Albert Einstein College of Medicine Academic Year 2012-2013 PART A. SUMMARY DATA ON COURSES AND CLERKSHIPS Complete the following tables for all required courses and clerkships: A. METHODS OF INSTRUCTION YEAR ONE/ACADEMIC PERIOD ONE Course Clinical & Developmental Anatomy (CDA) CV and General Physiology Disease Mechanisms Epidemiology, Population Health, & Evidence-Based Medicine 1 (EPHEM 1) Medical Histology & Cell Structure ICM-A Introduction to the Patient ICM-B The Clinical Experience Molecular & Cellular Foundations of Medicine Principles of Pharmacology Renal System Bioethics 1 TOTAL Lecture 48 Formal instructional hours Small Patient Lab groups contact Other * † 125 ** 2 15 23 15.25 7 39.2 4.5 5 90.9 25 35.25 3.75 296.85 48.25 5 2 180.25 Total 190 8 6 12 31 21.25 19 27.7 4 19.7 87.45 53 44 110.6 5 14 9.5 107.9 10.8 35 45.8 5 20 30 51.25 13.25 650.8 * Includes case-based or problem-solving sessions † Describe Clinical & Developmental Anatomy: * The two dedicated conference hours are devoted to the Team, Peer and Self-Assessment / 360° Evaluation the each team participates in upon return to the College after Exam 1 and the winter break. There is a short session describing techniques for maximizing the benefit of peer feedback followed by team breakout sessions where the members of each team discuss the results of the 360° assessment tool they used describe the performance of each team member including themselves. ** The 52 dissection laboratory sessions include four clinical case lab conferences (1 hour each), one small group osteology session (2.5 hours), and six (1 hour) diagnostic imaging small-group sessions. Of the total 125 hours of scheduled anatomy laboratory time, each student spends just over 112 hours dissecting in the lab with his or her anatomy team. Two of the four clinical case lab conferences are conducted in the anatomy labs by faculty from the Department of Emergency Medicine. The first of these 1-hour sessions covers the anatomy associated with the tube thoracostomy procedure. The second covers airway access and the cricothyrotomy procedure. Students are presented with a patient case and then shown how to perform the procedure on their cadavers assisted by the clinical faculty. The other two conferences are conducted in the dissection labs by faculty from the Department of Physical and Rehabilitation LCME Medical Education Database 2014-2015 Required Courses and Clerkships Albert Einstein College of Medicine Academic Year 2012-2013 Medicine. The first of these 1-hour sessions covers the anatomy associated with the brachial plexus injury and the second gait abnormalities associated with foot-drop. During the course, there are also six 1-hour small group diagnostic imaging conferences that are coordinated with each region of the body being studied. Each regional conference consists of eight sessions conducted over two days. Each dissection team is divided and one half of the team attends the first day’s conference and the other half goes on the second day. Each conference is clinically oriented and covers both normal and pathological imaging. Students have access to conference cases and images on the course homepage to view both before and after each conference. † The total count for course hours includes all scheduled course time. The total scheduled time for the C&DA course is 189 hours and 45 minutes. Of this time, 15 hours are devoted to evaluations. There are six quizzes administered at the end of each regional dissection unit: (1) Back & Thorax, (2) Abdomen, (3) Pelvis & Perineum, (4) Neck and Skull, (5) Head, and (6) Upper & Lower Limbs. Each quiz takes 15 minutes and is followed by a 15 minutes review. There are two comprehensive exams. The first covers the first three regional dissection units while the second covers the last three. Each exam has a written and laboratory practical exam component. Finally, there is a onehour formative self-assessment event that does not count towards the student’s grade. This is administered 3 weeks before the first exam that occurs immediately before the winter break. YEAR TWO/ACADEMIC PERIOD TWO Formal instructional hours Small Patient groups* contact Other† 12 2 10 1 Course Lecture Lab Cardiovascular Medicine 26 Endocrine System 19 Epidemiology. Population Health, & Evidence-Based Medicine 2 10 (EPHEM 2) Gastrointestinal/Liver System 30 1 5 Hematology 21 8 6 ICM-C The Clinical ExaminationPart 1 3.75 9.75 12 ICM-C The Clinical Examination11.25 2 7 Part 2 Microbiology & Infectious Diseases 42 16 12 Musculoskeletal Disorders 14 3 Nervous System & Human Behavior 80 5.5 7.5 Parasitology 15 2 Pulmonary System 37.5 2 10* Reproductive Systems 26 10 Bioethics 2 4.5 8 TOTAL 330 44.25 114.5 * Includes case-based or problem-solving sessions Total 40 30 10 36 35 1 5† 31.5 30 1.5† 51.75 1 4.5† 12† 1† 33 26 70 17 98.5 17 61.5 37 12.5 547.75 † Describe ICM-C The Clinical Examination: † In Part 1, 5.0 hours are used to practice physical examination of the male GU system and the female breast and pelvic systems on teaching assistants or patient volunteers. LCME Medical