Clerkship Report CEPC August 8, 2016 - PowerPoint Presentation

1. Clerkship ReportCEPCAugust 8, 2016Prepared by:Maureen Francis, MD, FACPLourdes DavisRebecca ArandaVirginia Pacheco

2. Comparability of Educational ExperiencesStandard 8.7 A medical school ensures that the medical curriculum includes comparable educational experiences and equivalent methods of assessment across all locations within a given course and clerkship to ensure that all medical students achieve the same medical education program objectives.

3. Structure and ProcessData to be collectedOp log entriesTop 10 diagnosesNBME scoresClerkship gradeNeed to add student satisfaction dataReviewEnd of each block at CEPCEnd of academic year in aggregate at CEPC Determinations CEPC will transmit recommendations to Year 3 & 4 Committee for implementationAt annual review of clerkshipsAt monthly meetings of year 3 & 4 CommitteeAd hoc as needed with individual Clerkship Directors

4. Psychiatry

5. Op Log Comparison Psychiatry – AY 15/16 to AY 14/15Average Number of Patients per StudentBlock 1Block 2Block 3AY 15/16AY 14/15EPPC39.8243.3943.8842.3541.55Peak47.50N/AN/A47.50N/AEPBH46.8247.7739.6744.3848.27Required op log encounters: 22

6. Op Log Comparison Psychiatry – AY 15/16 to AY 14/15 Student Level of Responsibility – Diagnoses% Managed/AssistedBlock 1Block 2Block 3AY 15/16AY 14/15EPPC48.9135.5978.2853.0268.17Peak36.47N/AN/A36.47N/AEPBH76.9847.7685.9672.8975.33% ObservedEPPC51.0964.4121.7246.9831.83Peak63.53N/AN/A63.53N/AEPBH23.0252.2414.0427.1124.67

7. Student Level of Responsibility - Procedures% Managed/AssistedBlock 1Block 2Block3AY 15/16AY 14/15EPPC72.3460.5350.0066.8685.09Peak73.91N/AN/A73.91N/AEPBH86.2793.7582.4385.4277.51% ObservedEPPC27.6639.4750.0033.1414.91Peak26.09N/AN/A26.09N/AEPBH13.766.2517.5714.5822.49Op Log Comparison Psychiatry – AY 15/16 to AY14/15

8. Comparison Psychiatry – Block 3Top 10 DiagnosesEPPCEPBHMDD (Single or Recurrent)Substance Dependence, Abuse or WithdrawalSubstance Dependence, Abuse or WithdrawalMDD (Single or Recurrent)DepressionOCD, GADSuicide Attempt/IdeationSuicide Attempt/IdeationSISCZ, SCZ-AffectiveOCG, GADDepressionBipolar DisorderSISCZ, SCZ-AffectiveAnxiety Disorder, GeneralizedADHDBipolar IBipolar IBipolar disorder

9. Psychiatry – Top 10 DiagnosesAY 2015-2016AY 2014-2015EPPCEPBHEPBHEPPCMDD (Single or Recurrent)Substance Dependence, Abuse or WithdrawalMDD, single/recurrentMDD, single/recurrentSubstance Dependence, Abuse or WithdrawalMDD (Single or Recurrent)Substance Abuse/Dependence/WithdrawalSuicide Attempt/IdeationDepressionOCD, GADSuicide Attempt/IdeationDepressionSuicide Attempt/IdeationSuicide Attempt/IdeationDepressionSubstance Abuse/Dependence/WithdrawalSISCZ, SCZ-AffectiveADHD-subtypesADHD-subtypesOCG, GADDepressionSCZ, SCZ-AffectiveSCZ, SCZ-AffectiveBipolar DisorderSIBipolar DisorderBipolar DisorderSCZ, SCZ-AffectiveAnxiety Disorder, GeneralizedPTSDADHDADHDBipolar IBipolar IOther, Psych/Behavioral Bipolar IBipolar disorderSuicidal IdeationBipolar I

