The Independent Student Analysis JUNE 2023 ACADEMIC YEAR 2022-2023 Table of Contents INDEPENDENT STUDENT ANALYSIS COMMITTEE ................................................ 1 EXECUTIVE SUMMARY ................................................................................................ 2 METHODS ......................................................................................................................... 3 STUDENT BODY DEMOGRAPHICS AND SURVEY PARTICIPATION.................... 5 OFFICE OF STUDENT AFFAIRS .................................................................................... 7 OFFICE OF ACADEMIC AND STUDENT PROGRAMS ............................................ 10 OFFICE OF INCLUSION, DIVERSITY, EQUITY, AND ACCESS ............................. 13 OFFICE OF RESEARCH ................................................................................................. 16 STUDENT SPACES......................................................................................................... 20 MEDICAL EDUCATION ................................................................................................ 25 Pre-Clerkship Phase ...................................................................................................... 25 STUDENT SERVICES .................................................................................................... 33 Academic Counseling ................................................................................................... 33 Financial Aid ................................................................................................................. 35 Wellness ........................................................................................................................ 37 Health Services ............................................................................................................. 39 NEW POLICY SUPPORT ............................................................................................... 40 ADMINISTRATION TRANSPARENCY/ORGANIZATION........................................ 42 COMMITTEE PRIORITIES ............................................................................................ 46 1 INDEPENDENT STUDENT ANALYSIS COMMITTEE Riya Shah Chair Class of 2025 AAMC OSR Representative Ahmed Ayantayo Class of 2023 Main Campus Representative Zoha Qureshi Class of 2024 Class Representative Jenna Carter Class of 2025, MD/PhD Candidate Ex-Officio President Matthew Brennan Class of 2025 Curriculum Committee Representative Aarti Patel Class of 2025 Class Representative 1 EXECUTIVE SUMMARY The Independent Student Analysis (ISA) is a student-led survey required by the Liaison Committee on Medical Education (LCME) during their site visit conducted every eight years. Wayne State University School of Medicine (WSUSOM) recently completed their LCME site visit in April 2023. Data from the January 2022-March 2022 ISA was compiled and presented to the LCME committee during this site visit. As the LCME site visit occurs every eight years, there is no way to get continual student feedback on the various aspects of the School of Medicine (SOM). In order to ensure consistent transparency between administration and students, the WSUSOM Student Senate created an internal committee called the ISA Committee. This committee is responsible for developing an annual survey to gauge student feedback. Once feedback has been analyzed, the committee is responsible for suggesting solutions to improve upon student concerns from the data. This report compiles results from the December 2022 ISA survey and compares the results to the March 2022 ISA survey (required LCME ISA survey). The ISA committee hopes that this report serves as a foundation for improvement efforts within Wayne State University School of Medicine moving forward and encourages continuous quality improvement of the learning environment and medical education provided to students. The following results are shared with the School of Medicine community, including administration and the student body, in an effort to promote transparency and continue supporting the institution that we are proud to represent. The results and summaries highlight the many strengths of Wayne State University and recommendations for improvement in support of students. 2 METHODS This survey was distributed by the Individual Student Analysis (ISA) Internal Committee of the Wayne State University School of Medicine (WSUSOM) Student Senate. This committee consisted of six students from different class years (M1-M4 and MD/PhD) as well as members from the Curriculum Committee and the AAMC Organization of Student Representatives. After collaborating with administration, the committee decided to design the survey questions—remeasuring 27 items from the previous ISA and generating nine new items to assess student satisfaction. Each question employed a four-point Likert scale ranging from “Very Satisfied” to “Very Dissatisfied.” A “N/A” option was also provided for each question so that respondents could indicate “No opportunity to assess/No opinion/Have not experienced this yet.” No neutral option was provided. In addition to these multiplechoice questions, students were asked one free-response item: “What are some tangible solutions to issues at the School of Medicine?” The survey was released on December 1, 2022, and closed on December 22, 2022, on New Innovations. All students received an email with a link to New Innovations, and using a secure login system, students could access the survey. Survey collection was anonymous, but student participation was tracked based on the completion of the survey on New Innovations. Students were reminded to complete the survey via email. A total of 967 responses were received on the survey platform (response rate: 79.3%). Students were provided incentives in the form of Amazon gift cards in return for filling out the survey. Students who filled out the survey earlier had a higher chance of winning a gift card. The committee received de-identified survey data from each class. ISA committee members cooperated to complete ISA tables for report writing and analyze qualitative data responses for each section. Trends from the previous ISA were established after reviewing both sets of data. The Committee established a benchmark of 70% as the lower 3 limit for a satisfactory response rate. Any question that had less than 70%, in total or by class, was highlighted as an item that needs to be addressed by the College of Medicine’s Administration. Likewise, the Committee considered a dissatisfaction rate of 20% or higher for a question item as necessitating attention from administration. 