APS - Medical Physiology Course Director Website Solicitation for Data Demographics: Medical School Name_________________________________________ University Name (if different)___________________________________ Name of course/section director _________________________________ Email_______________________________________________________ Telephone _________________________________________ Medical School Information: (please attach course schedule if willing) Curriculum: _____ Discipline Based (please indicate below) _______ Physiology only _______ Neurophysiology only _______ Combined Physiology & neurophysiology _______ Other (please describe)_________________________ _____ Integrated basic science (PBL) _____ Hybrid Curriculum Course Administration (please comment on the software used if willing) Name of Course Management Software _____ None currently used _____ Blackboard _____ WebCT _____ Other (please identify)_____________________ Course handout policy _____ Lecture handouts provided to the students _______ at no cost _________at cost _____ Course pack provided to the student _______ at no cost _________ at cost _____ Students responsible for obtaining their own handouts (downloaded, etc.) Year of next LCME accreditation site visit: ______________ Policy for summer remediation of failing grade _____ in-house independent study _____ formal summer course (either in-house or at external site) (please provide info on course if willing) Forms for evaluation of teaching faculty (please provide copies of evaluation forms if willing) _____ by students _____ by peers _____ by course director APS Medical Physiology Course Directors Web Site Page 2 Teaching Methods and Materials Lecture visual aids (Check all that are used more than 5% of total class time) ____ Computer and Projector ____ Chalkboard/whiteboard ____ Transparencies ____ 35mm slides and projector Computer-assisted instruction (please provide info on which used if willing) _____ Videos, problem sets _____ Audience response systems _____ Computer simulations _____ Use of simulators Laboratories _____ Students as subjects _____ Computer-driven laboratories (please indicate below) _____ Mac-lab _____ Powerpack _____ Other (please list)______________________________ _____ Animals as subjects _____ Physical models _____ Computer simulations (please provide info on which used if willing) Textbooks ______ Required textbook (Name of authors) ________________________ ______ Recommend textbook (Name of authors) _____________________ ______ Review textbook recommended (author)______________________ Teaching _____ % of course taught in lecture _____ % of course taught in small group conference _____ % of course taught in laboratory setting _____ % of course taught in other setting (please list)__________________ Assessment of students Examinations will be shared on a peer-to-peer basis. The web site will not have a question bank. If you are willing to share exams with your colleagues, check here _____ Course Grading policy _____ Pass/fail _____ A/B/C/Fail _____ Honors A/B/C/Fail Other (please specify _____ Students provide peer performance evaluation ) APS Medical Physiology Course Directors Web Site Page 3 _____ _____ _____ _____ _____ Administration provides USMLE step 1 data Faculty can participate in NBME sanctioned review NBME/others have presented examination item writing workshops NBME subject exam has been used as course final exam NBME subject exam has been used as remediation exam Evaluation of the course (please provide copies of evaluation forms if willing) By students ______ immediately following the course (before final grade known) ______ following the course (after final grade known) By student performance on external exam ______ NBME Subject exam ______ USMLE Step 1 exam Please attach any or all of the following: Course syllabus Course schedule Lecture outlines Evaluation forms (any type: student, course director, peer) Case history samples Please return completed form and attachments to: Melinda Lowy, APS Senior Program Manager, Higher Education (mlowy@the-aps.org)