Education Database 2014-2015 Required Courses and Clerkships Albert Einstein College of Medicine Academic Year 2012-2013 In Part 2, 1.5 hours are spent in a peer feedback session discussing personal goal setting and observation of their achievement of those goals from their peers with whom they are paired in the clinical setting to elicit histories and perform physical examinations on actual patients. Nervous System & Human Behavior: † We had two “forums” (i.e., Eating Disorders and Addicted Physician). These sessions were designed as an interactive dialogue between the presenter and students. We also had two 45-minute sessions reviewing the first and second exam; these were teaching opportunities to review the key points of several critical questions and to clarify why some responses were incorrect. Pulmonary System: *Four case presentations and 1 small-group epidemiology session; each is 2 hours long for a total of 10 hours. † Two workshops in pulmonary physiology; each is 2 hours long for total of 4 hours. Two workshop review sessions; each is 4 hours long for total of 8 hours. † Reproductive Systems: 30 minutes: demonstration for Gross Demo; 30 minutes: Sexuality Survey. YEAR THREE/ACADEMIC PERIOD THREE Clinical Patient encounter log criteria† (Y/N) (Y/N) Family Medicine 4 100% 0/19 3 Y Y Medicine Clerkship 11 0% 7 13 Y Y Obstetrics & Gynecology 6 17% 7/7 10 Y Y Pediatrics 7 50% 5/5 20 Y Y Psychiatry 6 50% 8/8 15 Y Y Surgery 8 20% 7/7 7 Y Y Geriatrics 2 50% 4/5 4 Y Y Radiology 2 5% 4/1 35 Y Y *Include the number of sites used for inpatient teaching and the number of sites used for outpatient teaching in the clerkship in the following format: # inpatient / # outpatient **Sum of formal instructional hours (lectures, conferences, and teaching rounds); show the range of hours if there is significant variation across sites. Do NOT include hours devoted to patient care activities. † Have criteria for the kinds of patients, clinical conditions, or procedural skills been defined? Clerkship Course Patients, Doctors & Communities (PDC) Total wks Lecture 4 hours % Amb. Lab # Sites used* Typical hrs/wk formal instruct** Small groups* 12 (2-hour) sessions Patient contact Other† 1.Workshop 2. Feedback session Total 32 hours * Includes case-based or problem-solving sessions † The first session of PDC is integrated into the Introduction to the Clerkship for new third-year students. LCME Medical Education Database 2014-2015 Required Courses and Clerkships Albert Einstein College of Medicine Academic Year 2012-2013 YEAR FOUR/ACADEMIC PERIOD FOUR Clerkship Total wks % Amb. # Sites used* Typical hrs/wk formal instruct** Clinical encounter criteria† (Y/N) Y Y Patient log (Y/N) Family Medicine Sub-Internship 4 0% 2/0 12-19 Y Advanced Ambulatory Family 4 97.5% 1/1 3 Y Medicine Medicine Sub-Internship 8 0% 6 11 Y Y Ambulatory Medicine 4 100% 7 2-8 Y Y Neurology 4 10% 4 5 Y Y Pediatrics Sub-internship 8 0% 2 17 Y Y Pediatric Ambulatory Care 4 100% 2 5 Y Y *Include the number of sites used for inpatient teaching and the number of sites used for outpatient teaching in the clerkship in the following format: # inpatient/ # outpatient **Sum of formal instructional hours (lectures, conferences, and teaching rounds); show the range of hours if there is significant variation across sites. Do NOT include hours devoted to patient care activities. † Have criteria for the kinds of patients, clinical conditions, or procedural skills been defined? Course Lecture Lab Small groups* Patient contact Other† Total * Includes case-based or problem solving sessions † Describe B. METHODS OF ASSESSMENT YEAR ONE/ACADEMIC PERIOD ONE Course Clinical & Developmental Anatomy (C&DA) CV & General Physiology Disease Mechanisms Epidemiology, Population Health, & Evidence-Based Medicine 1 (EPHEM 1) Medical Histology & Cell Structure ICM-A Introduction to the Patient Molecular & Cellular Foundations of Medicine Principles of Pharmacology Renal System Bioethics 1 # of exams Internal exams 4 x 2 1 1 x x 2 x 4 x 6 x 2 2 2 x x x Contribute to Grade (Check all that apply) Lab or NBME Faculty/ practical subject resident OSCE/ Paper exams exams rating* SP exam or oral pres. x (1)† 2†† 7†† Other† Formative Assessment (Y/N) Y N N N x LCME Medical Education Database 2014-2015 x† x 1 x x Y 7 x Y 2† Y and N N N N Required Courses and Clerkships Albert Einstein College of Medicine Academic Year 2012-2013 * Include evaluations by faculty members or residents in clinical experiences and also in small group sessions (for example, a facilitator evaluation in small group or case-based teaching) † Describe the specifics in the report narrative Clinical & Developmental Anatomy: †The NBME Subject Exam in Anatomy and Embryology is administered as a make-up exam to those students who failed the written (Didactic) half (component) of the course. There is also a separate second make-up exam that is given to those students who failed the laboratory half (component) of the course. Typically, rarely does any of the 2-4 students who annually take the make-ups, sit for both exams. ††Each anatomy dissection