10. EPPCPeakEPBHOverallAverage Duty Hours Per WeekBlock 142.8037.4241.0641.53Block 233.32N/A35.9634.43Block 328.45N/A24.0026.23AY 15/1637.9337.4238.3038.04AY 14/1528.96N/A33.0031.23Comparison Psychiatry Duty Hours AY 15/16 to 14/15

11. EPPCPeakEPBHOverallAverage NBME Equated Percent Correct ScoreBlock 174.3578.2571.6473.91Block 276.39N/A79.3177.61Block 378.88N/A76.8077.87AY 15/1675.3778.2575.4775.76AY 14/15*86.31 (82)N/A84.81 (80)85.46Comparison Psychiatry – AY 2015/2016Equated Percent Correct Score NBME*AY 14/15 NBME raw score

12. Comparison Psychiatry – AY 2015/16 to AY 2014/15 Clerkship GradeEPPCPeakEPBHOverallHonorsBlock 123.53%50%18.18%25%Block 227.78%N/A46.15%35.48%Block 343.75%N/a13.33%29.03%PassBlock 170.59%50%91.82%71.88%Block 261.11%N/A53.85%58.06%Block 362.50%N/A80.00%70.97%NBME failure on 1st attemptBlock 15.88%*0.00%0.00%3.13%Block 211.11%**N/A0.00%6.45%Block 30.00%N/A6.67%***3.23%*1 NBME failure in Block 1 on first attempt**2 NBME failures Block 2 on first attempt*** 1 NBME failure Block 3 on first attempt

13. Comparison Psychiatry – AY 2015/16 to AY 2014/15 Clerkship Grade (con’t)EPPCPeakEPBHOverallHonorsAY 15/1631.37%50.00%25.64%29.79%AY 14/1559.38%N/A52.38%55.41%PassAY 15/1664.71%50.00%71.79%67.02%AY 14/1559.38%N/A52.38%55.41%NBME Failure on 1st attemptAY 15/165.88%02.56%4.26%AY 14/150N/A00

14. Discrepancy Between Eligible for Honors and Receiving Honors – Psychiatry AY 15/16# Eligible for Honors (NBME)# Received Honors% Eligible That Received HonorsEligible, but Failed OSCENBME Eligible; No Clinical HonorsBlock 1EPPC44100%N/AN/APeak22100%N/AN/AEPBH22100%N/AN/ABlock 2EPPC55100%N/AN/AEPBH66100%N/AN/ABlock 3EPPC77100%N/AN/AEPBH22100%N/AN/A

15. Discrepancy Between Eligible for Honors and Receiving Honors – Psychiatry AY 15/16 (con’t)# Eligible for Honors (NBME)# Received Honors% Eligible That Received HonorsEligible, but Failed OSCENBME Eligible; No Clinical HonorsAY 15/16EPPC1616100%N/AN/APeak22100%N/AN/AEPBH1010100%N/AN/AAY 14/15EPPC201995%10EPBH232295.65%01

16. Student Satisfaction Psychiatry–EPPC and EPBHBlock 1Did not find my rotation through EPBH academically enriching.More firm instruction from EPBH faculty regarding student expectationsDr. XX (EPBH) did teach me how to write a psychiatric prescription.Block 2Differences noted between EPBH and EPPCSome students like the independence at EPBH and others don’t feel comfortableBlock 3EPBH facility needs to increase in student teaching and emphasize on student learning. Student supervision needs to be increased as well.learned a lot at EPBH You work a half day (at least) everyday at EPBH which is actually helpful versus people working at EPPC which can sometimes just be let go home immediately once they get to EPPC.

