Flexible Clinical Experiences (FCE) Faculty & Staff Retreat Samir Malkani MD Colleen Burnham MBA January 8, 2016
FCE Program Description Four, one-week electives, embedded in the third year Core • Clinical Experiences curriculum Provides opportunity for individual exploration in a broad range • of 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 • ones interests
Specific Program Objectives 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
What worked particularly well… 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
Wide variety of course offerings 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
Student Design FCEs since program implementation 175 (33%)* 153 (32%) 120 (25%) 91 (18%) AY1213 AY1314 AY1415 AY1516 Enrollment *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 /
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 0 0 Cell Biology 0 4 0 Program in Molecular Medicine 0 4 0 Otolaryngology 0 2 0 Quantitative Health Sciences 0 0 3 Biochemistry & Molecular Pharmacology 0 0 0 Microbiology & Physiology Systems 0 0 0 Neurobiology 0 0 0 TBD (student design) 0 0 34 926 970 635
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? Pre-medical experience 10% Pre-clinical medical school experience 10% 3rd year core clerkship rotation 63% 3rd year surgery clerkship specialty surgery… 69% 3rd year Flexible Clinical Experience(s) (FCE) 37% 4th year rotation or sub-internship 63% other (specify below) 6% 0% 20% 40% 60% 80% Most important Perry, 2015
Flexible Clinical Experiences as career decision factor Surgeons 1 2 10 No impact on my decision Non-Surgeons Somewhat important 7 19 9 4 Most important Core 6 17 11 2 N/A Non-Core 2 4 8 0% 20% 40% 60% 80% 100% 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 sparked interest in a new field that I 55% am now planning to enter one or more of your four FCEs 97% helpful in career planning made me decide not to pursue a field 62% in which I was previously interested End of Year Program Evaluation AY1415
Changes for AY2015-2016, 2016-2017 Proposed change Rationale • Faculty have communicated they are not clear about Clarify requirements for using self- designed FCEs for the benefit of the expectation of a Capstone-specific FCE • Students seem to use the two FCE terms to continue Capstone Projects to Capstone faculty and to rising MS3s 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 We need to respond to feedback from students and feedback obtained from the planned faculty on how well the program is working for all faculty and student sessions involved. Investigate a more streamline Current system is prone to breakdown. Over 500 process (ie, application) for record experiences each year from over 1000 slots are keeping for a program with so many manually managed, by a single person, after initial moving parts. EVOS process. Enrollment records maintained in SharePoint. (PSCS) Currently enrollment flexibility allows for high number of last minute student change requests
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
Faculty FCE Experiences: Rewards & Regrets Judy Savageau Using FCE time for Capstone Project Work • Wahid Wassef • Suzanne Cashman • Barbara Ingrassia • Michele Pugnaire • Others in attendance •
Discussion 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? •
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
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