4 STUDENT BODY DEMOGRAPHICS AND SURVEY PARTICIPATION For this Independent Student Analysis, students were asked to share their demographic data at their comfort and discretion. Participants were asked, if comfortable, to share their age, racial/ethnic identity, gender identity, and if they had taken a leave of absence. Other identifiers included if the student is a minority in medicine, first-generation physician or college student, a student with dependents, a student of veteran status, or a dual degree student. These identifiers were completely optional and asked at the end of the survey. Questions were asked to gain a better appreciation of the diversity of the student body and not a definitive demographic breakdown. Response Rates Class 2026 (M1) 2025 (M2) 2024 (M3) 2023 (M4) Total Number of Respondents 300 290 206 171 967 Age Total Number of Students 307 364 271 278 1220 Response Rate 97.7% 79.7% 76.0% 61.5% 79.3% Race and/or Ethnicity Black or African American Latinx Class 2026 (M1) White Asian 122 80 21 2025 (M2) 104 53 2024 (M3) 81 2023 (M4) Class 2026 (M1) Average Age 2025 (M2) 23.8 2024 (M3) 24.7 2023 (M4) 25.7 23.9 ME/NA Multiple Other 5 22 24 9 10 10 15 30 6 37 12 3 12 15 3 72 21 5 6 5 20 5 Total 379 191 48 24 54 89 23 Percent 39.2% 19.8% 5.0% 2.5% 5.6% 9.2% 2.4% 5 Gender Identity Class Male Female Non-binary / non-conforming Other M1 136 146 1 M2 118 120 M3 85 M4 Minority in Medicine M1 92 0 M2 80 1 0 M3 48 89 1 0 M4 54 70 72 1 1 Total 274 Total 409 427 4 1 Percent 42.3% 44.2% 0.4% 0.1% Veteran Dual Degree Students Class MD/PhD MD/MS MD/MPH M1 0 M1 5 0 1 M2 1 M2 5 2 0 M3 0 M3 4 0 1 M4 2 M4 1 3 2 Total 3 Total 15 5 4 First-Generation Physician First-Generation College Student M1 45 M1 194 M2 43 M2 173 M3 20 M3 130 M4 28 M4 107 Total 136 Total 604 Leave of Absence Class Academic Non-Academic Research / Additional Degree M1 0 8 0 M2 2 5 1 M3 5 7 2 M4 7 2 2 Total 14 22 5 6 OFFICE OF STUDENT AFFAIRS 1. The Office of the Associate Dean of Student Affairs (Office of Student Affairs) is accessible The Office of the Associate Dean of Students Affairs (i.e. Office of Student Affairs) is accessible. Medical School Class Number of Total Responses/Response Rate to this Item N % M1 299.0 99.7 M2 289.0 M3 Number and % of Number and Combined % of N/A Dissatisfied and Responses Very Dissatisfied Responses N % Number and % of Combined Satisfied and Very Satisfied Responses N % N % 113.0 37.8 6.0 2.0 180.0 60.2 99.7 95.0 32.9 16.0 5.5 178.0 61.6 204.0 99.0 45.0 22.1 20.0 9.8 148.0 72.5 M4 170.0 99.4 33.0 19.4 3.0 1.8 134.0 78.8 Total 962.0 99.5 286.0 29.7 45.0 4.7 640.0 66.5 Overall, there is low satisfaction (66.5%) with the accessibility of the Office of Student Affairs. This is a large drop in satisfaction rate from the March 2022 ISA results showing an overall satisfaction percentage of 77.2%. One way to improve the accessibility of this office would be to send out a monthly/quarterly newsletter to the student body, with office hours for different staff in the office, so that students can set up times to meet with them. Students have also mentioned that the current website is difficult to navigate, so any investment into creating a more intuitive web interface would also improve accessibility. 7 2. The Office of the Associate Dean of Student Affairs (Office of Student Affairs) is aware of student concerns The Office of the Associate Dean of Students Affairs (i.e. Office of Student Affairs) is aware of student concerns. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of Number and Combined % of N/A Dissatisfied and Responses Very Dissatisfied Responses Number and % of Combined Satisfied and Very Satisfied Responses N % N % N % N % M1 298.0 99.3 84.0 28.2 18.0 6.0 195.0 65.4 M2 290.0 100.0 65.0 22.4 37.0 12.8 188.0 64.8 M3 205.0 99.5 34.0 16.6 15.0 7.3 156.0 76.1 M4 170.0 99.4 31.0 18.2 6.0 3.5 133.0 78.2 Total 963.0 99.6 214.0 22.2 76.0 7.9 672.0 69.8 There is low satisfaction (69.8%) with the awareness of student concerns by the Office of Student Affairs. This is a significant drop in the satisfaction rate from the March 2022 IS,A with an 85.9% satisfaction rate. One solution is to create a centralized database to show students what current projects are being undertaken by administration and their progress/updates. This can be done with software like Notion or Asana. Additionally, there needs to be a point person (ombudsperson) that students can go to regarding concerns who will eventually direct those concerns to the appropriate departments. This will create a more organized system for student concerns and hold administration accountable for the projects that they are undertaking. 8 3. The Office of the Associate Dean of Student Affairs (Office of Student Affairs) is responsive to student problems. The Office of the Associate Dean of Students Affairs (i.e. Office of Student Affairs) is responsive to student problems. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of Number and Combined % of N/A Dissatisfied and Responses Very Dissatisfied Responses Number and % of Combined Satisfied and Very Satisfied Responses N % N % N % N % M1 297.0 99.0 98.0 33.0 25.0 8.4 174.0 58.6 M2 289.0 99.7 73.0 25.3 44.0 15.2 172.0 59.5 M3 206.0 100.0 36.0 17.5 21.0 10.2 149.0 72.3 M4 171.0 100.0 31.0 18.1 11.0 6.4 129.0 75.4 Total 963.0 99.6 238.0 24.7 101.0 10.5 624.0 64.8 As seen with the previous tables regarding the Office of Student Affairs, there is low satisfaction with responsiveness to student concerns. As mentioned before, creating a transparent database with the student concerns that administration is currently addressing would show students that their concerns are being acted upon. Additionally, followthrough by the Office of Student Affairs would also be appreciated. This could be in the form of the “You Said We Did” newsletters or Town Halls. This will improve communication between administration and students, especially by responding to student concerns. 9 OFFICE OF ACADEMIC AND STUDENT PROGRAMS 4. The Office of the Associate Dean for Medical Education (Office of Medical Education) is accessible The Office of the Associate Dean for Medical Education (i.e. Office of Academic and Student Programs) is accessible. Medical School Class Number of Total Responses/Response Rate to this Item N % M1 297.0 99.0 M2 290.0 M3 Number and % of Number and Combined % of N/A Dissatisfied and Responses Very Dissatisfied Responses N % Number and % of Combined Satisfied and Very Satisfied Responses N % N % 136.0 45.8 6.0 2.0 155.0 52.2 100.0 94.0 32.4 25.0 8.6 171.0 59.0 204.0 99.0 55.0 27.0 14.0 6.9 135.0 66.2 M4 171.0 100.0 38.0 22.2 5.0 2.9 128.0 74.9 Total 962.0 99.5 323.0 33.6 50.0 5.2 589.0 61.2 There is low satisfaction (61.2%) with the accessibility of the Office of Academic and Student Programs. Compared to the previous ISA, the satisfaction percentage between all 4 classes was 69.7%. One of the issues with this office is that its name is not well-known. The School of Medicine has rarely introduced the faculty as part of the Office of Academic and Student Programs. An improved organizational chart would be helpful in delineating all the different offices and departments at the School of Medicine, so students are aware of where to go with any particular concerns. 