17. Internal Medicine

18. Op Log Comparison IM – AY 15/16 to AY 14/15Average Number of Patients per StudentBlock 1Block 2Block 3AY 15/16AY 14/15UMC46.7280.0062.3662.7354.03WBAMC57.0754.3861.6757.5951.37THOPN/A54.0045.2046.67N/ARequired Op Log encounters: 30

19. Op-Log Comparison IM – AY 15/16 to AY 14/15 Student Level of Responsibility - Diagnoses% Managed/AssistedBlock 1Block 2Block 3AY 15/16AY 14/15UMC67.2334.3174.7855.3875.31WBAMC73.5768.5779.9375.1973.21THOPN/A77.1983.0482.08N/A% ObservedUMC32.7765.6925.2244.6224.69WBAMC26.4331.4320.0124.7926.79THOPN/A22.8116.9617.92N/A

20. Op Log Comparison IM – AY 15/16 to AY 14/15 Cont’dStudent Level of Responsibility - Procedures% Managed/AssistedBlock 1Block2Block 3AY 15/16AY 14/15UMC42.1145.1685.4458.7849.46WBAMC57.9836.0024.3245.4554.49THOPN/A000N/A% ObservedUMC57.8954.849.7139.5350.54WBAMC42.0264.0075.6854.5545.51THOPN/A100.00100.00100.00N/A

21. Comparison IM – AY 2015/16 Block 3Top 10 DiagnosesUMCWBAMCTHOPDiabetes Type IIHypertensionCongestive Heart FailureHypertensionDiabetes Type IIDiabetes Type IIChest Pain EvaluationCongestive Heart FailureStrokeCirrhosis/Liver FailureAtrial FibPneumoniaRenal Failure, ChronicPneumoniaChest Pain EvaluationCongestive Heart FailureChest Pain EvaluationHypertensionCA, ColonOther, Pulmo ProblemFeverPneumoniaShortness of BreathOther, CAAbdominal PainAnemiaCOPDArrhythmia/DysrhythmiaCoronary Artery DiseasePulmonary Embolus

22. Comparison IM Top 10 DiagnosesAY 2015-2016AY 2014-2015UMCWBAMCTHOPUMCWBAMCDiabetes Type IIHypertensionRenal Failure, AcuteDiabetes Type 2HypertensionHypertensionDiabetes Type IIRenal Failure, ChronicHypertensionDiabetes Type 2Chest Pain EvaluationCongestive Heart FailureLupusCongestive Heart FailureCongestive Heart FailureCirrhosis/Liver FailureAtrial FibMyocardial InfarctionCirrhosis/Liver FailureRenal Failure, ChronicRenal Failure, ChronicPneumoniaCirrhosis/Liver FailureRenal Failure, ChronicAbdominal PainCongestive Heart FailureChest Pain EvaluationCOPDOther, Cardiovascular NOSAnemiaCA, ColonOther, Pulmo ProblemGI Bleed, UpperChest Pain EvaluationCOPDPneumoniaShortness of BreathHematuriaUrinary Tract InfectionChest Pain EvaluationAbdominal PainAnemiaProteinuriaAnemiaPneumoniaArrhythmia/DysrhythmiaCoronary Artery DiseaseUrinary Obstruction/UTIAtrial FibOther, Cardiovascular NOS

23. UMCWBAMCPROVOverallAverage Duty Hours Per WeekBlock 146.5352.35N/A49.08Block 235.3442.4031.9438.19Block 333.0236.7642.1537.31AY 15/1641.0947.5637.0042.00AY 14/1538.3041.72N/A40.10Comparison IM Duty Hours AY 15/16 to 14/15

24. Comparison IM – AY 15/16NBME Equated Percent Correct ScoreUMCWBAMCTHOPOverallNBME Equated Percent Correct ScoreBlock 171.8371.50N/A71.69Block 269.9477.0065.0072.74Block 373.2171.9274.2072.87AY 15/1670.8974.2565.0072.21AY 14/15*83.47 (80)79.89 (75)N/A81.64 (78)*AY 14/15 NBME raw score

25. Comparison IM – AY 15/16 Clerkship GradeUMCWBAMCPROVOverallHonorsBlock 144.44%42.86%N/A43.75%Block 217.65%53.85%0%32.26%Block 321.43%33.33%40%29.03%PassBlock 150%42.86%N/A46.88%Block 282.35%46.15%100%67.74%Block 371.43%66.67%60%67.74%NBME Failure on 1st attemptBlock 15.56%14.29%N/A9.38%Block 20000Block 37.14%003.23%

