Senior Clinical Competency Exam (SCCX) Class of 2015

2. Senior Clinical Competency Exam (SCCX)Class of 2015

3. WHY? • Provides a standardized measure of student competence and readiness for GME • Provides feedback about the effectiveness of our curriculum

4. WHEN? July 22 – August 8, 2014 • 2 full days (Tues/Wed or Thurs/Fri) • Six groups of 12 students each

5. WHAT? • 10 CCX cases: • 20 min SP, 45 min CCX • Findings, Hypotheses, Labs, Diagnosis, Diagnosis Justification, Problem List, and Management • 4 Patient Note Cases: • 15 min SP, 10 min Pt Note • History Findings, Physical Exam Findings, Differential Diagnosis with supportive findings and Laboratory Studies

6. How is SCCX different from earlier CCXs? • Pt Satisfaction is NOT included in case score • DX Justification is 20%of case score • Sections are NOT weighted • your score = # items done ÷ total # of items • Cases drawn from all organ systems, all clerkships, and all Doctoring content • You will be held to a higher standard of performance

7. For greatest success: Approach patients as if you will be responsible for their ongoing care (not just for their diagnosis)

8. USMLE 2CS Updates • H&P Checklist: • History items removed • Patient Note: • Must support DDX with Findings • Communication skills checklist • Revised to include specific behaviors • Review USMLE.org website

9. ….so we will too… • H&P Checklist: • History items will not count for credit • PE and MGMT items WILL count • Patient Note: • Our form will be mimic the USMLE 2CS form • Communication skills checklist • NO CHANGE to our form

10. SCCX Orientation • July 17, 4:30 PM(Thursday, week 2) • West Auditorium • Orientation Slides will available on website if you cannot attend • If you have questions, Mary Aiello will be available before and during SCCX

11. To Prepare: • Be prepared for all Appendix A complaints from Graduation Objectives • Review Head to Toe PE guidelines • Understand DDX generation & DX Justification • Review materials on CCX Assessments website

12. Passing the SCCX: Cases • Grading for SCCX Cases: • 20%: Diagnosis Justification • 80%: Everything else (not Pt. Satisfaction) • Expect 65% (or higher) pass level for cases • Expect a minimum of 10 cases to pass exam • Remediation for failing SCCX Cases: • Clinical Reasoning elective • October 27 to November 21, 2014 • Elective credit awarded

13. Passing the SCCX: Patient Satisfaction • Patient Satisfaction Grading: • Must achieve 4’s (scale of 1-5) across all six items in at least 11 cases • Remediation for failing Pt. Satisfaction: • MD/Patient Relationship elective • Must be taken by April 1, 2015 • Elective credit awarded

14. Results • Faculty will score the SCCX in August • CCX Committee will finalize pass level and scores by early September • Automatic review of all Unsatisfactory performances before results finalized • Results in campus mailboxes and to SPC by mid-September

15. CCX Assessments Websitehttp://www.siumed.edu/oec/html/year_41.html

16. If you have questions: • CCX Assessments website http://www.siumed.edu/oec/html/year_41.html OR • Mary Aiello (maiello@siumed.edu) • Dr. Erica Nelson (enelson@siumed.edu)