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Suzanne Rose, MD, MSEd Senior Vice Dean for Medical Education Update on Medical Education
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Page 1: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

Suzanne Rose, MD, MSEd

Senior Vice Dean for Medical Education

Update on Medical Education

Page 2: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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

Page 3: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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

Page 4: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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

Page 5: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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

Page 6: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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

Page 7: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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

Page 8: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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

Page 9: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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

Page 10: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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

Page 11: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

• 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

Page 12: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

• 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

Page 13: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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.

Page 14: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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

Page 15: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

• 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

Page 16: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

Financial Support

Page 17: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

• 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

Page 18: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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).

Page 19: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

• 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

Page 20: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

TO CONTINUE THE CURRICULUM WITH INITIATIVES AS DESCRIBED

Page 21: Update on Medical Education · GME/DIO *Work group leaders join the EC on an ad hoc basis Program Evaluation & Scholarship Budget/ OID Space UPHS Service Learning/ Community Partners

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