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dissection and evolution of a pathology - pathophysiology course

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dissection and evolution of a pathology - pathophysiology course

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    1. DISSECTION AND EVOLUTION OF A PATHOLOGY - PATHOPHYSIOLOGY COURSE Byron E. Crawford, MD Associate Professor of Pathology Department of Pathology and Laboratory Medicine Tulane University School of Medicine New Orleans, Louisiana

    3. If I have two managers who always agree, I don�t need both of them.

    4. HISTORY Pathology - Pre-1998 Pathology and Pathophysiology - 1998-2001 Mechanisms of Disease - Pathology and Pathophysiology - 2002 �300 lb. Gorilla�

    5. GOALS 1) To develop an understanding of the causes and mechanisms of disease and the associated alterations of structure and function of cells, tissues, and organ-systems. 2) To develop skills of observation, interpretation, and integration needed to analyze human disease. When provided with the clinical history, the anatomical lesions, and the laboratory data of a patient, to determine the differential diagnosis, the most likely diagnosis and explain the pathogenesis of the disease.

    6. DISTRIBUTION OF COURSE HOURS

    7. MAJOR COURSE CHANGES Perceived Problems or Issues Definitive Problems Owl Club Recommendations Faculty Recommendations (In and Out) Recommendations from Curriculum Committee NBME Shelf Exams Other - Out of Date

    8. OUTSIDE IN-PUT GRIPE IAMSE OERD T-2 Curriculum Advisory Committee Curriculum Committee

    9. MAJOR CHANGES Dropped Laboratory - 1996 Case Studies - 1997 Integration - Coordination - 1998 Coordination - Clinical Diagnosis - 2001 Dropped Microscopic Slides - 2002 Reduction in Contact time - 2003

    10. TEACHING INCENTIVES Personal Rewarding Experience Educational Grants OWL Club Teaching Awards AOA Teaching Awards OERD and Deans Office Award Department of Pathology and Laboratory - �Excellence in Teaching Award� Promotions

    11. EDUCATIONAL GRANTS Development of CD-ROM GI-Liver Neuropathology Renal Pathology Pulmonary Pathology Hematopathology Reproductive Pathology

    12. Faculty CREATED Problems

    14. TUTORING Offered to 5-10% of students Criteria Group vs Private Free vs Pay Selecting Tutors Successful vs Un-successful

    16. OBJECTIVES Group Research in Pathology Education (GRIPE) USMLE, STEP 1 Content Outline Robbins Pathologic Basis of Disease

    17. LIASON COMMITTEE ON MEDICAL EDUCATION(LCME)STANDARDS FOR ACCREDITATION �Educational objectives state what students are expected to learn, not what is to be taught�

    18. USMLE, Step 1 ContentOBJECTIVES Skin appendage tumors Chlorine gas inhalation Hemochromatosis of heart Autoimmune hypogonadism

    19. STUDENT COMMENTSON OBJECTIVES

    20. EXAM DEVELOPMENT Writing Questions - ART Creators Type - Clinical vignette, K-type, all of the following are true except matching Images Question Bank - Tulane (1200) GRIPE - Regular questions, Clinical cases Fine Tuning Questions - Question Statistics

    21. ASSESSING COURSE SUCCESS Exam Grades NBME - Shelf Exam Scores USMLE, Step 1 Exam Scores T-3 and T-4 Clinical Faculty Input Peer Review T-3 and T-4 Student Surveys

    23. RECOMMENDATIONSCLINICIANS IN T-3 AND T4 CLINICAL BLOCKS Utilize Case Presentations Acid-base electrolytes regarding surgery patients Increase student exposure to radiologic images in relationship to Mechanisms of Diseases Only neurologists should teach neurology Increase practical clinical pharmacology

    24. STUDENT PERCEPTION

    25. STUDENT PERCEPTION

    26. STUDENT PERCEPTION

    27. STUDENT PERCEPTION

    28. STUDENT PERCEPTION

    29. SOPHOMORE PATHOLOGY COURSE - TULANE UNIVERSITY SCHOOL OF MEDICINECLINICAL PATHOLOGY QUESTIONS1999 - 2000 Topic_________________________________N___________________________Class Average Laboratory Statistics 5 81% Inflammation 3 65% Urinalysis 8 87% E B Virus 2 75% C S F Analysis 4 89% Culture Specimens 2 68% Proteins 2 75% PCR 1 37% Tumor Markers 4 86% Lipids 3 87% Cardiac Profiles 1 99% Water, lytes, acid base 15 72% Hematology 28 86% Coagulation 7 87% Transfusion Medicine 3 72% Endocrinology 8 79% GI Liver __3__ 56% 99 Class Average Based On Above 99 Questions - 80%

    30. PATHOLOGY AND PATHOPHYSIOLOGYSHELF EXAM Year Percentile Class Average 1997-19981 66 76.4 1998-19991,2 65 75.4 1999-20002 65 74.5 2000-20012 69 77 2001-20022,3 80 80 2002-2003 80 80 1 - Director - Sanda Clejan, Ph.D 2 - Director - Eric Simon, MD and Byron Crawford, MD 3 - First year course coordinated/integrated with physical diagnosis.

    31. 2002 - SHELF EXAM T-2 Average National Average Difference Cardiovascular 81.6% 72.3% +9.3% Pulmonary 74.8% 70.8% +4.0% Renal 81.8% 72.3% +9.5% Hematology 70% 60.3% +9.7% GI � Liver 77.6% 70.5% +7.1% Genetics 84.7% 75.1% +9.6% Neurology 88.9% 87.1% +1.8% Infectious Diseases 87.2% 66.4% +20.8% Endocrine 77.3% 76.5% +0.8% Reproductive 68% 61.8% +6.2% Environmental 79.8% 69.2% +10.6% Miscellaneous 82.9% 72.9% +10.5% Inflammatory 82.7% 77.8% +4.9%

    43. NBME SHELF EXAMS

    45. STDEXAM CLASS AVERAGE 27% 27% CLASS AVERAGE 2002 97.6% 76% 87.3% 2003 93.6% 70% 84% 2001/2002 2002/2003 Average - All questions 81.5% 79.1% Average - without self taught question 84.2% 78.5%

    47. COST ANALYSIS - PROFESSIONAL

    48. COST ANALYSIS - STAFF, MISC. FEES

    50. TOTAL COST

    51. ACKNOWLEDGEMENTS

    53. ACKNOWLEDGEMENTS

    54. ACKNOWLEDGEMENT

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