10 5. The Office of the Associate Dean for Medical Education (Office of Medical Education) is aware of student concerns The Office of the Associate Dean for Medical Education (i.e. Office of Academic and Student Programs) is aware of student concerns. Medical School Class Number of Total Responses/Response Rate to this Item N % M1 296.0 98.7 M2 287.0 M3 Number and % of Number and % Number and Combined of Combined % of N/A Dissatisfied and Satisfied and Responses Very Dissatisfied Very Satisfied Responses Responses N % N % N % 108.0 36.5 16.0 5.4 172.0 58.1 99.0 75.0 26.1 35.0 12.2 177.0 61.7 206.0 100.0 46.0 22.3 16.0 7.8 144.0 69.9 M4 171.0 100.0 36.0 21.1 7.0 4.1 128.0 74.9 Total 960.0 99.3 265.0 27.6 74.0 7.7 621.0 64.7 Students have low satisfaction (64.7%) with the Office of Academic and Student Programs with their awareness of student concerns. This is a decrease in satisfaction compared to the March 2022 ISA satisfaction rate of 71.7% on this item. As mentioned before, a transparent chart of current projects that the school is working on would help students see what actions the school is taking on their concerns. This would create more transparency and increase trust between students and admin. 11 6. The Office of the Associate Dean for Medical Education (Office of Medical Education) is responsive to student problems The Office of the Associate Dean for Medical Education (i.e. Office of Academic and Student Programs) is responsive to student problems. Number and % of Number and % Medical School Number of Total Number and Combined of Combined Responses/Response % of N/A Dissatisfied and Satisfied and Rate to this Item Responses Very Dissatisfied Very Satisfied Responses Responses N % N % Class N % N % M1 295.0 98.3 116.0 39.3 21.0 7.1 158.0 53.6 M2 290.0 100.0 47.0 16.2 80.0 27.6 163.0 56.2 M3 205.0 99.5 47.0 22.9 23.0 11.2 135.0 65.9 M4 171.0 100.0 39.0 22.8 9.0 5.3 123.0 71.9 Total 961.0 99.4 249.0 25.9 133.0 13.8 579.0 60.2 Students have low satisfaction (60.2%) with the responsiveness of the Office of Academic and Student Programs to student problems. The satisfaction rate is especially low in the pre-clinical years (M1/M2 student average satisfaction rate: 54.9%). From free response comments, pre-clinical students feel as if administration “does not listen” to their concerns. Revival of the “You Said We Did” newsletter would improve this perception and continual transparency on current projects at the SOM would improve communication with students. 12 OFFICE OF INCLUSION, DIVERSITY, EQUITY, AND ACCESS 7. There are adequate resources and support for members of the LGBTQ+ community There are adequate resources and support for members of the LGBTQ+ community. Medical School Class Number of Total Responses/Response Rate to this Item N % M1 296.0 98.7 M2 290.0 M3 Number and % of Number and Combined % of N/A Dissatisfied and Responses Very Dissatisfied Responses N % Number and % of Combined Satisfied and Very Satisfied Responses N % N % 202.0 68.2 15.0 5.1 79.0 26.7 100.0 158.0 54.5 20.0 6.9 112.0 38.6 206.0 100.0 106.0 51.5 13.0 6.3 87.0 42.2 M4 171.0 100.0 86.0 50.3 7.0 4.1 78.0 45.6 Total 963.0 99.6 552.0 57.3 55.0 5.7 356.0 37.0 Overall, students expressed low satisfaction with the adequacy of resources and support for members of the LGBTQ+ community (37.0%). The M1 class, in particular, expressed low satisfaction (26.7%). The proportion of students who responded “N/A” to this question was high (57.3%), with the M1 class registering the highest number of such responses (68.2%). In the free responses, students cited a need for hiring more LGBTQ+ faculty as well as LGBTQ+ mentors. The ISA committee recommends the school connect LGBTQ+ students with mentors who identify as members of this community, potentially partnering with the LGBTQ+ People in Medicine student organization to implement the program. 13 8. There is a diversity of faculty mentors (based on race/ethnicity, gender identity, sexuality, religion, etc.) There is a diversity of faculty mentors (based on race/ethnicity, gender identity, sexuality, religion, etc.). Medical School Class Number of Total Responses/Response Rate to this Item Number and % of Number and Combined % of N/A Dissatisfied and Responses Very Dissatisfied Responses Number and % of Combined Satisfied and Very Satisfied Responses N % N % N % N % M1 297.0 99.0 32.0 10.8 30.0 10.1 235.0 79.1 M2 290.0 100.0 42.0 14.5 38.0 13.1 210.0 72.4 M3 205.0 99.5 21.0 10.2 23.0 11.2 161.0 78.5 M4 171.0 100.0 16.0 9.4 11.0 6.4 144.0 84.2 Total 963.0 99.6 111.0 11.5 102.0 10.6 750.0 77.9 Overall, students were generally satisfied with the diversity of faculty mentors (77.9%). The M4 class expressed the highest satisfaction rate (84.2%), while M2s expressed the lowest (72.4%). In their free responses, students cited the need for more LGBTQ+ faculty. Students also expressed a need for professors from marginalized backgrounds who can serve as role models and mentors for students. The ISA committee recommends establishing a system by which students from backgrounds underrepresented in medicine are able to connect with diverse faculty mentors. 14 9. The Office of Inclusion, Diversity, Equity, and Access (IDEA) is responsive to student concerns The Office of Inclusion, Diversity, Equity, and Access (IDEA) is responsive to student concerns. Medical School Class Number of Total Responses/Response Rate to this Item N % M1 297.0 99.0 M2 289.0 M3 Number and % of Number and Combined % of N/A Dissatisfied and Responses Very Dissatisfied Responses N % Number and % of Combined Satisfied and Very Satisfied Responses N % N % 139.0 46.8 7.0 2.4 151.0 50.8 99.7 110.0 38.1 24.0 8.3 155.0 53.6 206.0 100.0 70.0 34.0 12.0 5.8 124.0 60.2 M4 171.0 100.0 56.0 32.7 5.0 2.9 110.0 64.3 Total 963.0 99.6 375.0 38.9 48.0 5.0 540.0 56.1 Overall, students were not satisfied with the responsiveness of the Office of Inclusion, Diversity, Equity, and Access (IDEA) to student concerns (56.1%). The proportion of N/A responses was high for this question (38.9%). The M1 and M2 classes reported lower satisfaction rates (50.8% and 53.6%, respectively) than the M3 and M4 classes (60.2% and 64.3%, respectively). In their free responses, several students sought an increase in funding for this office to fund events for students underrepresented in medicine (e.g., a weeklong bridge program, study groups). The ISA committee recommends the IDEA office spearhead a near-peer learning coach program directed specifically at students who are underrepresented in medicine. This would both strengthen students’ sense of community and improve their academic outcomes. 15 OFFICE OF RESEARCH 10. There is access to research opportunities There is access to research opportunities. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 298.0 99.3 70.0 23.5 41.0 13.8 187.0 62.8 M2 290.0 100.0 29.0 10.0 58.0 20.0 203.0 70.0 M3 206.0 100.0 14.0 6.8 36.0 17.5 156.0 75.7 M4 171.0 100.0 8.0 4.7 10.0 5.8 153.0 89.5 Total 965.0 99.8 121.0 12.5 145.0 15.0 699.0 72.4 Overall, students are fairly satisfied (72.4%) with the access to research opportunities at WSUSOM. This is a decrease in satisfaction compared to the March 2022 ISA, which reported an 81.5% satisfaction rate with research opportunities. Of note, satisfaction was lowest in the M1 and M2 class, with rates of 62.8% and 70.0%, respectively. A solution to increase access to research opportunities may include creating a formalized research mentorship program that pairs students with experienced faculty members and physicians who can guide them through various research opportunities. Furthermore, allowing students access to a centralized database with a list of research mentors and having networking events with potential research mentors. 16 11. There is support for participation in research There is support for participation in research. