-2
Department or Program # of Master’s Students
# of Doctoral Students
Biochemistry and Molecular Biology 0 23
Genetics 0 35Immunology and Microbiology 0 41Molecular Cell Biology 0 20Neuroscience 0 39Physiology and Pharmacology 0 19Cancer Biology new newInterdisciplinary Program in Biomedical Sciences 0 20
Epidemiology 33 26Biostatistics 14 16Genetics & Genomics 0 26Clinical and Translational Science 5 0Health Outcomes and Policy 3 0Translational Biotechnology 2 0Medical Science 7 0
2013-14
Total Apps Offers Enrolled %
Offers%
Enrolled2008-2009 359 92 49 26 532009-2010 308 70 37 23 532010-2011 289 84 43 29 512011-2012 333 64 30 19 472012-2013 290 69 41 24 592013-2014 274 60 25 22 422014-2015 239 66 44 26 672015-2016 294 58 28+ 20
IDP-BMS Admissions
Graduate Student Medical Guild
Awards
UF College of Medicine
Celebration of Research
Year # Medical Students Percent of Class
2012 82 60.7
2013 92 69.7
2014 95 70.9
Medical Student Research: MSRP
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 Planhttps://oea.sites.medinfo.ufl.edu/files/2014/10/UFCOM-Strategic-Plan-20141.pdf
Strategic Plan
UFCOM Strategic PlanI. Excellence in Education: 9 objectives and 34 Strategies
OBJECTIVE 1: Recruit the brightest, most empathetic and service-oriented 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 PlanOBJECTIVE 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 team-based 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., ChairSenior 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
Description of the activity: “Day 1 residents should be able to do …….”
EPA 1: Gather a history and perform a physical examination
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.
Assessments
Clinical Skills Exams
Curriculum
THE POWER OF TOGETHER UF Health Strategic Plan 2015 – 2020
Patient Care
EducationDiscovery
Scholarship
Service
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
EducationDiscovery
Scholarship
Service