26. Comparison IM – AY 15/16 to AY 14/15 Clerkship GradeUMCWBAMCPROVOverallHONORSAY 15/1628.5743.5933.3335.11 %AY 14/1550%34.21%N/A41.89%PASSAY 15/1667.3551.28.6660.64 %AY 14/1550%65.79%N/A58.11%NBME Failure on 1st attemptAY 15/164.085.1304.26 %AY 14/1500N/A0

27. Discrepancy Between Eligible for Honors and Receiving Honors – IM AY 15/16# Eligible for Honors (NBME)# Received Honors% Eligible that Received HonorsEligible, but Failed OSCENBME Eligible; No Clinical HonorsBlock 1UMC88100%00WBAMC66100%00PROVN/AN/AN/AN/AN/ABlock 2UMC33100%00WBAMC77100%00PROVN/AN/AN/AN/AN/ABlock 3UMC4375%11WBAMC5480%11PROV22100%N/AN/A

28. Discrepancy Between Eligible for Honors and Receiving Honors – IM AY 15/16 con’t# Eligible for Honors (NBME)# Received Honors% Eligible that Received HonorsEligible, but Failed OSCENBME Eligible; No Clinical HonorsAY 15/16UMC151493%11WBAMC181794%11PROV22100%00AY 14/15UMC241875.00%15WBAMC221359.09%18PROVN/AN/AN/AN/AN/A

29. Student Satisfaction IM –UMC and WBAMCBlock 1Students at WBAMC should have a similar work schedule as UMC wards so they have equal opportunity to study.The autonomy provided at WBAMC is much more effective than at UMC. It seemed like we were much more involved in the care of the patients instead of shadowing. Also, the meeting schedule at UMC severely interferes with our productivity on the wards.WBAMC rotation allowed me to have more management training than UMC. My work at UMC seemed under appreciated and like a majority found us to be a waste of rounding time.Block 2Students should have more responsibility at UMC. We practically had to jump over the interns to present our patients to the attending. The student should have full responsibility over presenting their patients during rounds like they do at WBAMC and students should be able to write notes that go in the chart like at WBAMC.UMC medicine should adopt a similar schedule as WBAMC, it is a very regular schedule, 6 to 6, call day every third day, no over night call which makes it much easier as us as students to keep to a regular schedule, keeps us interested and able to learn, instead of being tired for the day or two following call because of having to stay up all night and day.Some of the residents at Beaumont were very unprofessional (not to me directly but about patients in general). I do not think it is acceptable to just pass this off as "army culture."Learned a lot at WBAMCBroad range of pathology at UMCWhile at WBAMC I liked that we were given the responsibility to write our own notes and include them in the patient's file. This makes you feel like you are an important member of the team and helps you practice your note writing skills.Block 3great difference in hours spent on wards between UMC and WBAMC hours spent at Beaumont were education; however, spending 6 days a week 12 + hours a day is not reasonable for studying. my time at WBAMC was really helpful because you are doing learning everyday with their morning reports and usually my team would teach me every day as well. staff and residents at both UMC and Beaumont were very open to teaching.

30. Surgery

31. Op Log Comparison Surgery – AY 15/16 to AY 14/15Average Number of Patients per StudentBlock 1Block 2Block 3AY 15/16AY 14/15UMC112.8980.3886.5094.3478.43WBAMC106.2074.7261.4085.2780.55Required patients: 30

32. Op Log Comparison Surgery – AY 15/16 to AY 14/15 Cont’dStudent Level of Responsibility - Diagnoses% Managed/AssistedBlock 1Block 2Block 3AY 15/16AY 14/15UMC60.7158.1543.3255.0686.72WBAMC69.8680.0366.8373.6784.72% ObservedUMC39.2941.8556.3144.8313.28WBAMC30.1419.9732.8626.2515.28

