Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program...

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Suzanne Rose, MD, MSEd

Senior Vice Dean for Medical Education

Update on Medical Education

1. 2018 Entering Class

2. 2019 Graduating Class

3. LCME & Curriculum Update

Update on Undergraduate Medical Education

4. NBME Outcome Measures

5. Medical Education Initiatives

6. Future Plans

Demographics 2015 2016 2017 2018

Total Applications 5,436 5,720 6,200 6711

Class Size * 156 * 146 * 150 * 152*

Selectivity Ratio

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

Yield

(offers/total applications)4.5% 4% 4% 3.5%

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

UIM (%) 23% 26% 25% 28%

Combined Degree (%) 15% 15% 16% 14%

Mean GPA 3.85 3.84 3.85 3.86

Mean MCAT’s 37.4

37.8

518

97%

520

98%

520.65

98%

Nontraditional Students* (%) 68% 68% 67% 67%

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

PSOM continues to attract large # applications and exceptionally strong students: Recruitment for 2015-18

Incoming Class of 2018

2018 applicants: 6711

Interviews: 691

• 579 MD & 112 MD/PhD

Offers: 237

Accepts: 152

Accept/Offer: 64%

Academics:

• Mean GPA: 3.86

• MCAT: 520.65

2019

Total graduates 149*

Total residency placements 146 (100%) ɫ

Matching at University Program 143/146 = 98%

Matching at Community Based Program 3/146 = 2%

Total graduates not entering Match 0/149 = 0%

Penn Residency Match Data 2019

25%

39%

36%

Primary Care

Surgery SpecialtiesOther Specialties

* Includes 3 OMF students who will enter residency at Penn

ɫ Excludes 5 students who did not enter the match

Penn Medicine (47)

• HUP (36)

• CHOP (9)

• Scheie (2)

32%

Other major University Hospitals Programs (96) 66%

Major Community Hospitals (3) 2%

Consulting /Research 0%

Residency Choice:

39% - Primary Care(Family Medicine, Internal Medicine, Pediatrics, Med/Peds)

2.7% 25.3% 8.9% 2.1%

24.8% - Surgical Specialties

67 – MDs

14 - MD/PhD’s

22 - MD + Masters Degree

3 – MD/OMF

31 – MD + Certificates/Year Out

12 - MD+ Masters Degree +

Certificate/Year Out

Class of 2019 Perelman Graduates

5/6/2019

43

103

30

40

50

60

70

80

90

100

110

120

MD MD +

2019 GraduatesMD/MD+

(146 Graduates)

29% Graduates

71% Graduates

Dual Degrees (5+ Years)• MD/PhD 14

• MD/MTR 11

• MD/MBA 7

• MD/MBE 7

• MD/MPH 6

• MD/Non-Penn Masters 2

• MD/MS 1

• MD/ML 1

• MD/HPR 1

Certificates (4 Years)• Research year 17

• Medical Education 9

• Academic Surgery 9

• HMET 6

• Public Health 5

• Clinical Neuroscience 4

• Bridging the Gaps 1

• Global 1

• Spirituality 1

MD+ Graduates 2019

Curriculum Update: LCME• LCME Determination:

➢ Continue full accreditation of medical education for 8 years (Outcome of June 2016

Site Survey)

• Next Full Survey: ➢ 2023-24 Academic Year

• Status Report: ➢ Submitted April 2, 2018, Report on 9 areas

• LCME Status➢ June 28, 2018 letter:

✓ All standards in compliance

✓ Tracking only element 9.4: assessment system- need to report on observed histories and physical exams

Step 1, 2CK, and 2CS Performance 2016-2018

Step 2CS

National Mean

U.Penn Mean

Step 2CKStep 1

228229

230

244246

247

205

210

215

220

225

230

235

240

245

250

2016 2017 2018

Mea

n S

core

240242 242

249250 250

2014-15 2015-16 2016-17

96 96 9699 99

97

2014-15 2015-16 2016-17

10

• Spark-ED Grants

• Orientation Changes

• Culinary curriculum

• Art in Medicine curriculum

• New committee structure for AOA selection

• Enhanced wellness

• External Advisory review of UME curriculum

• Measey EMT Pilot

• Measey Primary Care Pathway

• Education Council

Medical Education Initiatives

Current Challenge:

