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OB GYN

OB GYN. Rebecca Pschirrer, MD, Clerkship Director Paul Hanissian, MD, Clerkship Director Lori Avery, Clerkship Administrator . Site Comparability. Grade Distribution: CPMC. NBME shelf percentile score at CPMC (31 students) 50.8 compared to Geisel Average of 65.2

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OB GYN

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  1. OB GYN Rebecca Pschirrer, MD, Clerkship Director Paul Hanissian, MD, Clerkship Director Lori Avery, Clerkship Administrator

  2. Site Comparability

  3. Grade Distribution: CPMC • NBME shelf percentile score at CPMC (31 students) 50.8 compared to Geisel Average of 65.2 • Work closely with CPMC faculty to improve underperforming rotation for students • Site visit planned: 14 March 2014 • Q block phone conference with local clerkship site director (Fung Lam, MD), and invite quarterly the Medical Director, Graduate & Undergraduate Medical Education for CPMC (Susan Day, MD)

  4. Grade Distribution: Nashua • Nashua: Proportionally more students receiving Clinical Pass (36%, 20/55) than clerkship average (15%) • Action Plan: May 2013 Site visit reviewed clinical grade evaluations. Grades 2013-2014: average clinical grade: HP • Implemented the revised final grade evaluation beginning of academic year 2013

  5. Grade Distribution: Peterborough • Proportionally more students receiving Clinical Honors (70%, 7/10) than clerkship average (33.5%) • Action Plan: Reviewed evaluations & grade packets. Students’ NBME shelf exam average 80.5,  Honors. Clinical grade concordant with objective performance. No grade inflation suspected. • Small numbers of students (~4/year)

  6. Grade Distribution: Concord • Proportionally fewer students receiving Clinical Pass (2.2%, 1/44) than clerkship average (15%) • Action Plan: Upcoming site visit, plan for review with local site director. • Sample bias: high proportion of students interested in OB/GYN and FP rotate @ Concord

  7. Student Feedback

  8. Hartford Hospital • Score for quality of teaching by residents was an outlier on the low end (3.25) compared to clerkship average of 4.1. • Action Plan: Review data mid year with local site director • Phone call May 2013, prompted by exit interview concerns • Phone call December 2013, mid-rotation concerns • Phone conference January 2014 with clerkship site director and residency director • Recognized issue DMS and UCONN students • Increased program stress: 7 medical leaves in residency program • New residency director • Follow-up planned with site visit and meeting with residents, Spring 2014

  9. Essential Skills & Conditions • Provide clear alternative means to accomplish, where appropriate • Done • Change student responsibility: manage  manage with assist • Done • Drop “Pap smear” from skills and add “Cervical Cancer Screening” to conditions • Done

  10. Learning Sessions/Activities • Drop “Litigation & Clinical Practice” • Done • Well Woman Care objectives in Ilios • Done • Consider re-distribution end of clerkship activities to start of clerkship • When possible, we have done so and will continue to do so • Increase continuity with preceptors • When possible, we have done so and will continue to do so

  11. Thank you.

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