Flexible Clinical Experiences (FCE) Faculty & Staff Retreat - - PowerPoint PPT Presentation

Flexible Clinical Experiences (FCE) Faculty & Staff Retreat

Samir Malkani MD Colleen Burnham MBA January 8, 2016

• Four, one-week electives, embedded in the third year Core

Clinical Experiences curriculum

• Provides opportunity for individual exploration in a broad range
• f specialties related to healthcare
• Aims to provide exposure to areas not covered by the core

curriculum.

• Student driven, to allow for career exploration and to discover
• nes interests

FCE Program Description

1. Career exploration and development 2. Exposure to evolving and cutting-edge branches of medicine not covered in the core curriculum 3. Provide opportunity to work with recognized experts in medicine and allied sciences 4. Exposure to novel concepts and systems of care

Specific Program Objectives

• The wide variety of faculty designed offerings spanning all

departments in the medical school

• Faculty participation from all specialties
• Increase in number and variety of student designed experiences
• All students have completed this experiences successfully and

been granted credit

What worked particularly well…

• Wide variety of pre-designed experiences across all disciplines of medicine

− AY1213: 84 pre-designed & 91 student designed across 15 departments* − AY1314: 89 pre-designed & 120 student designed across 18 departments* − AY1415: 82 pre-designed & 153 student designed across 22 departments*

− AY1516: 90 pre-designed & 175 student designed (so far) across 22 departments!

• Careers in fields not traditionally related to medicine

– Office of General Counsel (legal needs of the Umass Medical Center) – Health Insurance Policy – AGILE information technology management – Global Health Policy – Dominican Republic trip

*the EPC identifies 22 formal departments; Urology added AY1415

Wide variety of course offerings

Student Design FCEs since program implementation

*6 FE terms into the 10 term academic year 15% of all FCEs are Capstone FCEs

http://umassmed.edu/oume/fce/fce-course-links-ay2014-2015/fce-student-designed/student-designed-ay-15-16/

91 (18%) 120 (25%) 153 (32%) 175 (33%)*

AY1213 AY1314 AY1415 AY1516 Enrollment

Hosting Department AY1213 AY1314 AY1415 Medicine 242 218 170 Surgery 111 93 39 Family Medicine & Community Health 89 112 34 Anesthesiology 74 75 55 Orthopedics & Physical Rehabilitation 68 103 24 Obstetrics & Gynecology 67 62 53 Pediatrics 58 105 76 Psychiatry 53 51 33 Emergency Medicine 49 46 12 Pathology 30 38 39 Radiation Oncology 28 7 7 Neurology 23 9 15 Radiology 22 22 21 Ophthalmology 9 8 11 Urology 2 11 9 Cancer Biology 1 Cell Biology 4 Program in Molecular Medicine 4 Otolaryngology 2 Quantitative Health Sciences 3 Biochemistry & Molecular Pharmacology Microbiology & Physiology Systems Neurobiology TBD (student design) 34 926 970 635

10% 10% 63% 69% 37% 63% 6%

0% 20% 40% 60% 80% Pre-medical experience Pre-clinical medical school experience 3rd year core clerkship rotation 3rd year surgery clerkship specialty surgery… 3rd year Flexible Clinical Experience(s) (FCE) 4th year rotation or sub-internship

• ther (specify below)

Most important

Survey #1: Classes of 2014-2016 (Perry, 2015) How important were the following experiences in deciding to pursue the field you are in or going in to?

Perry, 2015

1 7 6 2 2 19 17 4 10 9 11 8 4 2 0% 20% 40% 60% 80% 100%

Surgeons Non-Surgeons Core Non-Core

Flexible Clinical Experiences as career decision factor

No impact on my decision Somewhat important Most important N/A

Perry, 2015

Survey #2: Pre-FCE on career expectations Classes 2018, 2019 (n = 135)

Li, 2015

Survey #3 Post-FCE assessment of Career Exploration: Agree

End of Year Program Evaluation AY1415

62% 97% 55%

made me decide not to pursue a field in which I was previously interested

• ne or more of your four FCEs

helpful in career planning sparked interest in a new field that I am now planning to enter

Proposed change Rationale

Clarify requirements for using self- designed FCEs for the benefit of Capstone Projects to Capstone faculty and to rising MS3s

• Faculty have communicated they are not clear about

the expectation of a Capstone-specific FCE

• Students seem to use the two FCE terms to continue

work on their capstone project without a clearly defined objective specific to the FCE week

• Capstone FCEs frequently designed around self-

study in the library Make changes based on the feedback obtained from the planned faculty and student sessions We need to respond to feedback from students and faculty on how well the program is working for all involved. Investigate a more streamline process (ie, application) for record keeping for a program with so many moving parts. Current system is prone to breakdown. Over 500 experiences each year from over 1000 slots are manually managed, by a single person, after initial EVOS process. Enrollment records maintained in

• SharePoint. (PSCS)

Currently enrollment flexibility allows for high number of last minute student change requests

Changes for AY2015-2016, 2016-2017

On-going Challenges

• Technology
• Ideas for experiences with recognized experts and cutting-edge

and novel areas of health sciences including information technology, public health policy, global health

• Increase faculty and student awareness of appropriate use of FCE

time

• Judy Savageau Using FCE time for Capstone Project Work
• Wahid Wassef
• Suzanne Cashman
• Barbara Ingrassia
• Michele Pugnaire
• Others in attendance

Faculty FCE Experiences: Rewards & Regrets

• What encouraged you to become a part of this program?
• What are some of the successes you noted with your program?
• Have you encountered any major challenges with your program?
• How did you successfully address challenges?
• What challenges still exist?
• Looking back on the start of your FCE, what do you wish you knew

then that you know now?

• What's the most important information for new sponsors?
• What's the most important information for new supervisors?
• What has been most surprising to you about your experience with the

FCE program?

• How do you think your FCE contributed to the overall medical school

curriculum?

• What changes would you make to the FCE evaluation process? Why?

Discussion

The Flexible Clinical Experiences Team

Samir Malkani MD | Program Director Colleen Burnham MBA | Program Manager Susan Graceffa | Program Support

Program website http://umassmed.edu/OUME/FCE FAQs http://umassmed.edu/OUME/FCE/FAQ UMMSFCEprogram@umassmed.edu