33. Student Level of Responsibility - Procedures% Managed/AssistedBlock 1Block2Block 3AY15/16AY 14/15UMC70.2778.4970.1971.7882.72WBAMC73.0677.0468.3273.4785.19% ObservedUMC29.7321.5129.8128.2217.28WBAMC26.9422.9631.6826.5314.81Op Log Comparison Surgery – AY 15/16 to AY 14/15 Cont’d

34. Comparison Surgery – Block 3 Top 10 DiagnosesUMCWBAMCFractureAbdominal Wall Defects (Hernias)Trauma, bluntAppendicitisBiliary Track Disease/GallstonesGall Bladder DiseaseFallBreast LumpOther, TraumaObesityGall Bladder DiseaseBiliary Track Disease/GallstonesAppendicitisCA, ColonOther, GI ProblemHernia, Not HiatalAbdominal Wall Defects (Hernias)Other, GI ProblemTrauma, multipleAbscess, Skin

35. Comparison Surgery - Top 10 DiagnosesAY 2015-2016AY 2014-2015UMCWBAMCUMCWBAMCFractureAbdominal Wall Defects (Hernias)FractureAbdominal Wall Defects (hernias)Trauma, bluntAppendicitisAbdominal Wall Defects (hernias)Trauma, BluntBiliary Track Disease/GallstonesGall Bladder DiseaseAppendicitisFractureFallBreast LumpTrauma, BluntBiliary Track Disease/GallstonesOther, TraumaObesityBiliary Track Disease/GallstonesOther, HEENT problemGall Bladder DiseaseBiliary Track Disease/GallstonesGall Bladder DiseaseAppendicitisAppendicitisCA, ColonLacerationOther, GI ProblemOther, GI ProblemHernia, Not HiatalTrauma, MultipleTrauma, MultipleAbdominal Wall Defects (Hernias)Other, GI ProblemFallOther, MusculoskeletalTrauma, multipleAbscess, SkinOther, GI ProblemLaceration

36. UMCWBAMCOverallAverage Duty Hours Per WeekBlock 157.2049.4154.51Block 258.6547.5952.79Block 344.264.754.45AY 15/1653.3553.9053.92AY 14/1553.4545.1550.22Comparison Surgery Duty Hours AY 15/16 to 14/15

37. Comparison Surgery – AY 2015/16 to AY 2014/15NBMEUMCWBAMCOverallNBME Equated Percent Correct ScoreBlock 169.2167.8068.72Block 273.6374.8974.26Block 376.4470.0773.47AY 15/1671.4271.3471.51AY 14/15*77.52 (75)78.9 (76)78.07 (75)*AY 14/15 NBME raw score

38. Comparison Surgery – AY 2015/16 to AY 2014/15 Clerkship GradeUMCWBAMCOverallHonorsBlock 126.32%20.00%24.14%Block 231.25%50.00%41.18%Block 328.57%37.50%33.33%PassBlock 163.16%70.00%65.52%Block 262.50%44.44%52.94%Block 364.29%62.50%63.33%NBME Failure on 1st AttemptBlock 110.53%10.00%10.34%Block 26.25%5.56%5.88%Block 37.140%3.33%

39. Comparison Surgery – AY 2015/16 to AY 2014/15 Clerkship Grade con’tUMCWBAMCOverallHonorsAY 15/1628.57%38.64%33.33%AY 14/1545.45%65.52%53.42%PassAY 15/1663.27%56.82%60.22%AY 14/1554.55%34.48%46.58%IncompleteAY 15/160 00AY 14/15000

40. Eligible for Honors and Receiving Honors – Surgery AY 15/16# Eligible for Honors (NBME)# Received Honors% Eligible that Received HonorsEligible, but Failed OSCENBME Eligible; No Clinical HonorsBlock 1UMC55100%N/AN/AWBAMC22100%N/AN/ABlock 2UMC7571.43%02WBAMC99100%N/AN/ABlock 3UMC44100%N/AN/AWBAMC66100%N/AN/AAY 15/16UMC161487.5%02WBAMC1717100%N/AN/AAY 14/15UMC222090.91%11WBAMC1919100%N/AN/A