team is required to submit an “ARI” (Anatomy Report on the Internet). This report includes descriptions, discussions and narrative hypotheses about the unusual features observed and discovered during dissection. The team submits regional dissection reports at the end of each unit. Submission of dissection reports roughly coincides with the Quiz for that unit. Teams submit separate regional reports for the Upper and the Lower Limb in the final unit of the course. These reports are read by the faculty and feedback is provided online to each team. Two summative narrative reports are submitted describing the team’s hypotheses about its anatomical and pathological findings. The first is submitted immediately after the Winter Break and the second report at the end of the course. See the Evaluation Section” for an expanded discussion of the ARI report requirement.) Medical Histology & Cell Structure: † Includes Lab histopathology case studies. Molecular & Cellular Foundations of Medicine: † 2 quizzes are formative; the 6 exams are summative YEAR TWO/ACADEMIC PERIOD TWO Course Cardiovascular Medicine Endocrine System Epidemiology. Population Health, & Evidence-Based Medicine 2 (EPHEM 2) Gastrointestinal/Liver System Hematology Microbiology & Infectious Diseases Musculoskeletal Disorders Nervous System & Human Behavior Parasitology Pulmonary System Reproductive Systems Bioethics 2 Contribute to Grade (Check all that apply) Lab or NBME Faculty/ practical subject resident OSCE/ Paper exams exams rating* SP or oral exam pres. Formative Other† Assessment (Y/N) # of exams Internal exams 1 1 x x N N 4 x N 2 1 x x N Y 2 1 x x N N 3 1 2 1 2 x x x x 3** LCME Medical Education Database 2014-2015 1 Required Courses and Clerkships N N N N N Albert Einstein College of Medicine Academic Year 2012-2013 * Include evaluations by faculty members or residents in clinical experiences and also in small group sessions (for example, a facilitator evaluation in small group or case-based teaching) † Describe the specifics in the report narrative Nervous System & Human Behavior: *The students were not directly graded for their performance in the small-group sessions, but the course director polled each of the facilitators to determine the general pattern of the discussion and if the behavior or lack of participation for any student was of concern. **At the end of three of the four “small-group cases,” the students were required to self-organize into groups, to research specific assigned topics (three topics for each small group) and to “teach” each other the critical facts by means of a written document for each question. The completed document was then distributed by the students to the other members of their group. In addition, the course directors received and reviewed all the written documents from each of the 48 sub-groups (3 per group x 16 groups for each Case). Feedback was provided to the sub-group, and the two best responses for each question were posted to the entire class as a further learning tool. On a completely voluntary basis, students were also encouraged to submit a 10-12 page paper on a topic of their choice. If interested, the students met with the course director to discuss options. In addition, a volunteer faculty with knowledge in the area of interest served as a faculty mentor for each project. The completed work was submitted to the course director and graded on a 0-4 scale for extra credit. YEARS/ACADEMIC PERIODS THREE AND FOUR Contribute to Grade (Check all that apply) Course or Clerkship NBME subject exams Internal written exams x Oral exam or pres. x Faculty/ resident rating x x x OSCE/SP Other* exams Family Medicine Clerkship Family Medicine Sub-I Advanced Ambulatory Family Medicine Medicine Clerkship x x Medicine Sub-Internship x Ambulatory Medicine x Neurology x x Obstetrics & Gynecology x x x Pediatrics x x Pediatrics Sub-internship x Pediatric Ambulatory Care x Psychiatry x x x x Surgery x x x Geriatrics x x Radiology x x * Describe the specifics in the report narrative † Are all students observed performing core clinical skills? (Yes or No) LCME Medical Education Database 2014-2015 Clinical skills observed (Y/N)† Y Y Y x x* x* x Y Y Y Y Y Y Y Y Y Y Y Y Midclerkship feedback (Y/N) Y Y Y Y Y Y Y Y Y Y Y Y Y Required Courses and Clerkships Albert Einstein College of Medicine Academic Year 2012-2013 *Pediatrics Clerkship: In the Pediatrics Clerkship, two formal patient write-ups are required; these write-ups are reviewed by a member of the faculty, graded, and returned to the student with appropriate feedback. *Ambulatory Pediatrics: Successful completion of required components of the rotation is compulsory in order to pass the clerkship. These include completion of 3 eCLIPP (extended Computer Learning in Pediatrics Program) online interactive cases, participation in didactic sessions, and completion of the patient log LCME Medical Education Database 2014-2015 Required Courses and Clerkships Albert Einstein College of Medicine LCME Medical Education Database 2014-2015 Clerkships Academic Year 2012-2013 Required Courses and