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 297.0 99.0 65.0 21.9 43.0 14.5 189.0 63.6 M2 288.0 99.3 30.0 10.4 65.0 22.6 193.0 67.0 M3 206.0 100.0 13.0 6.3 41.0 19.9 152.0 73.8 M4 171.0 100.0 12.0 7.0 13.0 7.6 146.0 85.4 Total 962.0 99.5 120.0 12.5 162.0 16.8 680.0 70.7 Students are slightly satisfied (70.7%) with support for participation in research. This is a decrease in satisfaction rate from the March 2022 ISA, which reported a 79.2% satisfaction. A solution to this may include providing more one-on-one support for students who are participating in research, such as regular meetings to provide assistance with IRB protocols, data analysis, and manuscript preparation. Furthermore, encouraging and promoting student participation in research through awards, recognition, and other incentives may increase satisfaction for support for participation in research. 17 12. There are sufficient opportunities to conduct research in an area of interest There are sufficient opportunities to conduct research in an area of interest. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 299.0 99.7 90.0 30.1 35.0 11.7 174.0 58.2 M2 289.0 99.7 40.0 13.8 61.0 21.1 188.0 65.1 M3 206.0 100.0 14.0 6.8 37.0 18.0 155.0 75.2 M4 170.0 99.4 13.0 7.6 13.0 7.6 144.0 84.7 Total 964.0 99.7 157.0 16.3 146.0 15.1 661.0 68.6 Overall, student’s expressed low satisfaction in the number of opportunities to conduct research in an area of interest (68.6%). Satisfaction rates increased steadily by class, with M1s reporting the lowest satisfaction (58.2%) and M4s the highest (84.7%). The overall satisfaction rate in research opportunities represents a decline in satisfaction from last year’s students (80.3%). Many students addressed issues with research in their free responses. Overall, students noted the increasing importance of research as a differentiating factor when applying for residency programs. All classes cited a need for research opportunities, stating that cold emailing has been ineffective. They offered solutions such as providing a list of faculty willing to conduct research with students, networking events with potential principal investigators, and emails notifying students of projects they could get involved in. Some students pointed out that while some of these resources are available to those taking the research elective, they were not available to all students. Students also identified a need for increased funding for research conferences to make them possible for students from every financial background. They noted the current amount of research funding is insufficient. The ISA committee noted that the WSUSOM research elective is open to all interested students. The research elective does provide 18 students with a list of potential research mentors and hosts a networking event. The ISA committee recommends WSUSOM host an optional Research 101 seminar early in the M1 year, instructing students on the process of beginning research. The committee also recommends doubling the research conference funding per student per year (to $1000) and increasing the number of excused absences for students to attend research conferences during their clerkship years. Finally, the ISA committee recommends expanding the availability of Research funding to non-traditional research opportunities (e.g., organized medicine, volunteering). 19 STUDENT SPACES 13. The study space at the medical school campus is adequate The study space at the medical school campus is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 298.0 99.3 14.0 4.7 87.0 29.2 197.0 66.1 M2 290.0 100.0 18.0 6.2 48.0 16.6 224.0 77.2 M3 204.0 99.0 11.0 5.4 24.0 11.8 169.0 82.8 M4 170.0 99.4 9.0 5.3 11.0 6.5 150.0 88.2 Total 962.0 99.5 52.0 5.4 170.0 17.7 740.0 76.9 The satisfaction rate of adequacy of study spaces at the medical school reflects a general satisfaction at 76.9%. There is an overall increase in satisfaction for the second, third and fourth year medical students; however, the first year medical students reported low satisfaction with the study spaces at the medical school. It is possible that they have not been made aware of all the changes made to the School of Medicine recently when it comes to study spaces, so increasing information about these changes in the form of newsletters and social media may be a solution. Furthermore, students have expressed extending the hours of the library, which may increase satisfaction with the study spaces as well. 20 14. The study space at hospitals/clinical sites is adequate The study space at hospitals/clinical sites is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M3 205.0 99.5 3.0 1.5 37.0 18.0 165.0 80.5 M4 171.0 100.0 4.0 2.3 22.0 12.9 145.0 84.8 Total 376.0 38.9 7.0 1.9 59.0 15.7 310.0 82.4 M1 M2 Students are very satisfied (82.4%) with the study spaces at the hospitals and clinical sites. This is likely because of the new study spaces that have opened, such as the University Health Center 6E space. This satisfaction is an increase from the March 2022 ISA, which reported a 73.9% satisfaction. Continuing to promote the hospital and clinical site study spaces will hopefully continue to increase satisfaction among medical students. 21 15. The student relaxation space at the medical school campus is adequate The student relaxation space at the medical school campus is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 298.0 99.3 43.0 14.4 64.0 21.5 191.0 64.1 M2 290.0 100.0 28.0 9.7 43.0 14.8 219.0 75.5 M3 205.0 99.5 32.0 15.6 14.0 6.8 159.0 77.6 M4 169.0 98.8 18.0 10.7 6.0 3.6 145.0 85.8 Total 962.0 99.5 121.0 12.6 127.0 13.2 714.0 74.2 Overall, the satisfaction with the student relaxation spaces at the medical school campus is general satisfaction, at 74.2% satisfaction. Again, this data reflects a trend where first year medical students show under satisfaction with the student relaxation spaces. Increasing information about student relaxation spaces may be one solution to this. Another solution is having wellness events or free food on occasion in the student relaxation spaces so that they can be utilized more often; with the association between wellness events and relaxation, students can understand that these spaces are for improving their wellness. Furthermore, a quarterly newsletter should be sent out with information about the codes for the relaxation spaces so that students are continuously reminded of these spaces. 