41. Student Satisfaction Surgery-UMC and WBAMCBlock 1At William Beaumont we actually had an academic day where were taught the basics of surgery. This was extremely useful and I wish we had it multiple times a week.The residents and faculty at WBAMC are kind and forthcoming, and actively engaged in teaching me.William Beaumont only does surgery twice a week.William Beaumont was the best.The rotation at WBAMC was a great learning experience, a lot of emphasis on teaching.Block 2WBAMC was felt to be a valuable rotationWBAMC was a great place to rotate. Everybody there was very helpful and willing to teach in a non-threatening way. They also helped teach physical skills like suturing very well there.The surgery simulation center at WBAMC helped me to improve my suturing skill significantly and the selective was very useful for learning about specialties and opportunity should be given to divide or have more time to explore more than one specialty.Block 3While at WBAMC there was no real continuity with my team. Allow for more OR at WBAMC.I think that the team that I worked with made my experience at WBAMC extremely valuableteaching at WBAMC was fantasticgeneral surgery rotation at Beaumont was the best experience of all of third year.

42. Neurology

43. Op Log Comparison Neurology – AY 15/16 to AY 14/15Average Number of Patients per StudentFall 2015Spring 2016AY 15/16AY 14/15TTUHSC38.2738.6638.5026.95WBAMC33.11N/A33.1120.8815 new patient encounters required in Op Log

44. Op Log Comparison Neurology– AY 15/16 to AY 14/15 Cont’dStudent Level of Responsibility - Diagnoses% Managed/Assisted% ObservedFall 2015Spring 2016AY 15/16AY 14/15Fall 2015Spring 2016AY 15/16AY 14/15TTUHSC75.9282.0079.4988.9824.0818.0020.5111.02WBAMC89.27N/A89.2797.5810.73N/A10.732.42

45. Student Level of Responsibility - Procedures% Managed/Assisted% ObservedFall 2015Spring 2016AY 15/16AY 14/15Fall 2015Spring 2016AY 15/16AY 14/15TTUHSC40.0062.550.0058.4160.0037.550.0041.59WBAMC33.33N/A33.3380.066.67N/A66.6720.00Op Log Comparison Neurology– AY 15/16 to AY 14/15

46. Comparison Neurology AY 15/16 – Fall 2015Top 10 DiagnosesTTUHSCWBAMCSeizure DisordersOther, Neuro problemOther, Neuro problemHeadache, migraineStrokeSeizure DisordersNeuropathyConcussionMultiple SclerosisNeuropathyParkinson’sPain ManagementHeadache, migraineClosed head injuryNumbnessAutismHeadache, tensionNumbness; Stroke (tied)Dementia, Alzheimer'sADHD; Headache, tension (tied)

47. Comparison Neurology AY 15/16 – Spring 2016Top 10 DiagnosesTTUHSCWBAMCSeizure DisordersN/AOther, Neuro problemStrokeParkinson'sMultiple sclerosisHeadache, migraineNeuropathyHeadache, tensionSubarachnoid hemorrhageDementia, Alzheimers

48. Comparison Neurology - Top 10 DiagnosesAY 2015-2016AY 2014-2015TTUHSCWBAMCTTUHSCWBAMCOther, Neuro ProblemHeadache, MigraineSeizure DisordersOther, Neuro ProblemStrokeSeizure DisordersOther, Neuro ProblemSeizure DisordersParkinson’sConcussionStrokeHeadache, MigraineHeadache, MigraineNeuropathyHeadache, MigraineStrokeMultiple SclerosisPain ManagementParkinson'sNeuropathyNeuropathyClosed Head InjuryMultiple SclerosisConcussionHeadache, TensionAutismNeuropathyClosed Head InjuryNumbnessNumbnessSubarachnoid HemorrhageHeadache, TensionSubarachnoid Hemorrhage StrokeClosed Head InjuryMultiple SclerosisSeizure DisordersOther, Neuro ProblemTIANumbness