The Changing Landscape of

Admissions and of Scholarship

Support

• Collaboration between Offices of the

Senior Vice Dean for Medical Education

and Executive Vice Dean and Chief

Scientific Officer

• Competitive Pilot 2018 Medical Education

Research and Innovation Grants

• 24 proposals received

• 4 projects selected for funding

Also had a competitive application for medical student summer research with three applications, one

selected for funding

SPARK-Ed: Support for Projects Advancing Research and Innovation in Education

• Day 1– Story of discovery

– Meet first patient

• Day 2– Student experiences

– Reading Project: Emperor of All Maladies by S. Mukherjee

• Days 3 & 4– Team-building retreat

• Day 5– Professionalism and Humanism

– Parents and Partners

– White Coat Ceremony

Orientation

Measey EMT Pilot

Rationale:

To provide specialized clinical training so medical students can pursue clinical

immersion experiences during pre-clerkship curriculum

Overall Plan:

Pilot EMT training program with plans for roll out for entire class entering in

2020.

Students will be able to choose from a menu of options of clinical immersion

experiences for the 18-month period of study prior to clerkships.

Goal

Prepare students to lead the transformation of primary care delivery:

engage in, lead, and transform the delivery of innovative, patient-centered, high

value primary care to improve the health of patients and their communities.

Program

Multiple entry points across medical school.

5 components to the pathway program:

1. mentoring

2. clinical experiences

3. research/scholarship

4. didactic learning

5. service

Funding

By a generous gift from The Benjamin & Mary Siddons Measey Foundation over

a three year period

Measey Primary Care Pathway

• Foster communication and integration across programs

• Advise/collaborate on strategic initiatives and innovation

• Serve as governance body for education and

student/trainee policies and finance

Penn Medicine Education Council

Executive Committee

SVD Medical Education

EVP/PSOM Dean

Council Work Groups*

Inter-

disciplinary

and IPE

SDM

SEAS

SAS

PSOM

SON

VET

GSE

Wharton

Law

Provost’s office

UME/CME MD/PhD Biomedical

EducationMaster’s

RegionalPartners

CCH

LGH

PAH

PPMC

PHCS

HUP

CHOP

VA

Wistar

Trainee Life &

Professionalism

GME/DIO

*Work group leaders join

the EC on an ad hoc basis

Program Evaluation & Scholarship

OIDBudget/Space

UPHS

Service Learning/

CommunityPartners

EducationTechnology, Innovation,

& Simulation

Global Health

Faculty Affairs

Curriculum

Continuum of Learning

Curricular Innovation

Research Integration

Suzi Rose Eve HigginbothamChris Masotti

Peter QuinnJeff BernsLisa Bellini

Emma Meagher

Kelly Jordan-Sciutto

Skip Brass

EVD/CSO

Financial Support

• PSOM provides ~ $25M in support annually

• Majority of PSOM students receive aid– >20% MD receive full scholarships

– 46% MD receive need-based scholarships

– 100% MD/PhD (189 students) receive full support

• Student debt is $130,000 (2018)– compared to $190,000 nationally (2017)

Financial Support Summary: MD and MD/PhD

Supporting the incoming class of 2019:

Top competing schools are:

• Columbia- 9

• WashU - 7

• NYU – 5

• Chicago – 5

• Northwestern -4

• Vanderbilt - 3

• Johns Hopkins - 3

• Cleveland Clinic - 3

• Duke -3

• Mayo -3

• Michigan - 2

• UCLA – 2

• Ohio St- 2

• Univ of MD -2

• Others: BU, Baylor, Yale, Hofstra, Loma Linda, Stanford, Texas SW, Virginia, Wake Forest

A total of 49 students received 67 offers better than Penn that we know of (some students received multiple offers).

• The best and brightest students at PSOM

• Faculty are doing a fantastic job in facilitating learning

• Exciting educational initiatives in progress

• Looking forward to an exciting year– Building our UME team

– Accelerating our strategic planning through Education Council

– Thinking about training future ready physicians

TO CONTINUE THE CURRICULUM WITH INITIATIVES AS DESCRIBED