22 16. Relaxation space at hospitals/clinical sites is adequate Relaxation space at hospitals/clinical sites is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M3 206.0 100.0 14.0 6.8 49.0 23.8 143.0 69.4 M4 171.0 100.0 7.0 4.1 31.0 18.1 133.0 77.8 Total 377.0 39.0 21.0 5.6 80.0 21.2 276.0 73.2 M1 M2 Students are generally satisfied (73.2%) with the relaxation spaces at hospitals/clinical sites. This is likely because most students are not aware of the wellness space within the clinical sites. For example, there is a wellness room in the UHC 6E space, but many students do not know about it. To make this space more welcoming, we can provide comfortable seating, lighting, music, books, and more in this space and promote the space on social media and newsletters. Furthermore, the medical school can collaborate with all main hospitals to improve the medical school-specific relaxation spaces and renovate existing ones as well. 23 17. Secure storage space for personal belongings at hospitals/clinical sites is adequate Secure storage space for personal belongings at hospitals/clinical sites is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Combined Dissatisfied and Very Dissatisfied Responses Number and % of Combined Satisfied and Very Satisfied Responses N % N % N % N % M3 206.0 100.0 6.0 2.9 41.0 19.9 159.0 77.2 M4 171.0 100.0 7.0 4.1 45.0 26.3 119.0 69.6 Total 377.0 39.0 13.0 3.4 86.0 22.8 278.0 73.7 M1 M2 Students are fairly satisfied (73.7%) with secure storage space for personal belongings at hospitals/clinical sites. This is likely due to the variation in clinical sites offered for WSUSOM students throughout the metropolitan Detroit area. Students are often rotating at different clinics and hospitals that change weekly, requiring adjustments and accommodations to different storage spaces. This can be improved by communicating with the various sites to confirm their storage areas and attempting to standardize them for Wayne State students. 24 MEDICAL EDUCATION Pre-Clerkship Phase 18. Unscheduled time for self-directed learning in the pre-clerkship phase is adequate Unscheduled time for self-directed learning in the pre-clerkship phase is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of Number and Combined % of N/A Dissatisfied and Responses Very Dissatisfied Responses Number and % of Combined Satisfied and Very Satisfied Responses N % N % N % N % M1 298.0 99.3 11.0 3.7 158.0 53.0 129.0 43.3 M2 289.0 99.7 18.0 6.2 81.0 28.0 190.0 65.7 M3 205.0 99.5 5.0 2.4 34.0 16.6 166.0 81.0 M4 170.0 99.4 3.0 1.8 12.0 7.1 155.0 91.2 Total 962.0 99.5 37.0 3.8 285.0 29.6 640.0 66.5 Overall, students report low satisfaction (66.5%) with unscheduled time for self-directed learning in the pre-clerkship phase, with the M1 class reporting the least satisfaction (43.3%). This is in stark contrast to the previous ISA reporting 79.3%. This can largely be explained by changes made to the pre-clerkship curriculum since 2018, when WSUSOM implemented the Highways to Excellence curriculum and changes made especially since the start of the COVID-19 pandemic. This also explains the variance in responses by class (namely, the M4 class reported a 91.2% satisfaction with the preclerkship curriculum), as adjustments have been made to the curriculum since its inception. Many students report not having enough time before exams for dedicated studying as days are inundated with lectures and required classes, many of which occur virtually with back-to-back Zoom sessions. Beginning in July 2022, the M1 curriculum has included a dedicated study week before each exam without any other required 25 classes, which has been received well by the Class of 2026. In order to standardize the experience between all our classes, the School of Medicine should conduct an in-depth analysis of which curricular sessions are actually helpful to student academic performance based on student feedback and performance data. 26 19. The quality of the pre-clerkship phase is adequate The quality of the pre-clerkship phase is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 298.0 99.3 12.0 4.0 45.0 15.1 241.0 80.9 M2 290.0 100.0 15.0 5.2 80.0 27.6 195.0 67.2 M3 205.0 99.5 4.0 2.0 38.0 18.5 163.0 79.5 M4 171.0 100.0 3.0 1.8 17.0 9.9 151.0 88.3 Total 964.0 99.7 34.0 3.5 180.0 18.7 750.0 77.8 Students are generally satisfied (77.8%) with the quality of the pre-clerkship phase. The M2 class reported less satisfaction with the quality, however (67.2%). Students also reported inconsistencies in the quality of instruction, including discrepancies in material, lack of clarification, and variances in professors’ expertise. Furthermore, the quality of lectures can be improved by integrating third-party resources for Step 1 more seamlessly into the lecture content. For example, for each lecture, there should be supplemental material listed in the form of UWorld question IDs or Board and Beyond videos to watch on the lecture topic. Lastly, students reported a need for research to be integrated in the pre-clerkship curriculum, which can be improved by increasing the reach of the Office of Research for M1 and M2 students. 27 20. The medical school is responsive to student feedback on courses/clerkships The medical school is responsive to student feedback on courses/clerkships. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of Number and % of Number and Combined Combined % of N/A Dissatisfied and Satisfied and Responses Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 298.0 99.3 25.0 8.4 32.0 10.7 241.0 80.9 M2 289.0 99.7 17.0 5.9 54.0 18.7 218.0 75.4 M3 205.0 99.5 6.0 2.9 39.0 19.0 160.0 78.0 M4 171.0 100.0 12.0 7.0 17.0 9.9 142.0 83.0 Total 963.0 99.6 60.0 6.2 142.0 14.7 761.0 79.0 Overall, students are fairly satisfied (79.0%) with the school’s responsiveness to student feedback on courses and clerkships. Since the Highways to Excellence curriculum was implemented in 2018, it has gone through numerous changes, which have largely occurred due to student feedback. To improve student awareness of these changes, the ISA committee recommends the revival of a quarterly “You Said, We Did” newsletter. Additionally, if there can be a visual representation of quality improvement measures the school is taking to respond to student concerns, that include a timeline and the office/administrator in charge of that particular item. Moreover, there has been a relatively low attendance at Town Halls that are not required. In order to improve participation, we recommend that administration host focused Town Halls instead of generic Town Halls. This could include Town Halls on specific topics like Financial Aid, Wellness, and Curriculum. 28 21. Overall student workload in the pre-clerkship phase is adequate Overall student workload in the pre-clerkship is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 297.0 99.0 7.0 2.4 112.0 37.7 178.0 59.9 M2 287.0 99.0 13.0 4.5 57.0 19.9 217.0 75.6 M3 206.0 100.0 4.0 1.9 25.0 12.1 177.0 85.9 M4 171.0 100.0 3.0 1.8 14.0 8.2 154.0 90.1 Total 961.0 99.4 27.0 2.8 208.0 21.6 726.0 75.5 Students are generally satisfied (75.5%) with overall student workload in the preclerkship phase. Most student concerns regarding workload were related to the number of required events and lectures that students in the pre-clerkship phase had, especially in the week before exams. A change implemented in 2021 was the inclusion of a dedicated study week before each exam with no required events. Furthermore, students reported that the number of miscellaneous assignments were often overwhelming; a reduction of these in favor of more flexible study time would be beneficial for learning and student wellness. For example, many students mentioned that having a note-writing component in both CEC and Clinical Skills was redundant. Instead, keep the note-writing portion of clinical skills due to the peer feedback and eliminate this requirement from the CEC course. 