49. EPPCWBAMCOverallAverage Duty Hours Per WeekFall Semester35.6229.6534.09Spring Semester31.79N/A31.79AY 15/1633.3529.6532.89Comparison Neurology Duty Hours AY 15/16 to 14/15Duty hours were not tracked for Neurology AY 14/15

50. Comparison Neurology– AY 2015/16 to AY 2014/15NBMETTUHSCWBAMCOverallNBME Equated Percent Correct ScoreFall 201582.2380.7881.86Spring 201681.39N/A81.39AY 15/1681.1480.7881.10AY 14/15*76.53 (78) 77.81 (79)76.80 (78)*AY 14/15 NBME raw score

51. Comparison Neurology– AY 2015/16 to AY 2014/15NBME and Clerkship GradeTTUHSCWBAMCOverallHonorsAY 15/1643.75%66.67%46.58%AY 14/1550%50%50%PassAY 15/1654.69%33.33%52.05%AY 14/1550%50%50%NBME Failure on 1st AttemptAY 15/161.56%01.37%AY 14/15000Note that the previous policy for honors still in effect for Class of 2016

52. Eligible for Honors and Receiving Honors – Neurology AY 15/16# Eligible for Honors# Eligible that Received Honors% Eligible that Received HonorsEligible, but did not receive Honors: No Clinical HonorsFall 2015TTUHSC211257.14%9WBAMC66*100%N/ASpring 2016TTUHSC241666.7%8WBAMCN/AN/AN/AN/AAY 15/16TTUHSC452862.2%17WBAMC66100%N/AAY 14/15TTUHSC313096.77%1WBAMC88100%N/A

53. Pediatrics

54. Pediatrics - AY 2015/2016 Equated Percent Correct Score NBMEAverage NBME Equated Percent Correct ScoreBlock 172.23Block 277.26Block 378.40AY 2015/201675.96 AY 2014/2015*83.44 (81)* NBME scaled score

55. Peds – AY 2015/16 to 2014/15Clerkship GradeUMCTotal2015-2016Total2014-2015HonorsBlock 133.33%39.58%63.38%Block 235.48%Block 348.57%PassBlock 160.00%57.29%36.62%Block 264.52%Block 348.70%IncompleteBlock 16.67%3.13%0.00%Block 20.00%Block 32.86%

56. Eligible for Honors and Receiving Honors – Peds AY 15/16 to 14/15# Eligible for Honors (NBME)# Received Honors% Eligible that Received HonorsEligible, but Failed OSCENBME Eligible; No Clinical HonorsBlock 11010100 %00Block 2121191.7 %11Block 3181794.4 %01AY 15/16403895 %12AY 14/15524586.5 %43

57. OB/GYN

58. OB/GYN – AY 2015/2016 Equated Percent Correct Score NBMEAverage NBME Equated Percent Correct ScoreBlock 176.83Block 273.81Block 377.11AY 2015/201675.92AY 2014/2015*80.10 (81)* NBME scaled score

59. OBGYN – AY 2015/16 to 2014/15 Clerkship GradeUMCTotal2015-2016Total2014-2015HonorsBlock 150.00%38.54%60.56%Block 225.81%Block 340.00%PassBlock 143.33%54.17%39.44%Block 261.29%Block 357.14%IncompleteBlock 16.67%6.25%0%Block 212.90%Block 30.00%

60. Eligible for Honors and Receiving Honors – OBGYN AY 15/16 to 14/15# Eligible for Honors (NBME)# Received Honors% Eligible that Received HonorsEligible, but Failed OSCENBME Eligible; No Clinical HonorsBlock 1161593.8 %10Block 288100 %00Block 31414100 %00AY 15/16383797.4%10AY 14/15454393.48%20

61. Family Medicine

62. FM – AY 2015/2016 Equated Percent Correct Score NBMEAverage NBME Equated Percent Correct ScoreBlock 168.87Block 273.97Block 374.13AY 2015/201672.32AY 2014/2015*77.29 (79)* NBME scaled score

