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Report from MSEC: Curriculum Revision

Report from MSEC: Curriculum Revision. Charge from the Dean. June 5, 2007 MSEC meeting – Dean reported that USMLE has begun to plan for changes in the licensing exams. Likely outcome is a new single exam to replace step 1 and step 2 – clinical knowledge.

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Report from MSEC: Curriculum Revision

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  1. Report from MSEC:Curriculum Revision

  2. Charge from the Dean • June 5, 2007 MSEC meeting – Dean reported that USMLE has begun to plan for changes in the licensing exams. • Likely outcome is a new single exam to replace step 1 and step 2 – clinical knowledge. • Use this change as a catalyst to re-examine our curriculum.

  3. Charge from the Dean • Condense 4 semesters of basic science into 3 semesters. • Eliminate excessive detail to reduce time • Increase longitudinal presentation and review of basic sciences by incorporating into clinical curriculum. • Expand clinical experiences. • Pathophysiology refresher course prior to new exam.

  4. Charge from the Dean • Update curriculum in response to changes in science, technology, society, health care. • Improve teaching methods (including reducing lecture hours and use of multiple choice exams). • Determine whether exams reflect course goals and objectives and drive learning (not cramming). • Enhance student abilities to become life-long learners.

  5. MSEC Process • MSEC chair meeting with constituent groups to discuss process and seek input: • Basic science course directors • Basic science chairs • Clinical chairs • Departments (Anatomy, Biochem, Micro, Physiol, Internal Med, Psych)

  6. MSEC Process: Working Group • Small group committed to spending significant time examining this process. • Review of curricula from other schools. • Examination of all courses starting with fall semesters from years 1 & 2. • Examining resource availability and need • Educational methodology

  7. MSEC Process • Working group: • Dave Johnson – Biochem • Brian Rowe – Physiol • Jeri Mullersman – Path • Ramsay McGowan – Psych • Kevin Dell – Int Med • Forrest Lang – Fam Med • Ken Olive – MSEC • David Linville – Acad Affairs • Penny Smith – Acad Affairs • Lisa Myers – Medical Education

  8. Examples of Curricula from other Schools • Shorter basic science curricula: • Baylor, Minnesota, Duke, UT, Hawaii • Undergoing major curriculum change: • Emory, Vanderbilt

  9. Curriculum Mission • The mission of the curriculum of J H Quillen College of Medicine is to graduate well-rounded physicians who are prepared to practice state of the art medicine throughout their careers. We aspire to preeminence in the preparation of physicians for rural and primary care and for the comprehensive general education of physicians.

  10. Vision for Curriculum Change While our current curriculum has been effective, changes in science, society, economics and practice patterns are strong forces that compel significant change in curriculum content and delivery. Curriculum revision should: • enhance student abilities in clinical reasoning and problem solving • increase self-directed learning and promote lifelong learning • deepen comprehension of the scientific basis of medical practice by reducing the demarcation between “basic science” and “clinical training” • cultivate patient centered skills, attitudes and behaviors

  11. Vision for Curriculum Change • address currently neglected topics essential to effective medical practice such as professionalism, ethics, health disparities, prevention and public health • reduce academic overload and increase efficiency in the educational process • maintain a focus on excellence in the preparation of rural and primary care physicians Such revision will entail curriculum additions, deletions and modifications as well as instructional innovations. A target of reorganizing the first two years of medical education into a shorter period while subsequently revisiting the basic science disciplines during clinical training should promote state-of -the-art integration and utilization of all facets of medical education.

  12. Calls for Change from Other Organizations • AMA Initiative to Transform Medical Education – June 2007 • http://www.ama-assn.org/ama1/pub/upload/mm/377/finalitme.pdf

  13. Calls for Change from Other Organizations • AAMC. Educating Doctors to Provide High-Quality Medical Care: A vision for medical education in the United States. Report of the Ad Hoc Committee of Deans. July 2004 • https://services.aamc.org/Publications/showfile.cfm?file=version27.pdf&prd_id=115&prv_id=130&pdf_id=27

  14. Calls for Change from Other Organizations • AAMC. Implementing the Vision: Group on Educational Affairs Responds to the IIME Dean’s Committee Report “Educating Doctors to Provide High-Quality Medical Care: A vision for medical education in the United States”. September 2006. • https://services.aamc.org/Publications/showfile.cfm?file=version72.pdf&prd_id=168&prv_id=198&pdf_id=72

  15. Calls for Change from Other Organizations • Blue Ridge Academic Health Group. Reforming Medical Education: Urgent Priority for the Academic Health Center in the New Century. May 2003 • http://www.whsc.emory.edu/blueridge/_pdf/blue_ridge_report_7_2003may.pdf

  16. USMLE Information on Comprehensive Review • http://www.usmle.org/General_Information/review.html

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