29 22. Clinical skills instruction in the pre-clerkship phase is adequate Clinical skills instruction in the pre-clerkship phase is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 297.0 99.0 7.0 2.4 53.0 17.8 237.0 79.8 M2 290.0 100.0 13.0 4.5 35.0 12.1 242.0 83.4 M3 206.0 100.0 6.0 2.9 34.0 16.5 166.0 80.6 M4 171.0 100.0 4.0 2.3 12.0 7.0 155.0 90.6 Total 964.0 99.7 30.0 3.1 134.0 13.9 800.0 83.0 Overall, students are very satisfied (83.0%) with clinical skills instruction in the preclerkship phase. With the Kado Clinical Skills Center, students are able to learn and practice clinical skills well before they start their rotations. Each clinical skills session is correlated with lecture and course content, which improves student learning. Many students reported that they would appreciate more instruction and peer (M4 student) teaching of physical examination maneuvers, rather than just being tested on their ability to perform a physical exam. This can be implemented by having more frequent clinical skills sessions, including more formative teaching sessions along with assessment sessions. Other suggestions to improve clinical skills instruction would be to include lessons on suturing, medicine administration, and other skills important to practice in the hospital wards and clinics. 30 23. The amount of formative feedback in the pre-clerkship phase is adequate The amount of formative feedback in the pre-clerkship phase is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of Number and % of Number and Combined Combined % of N/A Dissatisfied and Satisfied and Responses Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 295.0 98.3 13.0 4.4 19.0 6.4 263.0 89.2 M2 290.0 100.0 14.0 4.8 40.0 13.8 236.0 81.4 M3 205.0 99.5 3.0 1.5 25.0 12.2 177.0 86.3 M4 171.0 100.0 3.0 1.8 11.0 6.4 157.0 91.8 Total 961.0 99.4 33.0 3.4 95.0 9.9 833.0 86.7 Overall, students are very satisfied (86.7%) with the amount of formative feedback in the pre-clerkship phase. Despite changes in the curriculum between classes, there was little variation in this satisfaction (M1: 89.2%, M2: 81.4%, M3:86.3% and M4: 91.8%). In the classes with the lower percentages of satisfied students, there was slightly higher dissatisfaction, but overall dissatisfaction remained low at 9.9%. Compared to the 2022 ISA, which also had high satisfaction with pre-clerkship formative feedback (81.1%), this is slightly increased. Formalized feedback following each curricular component and opportunities to engage with the feedback is suggested to maintain student satisfaction. 31 24. The quality of formative feedback in the pre-clerkship phase is adequate The quality of formative feedback in the pre-clerkship is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of Number and % of Number and Combined Combined % of N/A Dissatisfied and Satisfied and Responses Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 297.0 99.0 14.0 4.7 25.0 8.4 258.0 86.9 M2 290.0 100.0 15.0 5.2 45.0 15.5 230.0 79.3 M3 206.0 100.0 4.0 1.9 33.0 16.0 169.0 82.0 M4 169.0 98.8 3.0 1.8 12.0 7.1 154.0 91.1 Total 962.0 99.5 36.0 3.7 115.0 12.0 811.0 84.3 WSUSOM students are also highly satisfied with the quality of formative feedback in the pre-clerkship phase (84.3%). The class with the highest satisfaction was the M4 class (91.1%) and the class with the lowest percentage of satisfied students was the M2 class (79.3%). The percentage of dissatisfied students was an average of 12.0% with the M2 and the M3 class having the highest percentage of dissatisfaction (15.0-16.0%). In order to determine the root cause of this satisfaction, we suggest that further inquiries be made into how the quality of feedback could be improved in a systematic approach. 32 STUDENT SERVICES Academic Counseling 25. Career counseling is adequate Career counseling is adequate. Medical School Class Number of Total Responses/Response Rate to this Item N % M1 298.0 99.3 M2 290.0 M3 Number and % of N/A Responses N % Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % 114.0 38.3 27.0 9.1 157.0 52.7 100.0 88.0 30.3 79.0 27.2 123.0 42.4 206.0 100.0 9.0 4.4 56.0 27.2 141.0 68.4 M4 170.0 99.4 7.0 4.1 21.0 12.4 142.0 83.5 Total 964.0 99.7 218.0 22.6 183.0 19.0 563.0 58.4 Students are less satisfied with the adequacy of career counseling with an average of 58.4% (M1: 52.7%, M2: 42.4%, M3: 68.4%, M4: 83.5%). However, there is also a large percentage of M1 (38.3%) and M2 (30.3%) who responded with N/A, but dissatisfaction is still high at 19.0%. This is similar to reports in the 2022 ISA, where M1 and M2 had higher N/A reporting and satisfaction increased with progression through the curriculum. To address this, we suggest that career advising be incorporated throughout the curriculum and supplemented in M1 and M2 to promote specialty and career exploration early on in addition to formal advising that is offered in M3 and M4. Last year there was a session where students could meet with recently graduated alumni in different specialties, and this was positively reviewed and should be incorporated into annual career exploration opportunities. Other suggestions include “speed dating” night for specialties, a pointed research and career advising point person, and increased shadowing opportunities during clinical years. 33 26. Counseling about elective choices is adequate Counseling about elective choices is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 298.0 99.3 97.0 32.6 61.0 20.5 140.0 47.0 M2 287.0 99.0 75.0 26.1 106.0 36.9 106.0 36.9 M3 205.0 99.5 19.0 9.3 51.0 24.9 135.0 65.9 M4 170.0 99.4 9.0 5.3 29.0 17.1 132.0 77.6 Total 960.0 99.3 200.0 20.8 247.0 25.7 513.0 53.4 Overall satisfaction with counseling on elective choices was low in all classes with an average of 53.4%. There was similarly high dissatisfaction reported by all classes (25.7%) and high N/A responses by the M1 and M2 classes (32.6% and 26.1%). The especially high dissatisfaction and N/A response in pre-clerkship cohorts may be related to issues with clarity on elective policies for future scheduling of 4th year electives. These results are very similar to the the results seen in the 2022 ISA with higher satisfaction in M3 and M4 students and higher N/A responses in M1 and M2 students. To address this, we suggest formalized policies on electives be given to students at the beginning of each segment and separate sessions be scheduled to give more comprehensive elective counseling prior to enrollment. It would be beneficial if there was a career counseling/point person who is knowledgeable about all electives to help disseminate and deliver information during these sessions. We also suggest including student feedback as information provided during these sessions or even including older students as participants to reflect and answer questions about elective experiences. 34 Financial Aid 27. The quality of financial aid administrative services is adequate The quality of financial aid administrative services is adequate. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of Number and % of Number and Combined Combined % of N/A Dissatisfied and Satisfied and Responses Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 298.0 99.3 79.0 26.5 75.0 25.2 144.0 48.3 M2 290.0 100.0 63.0 21.7 61.0 21.0 166.0 57.2 M3 204.0 99.0 23.0 11.3 56.0 27.5 125.0 61.3 M4 170.0 99.4 22.0 12.9 37.0 21.8 111.0 65.3 Total 962.0 99.5 187.0 19.4 229.0 23.8 546.0 56.8 Students are generally dissatisfied with the quality of financial aid and administrative services with the average satisfaction percentage at 56.8% and the average dissatisfaction percentage at 23.8%. Satisfaction increased slightly from M1 to M4 while N/A responses were decreasing from M1 to M4. These results are very similar to the 2022 ISA results, where the average satisfaction was 61.7%. To best address this, we suggest that there be continued efforts to improve these services including increased personnel to attend to student needs, reduced wait time on financial aid inquiries, improved communications (such as continuing quarterly financial aid newsletter), and increased appointment times for student needs. Additionally, we request there be more transparency in scholarship application processes including deadlines, prompt notifications of awards and rejections, and an accessible timeline or calendar to detail these opportunities. 35 28. Debt management counseling is adequate Debt management counseling is adequate. Medical School Class Number of Total Responses/Response Rate to this Item N % M1 298.0 99.3 M2 290.0 M3 Number and % of N/A Responses N % Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % 146.0 49.0 59.0 19.8 93.0 31.2 100.0 116.0 40.0 55.0 19.0 119.0 41.0 205.0 99.5 53.0 25.9 45.0 22.0 107.0 52.2 M4 170.0 99.4 49.0 28.8 38.0 22.4 83.0 48.8 Total 963.0 99.6 364.0 37.8 197.0 20.5 402.0 41.7 There was low satisfaction with the adequacy of debt management counseling (41.7%), high dissatisfaction (20.5%), and very high N/A response (37.8%). N/A response was slightly higher in M1 and M2 classes and dissatisfaction was higher in M3 and M4 classes. These results were very similar to the results received in the 2022 ISA. With such a high percentage of students either unaware of debt management counseling or dissatisfied with its adequacy, we would like to suggest that debt management counseling be a mandatory part of M1 orientation, be offered frequently as information sessions and as one-on-one counseling appointments throughout the curriculum and be mandatory again prior to the end of M4. In addition, we request that the content of these sessions be evaluated prior and student feedback be gathered after sessions for quality improvement. 36 Wellness 29. Mental health services are available Mental health services are available. Medical School Class Number of Total Responses/Response Rate to this Item N % M1 298.0 99.3 M2 290.0 M3 Number and % of N/A Responses N Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses % N % N % 104.0 34.9 47.0 15.8 147.0 49.3 100.0 91.0 31.4 74.0 25.5 125.0 43.1 204.0 99.0 42.0 20.6 33.0 16.2 129.0 63.2 M4 205.0 119.9 68.0 33.2 16.0 7.8 121.0 59.0 Total 997.0 103.1 305.0 30.6 170.0 17.1 522.0 52.4 The combined satisfaction rate for all 4 classes was subpar with the average of 52.4%. This was a drop from the 58% satisfaction rate from the previous year’s survey. This depicts a paucity of resources or information about the resources among the classes. Students recommend having more than 1 counselor per class (with mental health training) to support their well-being by providing their expertise. Long waiting period/schedule conflicts with on-campus CAPS. The School of Medicine is currently in the process of hiring 2-3 new counselors. We recommend that these new counselors be dedicated to providing mental health services exclusive to the SOM, while our current class counselors can take on more of a career counselling role. Students also recommend continuing Dr Waineo’s wellness seminars, especially during the dedicated STEP1 period. Students also denounce the numerous assignments in their CEC and P4 courses which strains their focus on their clinical experience. 37 30. Student well-being programs are available Student well-being programs are available. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 298.0 99.3 84.0 28.2 49.0 16.4 165.0 55.4 M2 287.0 99.0 60.0 20.9 68.0 23.7 159.0 55.4 M3 204.0 99.0 26.0 12.7 33.0 16.2 145.0 71.1 M4 170.0 99.4 22.0 12.9 10.0 5.9 138.0 81.2 Total 959.0 99.2 192.0 20.0 160.0 16.7 607.0 63.3 The combined satisfaction rate is averaged low at 63.3%. This was also a drop from the past year’s result of 72.1%. It should be noted that the preclinical students had lower satisfaction with their well-being as compared to the clerkship students’ rate. Preclerkship students recommend more time for self-directed studying, such as one day without required activities per week, since required events strain their study time and reduce in-person events or allow students to choose sessions they find beneficial to their learning. Pre-clerkship students recommend making the lectures more concise as too much detail can hinder our long-term learning of key concepts. Boards and Beyond are an example of concise supplementary material that is effective at helping retain information. This could help the self-studying and well-being of students. Students should be made aware of why certain events are required and/or in-person. 38 Health Services 31. Student health services are accessible Student health services are accessible. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of Number and % of Number and Combined Combined % of N/A Dissatisfied and Satisfied and Responses Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 298.0 99.3 91.0 30.5 34.0 11.4 173.0 58.1 M2 290.0 100.0 73.0 25.2 43.0 14.8 174.0 60.0 M3 205.0 99.5 39.0 19.0 20.0 9.8 146.0 71.2 M4 169.0 98.8 18.0 10.7 13.0 7.7 138.0 81.7 Total 962.0 99.5 221.0 23.0 110.0 11.4 631.0 65.6 The combined satisfaction rate averaged low at 65.6%. This was down from last year’s rate of 77%. It should also be noted the satisfaction rate for “Student Health Services” trended low for the preclinical students but was high for the clerkship students. It could be deduced that the orientation to the student health resources was not adequate for the new students. International Students request adequate information on policies for health insurance and PCP procurement. Timely disclosure of insurance rates with discounted rates, as well as ways of obtaining Federal-covered services like Medicaid for lowincome students. We also recommend an in increase in transparency of costs at the Student Health Center. 39 NEW POLICY SUPPORT 32. I would support a new religious holiday policy that allocated 3 days/year, outside of wellness days, that students can use for religious/spiritual holidays that are not covered by the school calendar Support for religious accommodation policy Medical School Class Number of Total Responses/Response Rate to this Item Number and % of Number and % of Number and Combined Combined % of N/A Dissatisfied and Satisfied and Responses Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 298.0 99.3 15.0 5.0 4.0 1.3 279.0 93.6 M2 290.0 100.0 17.0 5.9 6.0 2.1 267.0 92.1 M3 205.0 99.5 6.0 2.9 1.0 0.5 198.0 96.6 M4 170.0 99.4 11.0 6.5 3.0 1.8 156.0 91.8 Total 963.0 99.6 49.0 5.1 14.0 1.5 900.0 93.5 The combined satisfaction rate for all classes and the averaged rates are over 91%. Students have overwhelming support for a new religious holiday policy that allocates 3 days/year, outside of wellness days, that they can use for holidays not present in the calendar. The ISA Committee suggests that students work with pre-clerkship and clerkship coordinators to reach an agreement on this new policy without clashing with the academic coursework and learning requirements. 