63. FM – AY 2015/16 to 2014/15 Clerkship GradeUMCTotal2015-2016Total2014-2015HonorsBlock 131.03%28.72%63.01%Block 232.35%Block 322.58%PassBlock 165.52%64.89%36.99%Block 261.76%Block 367.74%Failed NBME on 1st AttemptBlock 13.45%4.26%0%Block 25.88%Block 33.23%

64. Eligible for Honors and Receiving Honors –FM AY 15/16 to 14/15# Eligible for Honors (NBME)# Received Honors% Eligible that Received HonorsFailed OSCE on 1st attemptBlock 199100.00%0Block 21111100.00%0Block 39777.8%2AY 15/16292793.10%2AY 14/15514690.205

65. Emergency Medicine

66. EM – AY 2015/2016 to 2014/2015Equated Percent Correct Score NBMEAverage NBME Equated Percent Correct ScoreAY 2015/2016*70.23AY 2014/2015*68.07*NMBE scaled raw score

67. EM – AY 2015/16 to 2014/15 Clerkship GradeHonorsPassIncompleteGrade ReportsAY 2015/201640.28%59.72%0%AY 2014/201534.21%61.84%3.95%Note: previous rules for honors still in effect for this class.

68. Eligible for Honors and Receiving Honors – EM AY 15/16 to 14/15# Eligible for Honors (NBME)# Received Honors% Eligible that Received HonorsDifferenceAY 15/16342985.29%5AY 14/15322681.25%6

69. Mid-Clerkship CompletionAY 2015-2016

70. Mid-Clerkship Completion-Family Medicine% Completed as ScheduledCommentBlock 1100 %Block 2100 % Mid-clerkship delayed for one student because they were on leave for family illness Block 3100%AY 15-16100 %

71. Mid-Clerkship Completion-Surgery% Completed Block 1100%Block 2100%Block 3100%AY 15-16100%

72. Mid-Clerkship Completion-Internal Medicine% Completed as ScheduledBlock 1100 %Block 2100 %Block 3100 %AY 15-16100 %

73. Mid-Clerkship Completion- Psychiatry% Completed Block 1100 %Block 2100 %Block 3100 %AY 15-16100 %

74. Mid-Clerkship Completion-OB/GYN% Completed as ScheduledCommentBlock 1100 %Block 2100 % Mid-clerkship delayed for one student because of medical leaveBlock 3100%AY 15-16100 %

75. Mid-Clerkship Completion - Pediatrics% Completed Block 1100 %Block 297 %Block 3100 %AY 15-1699 %

76. Mid-Clerkship Completion-Emergency Medicine% Completed as Scheduled% Late (after scheduled date)Fall 2015100%N/ASpring 2016100%N/AAY 15-16100%N/A

77. Mid-Clerkship Neurology% Completed as Scheduled% Late (after scheduled date)ReasonFall 201597 %3 %One student assessment saved but not finalized.Spring 201697 %3 %One student assessment saved but not finalized.AY 15-1697 %3 %

78. Final Grade CompletionAY 2015-2016

79. Final Grade Completion (date final assessment was submitted after end of Block)ClerkshipBlock 1EOB: 10/23Block 2EOB: 2/26Block 3EOB: 6/17Family Medicine3132 31Surgery272928Internal Medicine2829 – 3628 - 31Psychiatry27 - 3136 – 4131OB/GYN24 - 3133 – 4031Pediatrics26 - 426343** Grades were submitted to Banner w/in 26 days

80. Final Grade Completion (date final assessment was submitted after end of Rotation)Rotation End DateEmergency Medicine Grades Submitted & ReviewedNeurologyGrades Submitted & ReviewedJuly 31, 2015N/A34 - 47August 28, 20151918 - 31September 25, 20152635 -56October 23, 201539 - 4141November 20, 20152042December 18, 20154942 - 56

81. Final Grade Completion (date final assessment was submitted after end of Rotation)Rotation End DateEmergency Medicine Grades SubmittedNeurologyGrades SubmittedJanuary 29, 2016747 - 74February 26, 20161919March 25, 201617 - 1845April 22, 20165 - 1717May 20, 201655

82. Questions?