40 33. Parental accommodations: I would support a parental accommodations policy that would allow for excused time off for medical students who are experiencing the birth or adoption of a child and increase resources, such as lactation rooms, childcare spaces, test-taking accommodations, etc., for medical student parents. Support for parental accommodations policy Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 295.0 98.3 17.0 5.8 2.0 0.7 276.0 93.6 M2 289.0 99.7 19.0 6.6 5.0 1.7 265.0 91.7 M3 206.0 100.0 11.0 5.3 2.0 1.0 193.0 93.7 M4 171.0 100.0 12.0 7.0 1.0 0.6 158.0 92.4 Total 961.0 99.4 59.0 6.1 10.0 1.0 892.0 92.8 The combined satisfaction rate for all classes and the averaged rates are over 91%. Students have overwhelming support for the parental accommodations policy that would allow for excused time off for medical students who are experiencing the birth or adoption of a child and increase resources, such as lactation rooms, childcare spaces, testtaking accommodations, etc., for medical student parents. The ISA Committee recommends that students work with admin to provide the above necessary resources including test-taking accommodations for our students with dependents without disrupting one's graduation timeline. We also would like to see increased funding to the Student Affairs office and facilities to provide these resources for students. 41 ADMINISTRATION TRANSPARENCY/ORGANIZATION 34. There is adequate student feedback in the scheduling process There is adequate student feedback in the scheduling process. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of N/A Responses Number and % of Number and % of Combined Combined Dissatisfied and Satisfied and Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 298.0 99.3 37.0 12.4 83.0 27.9 178.0 59.7 M2 289.0 99.7 34.0 11.8 78.0 27.0 177.0 61.2 M3 204.0 99.0 15.0 7.4 39.0 19.1 150.0 73.5 M4 171.0 100.0 12.0 7.0 24.0 14.0 135.0 78.9 Total 962.0 99.5 98.0 10.2 224.0 23.3 640.0 66.5 There is a low satisfaction rate with the preclinical students (60%) as opposed to the clerkship student (75%). This was a general drop in the combined rate from 76.9% in the past year. As such, we recommend a transparent report detailing one-for-one changes if any, being made based on major complaints/feedback being submitted by students versus broad change statements. Additionally, we request continual feedback from students on whether certain required sessions are beneficial to maintain in the curriculum (1 year post, 2 years post, etc.) 42 35. There is trust between students and administration There is trust between students and administration. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of Number and % of Number and Combined Combined % of N/A Dissatisfied and Satisfied and Responses Very Dissatisfied Very Satisfied Responses Responses N % N % N % N % M1 297.0 99.0 19.0 6.4 51.0 17.2 227.0 76.4 M2 288.0 99.3 15.0 5.2 122.0 42.4 151.0 52.4 M3 206.0 100.0 6.0 2.9 66.0 32.0 134.0 65.0 M4 170.0 99.4 5.0 2.9 35.0 20.6 130.0 76.5 Total 961.0 99.4 45.0 4.7 274.0 28.5 642.0 66.8 Overall students reported low satisfaction in trust with administration (66.8%). However, this represents a considerable increase from the satisfaction rate in last year’s survey (41.9%). Notably, the satisfaction rates of the M1 and M4 classes this year (76.4% and 76.5%, respectively) dwarfed those seen among M1s and M4s last year (28.2% and 28.8% respectively). These results signify a substantial increase in the trust between students and administration in the past year. All students, but particularly M2s, addressed trust issues with administration extensively in their free responses. Their issues fell into three buckets: communication, personnel, and organization. First, students felt administration didn’t effectively communicate how they were addressing student concerns and hence students did not feel listened to. The ISA committee recommends a quarterly email or newsletter from administration detailing top student concerns and how they’re being addressed. Second, students did not feel the number of administrative personnel was sufficient to manage the curriculum. They cited unanswered emails and logistic mishaps. Several M2 students also found the need for an administrator with whom they could address more broad concerns about the course. The ISA committee recommends hiring both an assistant dean of curriculum affairs and a director of the pre-clerkship phase. Third, students felt the administration was 43 disorganized. They referenced haphazard communications and competing information from administrators leading to logistical frustrations (e.g., that electives would count toward a free month for the fourth year). The ISA committee recommends regular meetings among administration, by class, to ensure consistent communication. 44 36. There is clarity on whom/which office to reach out to for course-specific concerns There is clarity on whom/which office to reach out to for course-specific concerns. Medical School Class Number of Total Responses/Response Rate to this Item Number and % of Number and Combined % of N/A Dissatisfied and Responses Very Dissatisfied Responses Number and % of Combined Satisfied and Very Satisfied Responses N % N % N % N % M1 298.0 99.3 31.0 10.4 64.0 21.5 203.0 68.1 M2 287.0 99.0 25.0 8.7 89.0 31.0 173.0 60.3 M3 204.0 99.0 4.0 2.0 47.0 23.0 153.0 75.0 M4 170.0 99.4 6.0 3.5 29.0 17.1 135.0 79.4 Total 959.0 99.2 66.0 6.9 229.0 23.9 664.0 69.2 Overall, students were not satisfied with the clarity on whom to reach out to regarding course-specific concerns (69.2%). The M2 class experienced the lowest satisfaction rate (60.3%), while M4s reported the highest satisfaction (79.4%). Free responses did not signal a struggle with who to reach out to for concerns about the course material itself. Students did note, however, that they were unsure of who to speak to regarding broader course-related issues (e.g., scheduling conflicts, workload burden). The ISA committee recommends hiring both an assistant dean of curriculum affairs and a director of the preclerkship phase to provide students with more curricular and logistical clarity, respectively. 45 COMMITTEE PRIORITIES The ISA Committee has come up with the following list of priorities for administration to respond to in the short-term (within the next 6-8 months): 1. Centralized database for current project updates and timelines 2. Updated research database for mentors/projects 3. An in-depth analysis of required events for the pre-clerkship curriculum 4. Integration of third-party resources into the pre-clerkship curriculum 5. Increase career development opportunities (shadowing, mentorship, etc.) 6. Separating the role of academic and mental health counselors 7. Major improvements to the IDEA office (events, accessibility, mentorship, etc.) We will be following up with administration to collaborate on these priorities as well as other solutions that were mentioned in this report. Our future plans include scheduling a Town Hall to present updates/improvements based on the ISA results as well as an opportunity for more unstructured student feedback. 46