Education Update Charles H. Griffith, III, MD Vice Dean for Education, UK College of Medicine

UK Match 2016 Of the graduating seniors, 39% are entering primary care specialties. Primary Care includes Family Practice, Internal Medicine, Pediatrics and Medicine-Pediatrics. Of the graduating seniors, 38% elected to remain at UKMC, and another 2% are staying at programs in Kentucky. Matched into 25 different specialties.

UK Match 2016 Top specialty choices for UK COM seniors were (listed in decreasing chronological order): Internal Medicine            Emergency Medicine                          Med-Peds               Pediatrics Anesthesiology                     

UK Match 2016 Top specialty choices for UK COM: General Surgery Psychiatry Urology Family Medicine OB/GYN  Vast majority of students interviewed in and matched in the S.E. U.S.              

Outcomes of New M.D. Curriculum In 2012, preclinical curriculum changed from department/discipline- based courses (pharmacology, microbiology, etc.) to multidisciplinary systems-based courses (cardiology, gastrointestinal). Class of 2016 and 2017 earned the highest United States Medical Licensing Exam (USMLE) Step 1 passing rates and mean scores in the history of the UK COM. Class of 2016 earned the highest mean USMLE Step 2 score in the history of the UK COM.

2016 Step 2 Interim Results UK Mean Score: 246 National Mean Score: 241 UK Pass Rate: 99% National Pass Rate: 96% Step 2 CS Interim Results are not in, but our pass rate will be ~99%

Curricular Revision

First Year Aug. Sept. Oct. Nov. Dec. Jan. Feb. March April May Anatomy Physical Exam Radiology Foundations of Molecular Medicine Winter Break Hematologic & Lymphatic Musculoskeletal & Integumentary Neuroscience Behavioral Basis of Medicine Introduction to Clinical Medicine 1 Interviewing and Communication Skills Foundations of Ethical Decision-Making Longitudinal Clinical Assignments Introduction To Clinical Medicine 1 Cultural and Social Aspects of Healthcare Healthcare Disparities

Second Year USMLE Step 1 Vacation Aug. Sept. Oct. Nov. Dec. Jan. Feb. March April May Respiratory Renal & Urinary Cardiovascular Gastrointestinal & Nutrition Winter Break Endocrine & Reproductive Multisystem & Integrative USMLE Step 1 Vacation Contemporary Practice EBM Public Health Healthcare Systems Introduction to Clinical Medicine 2 Advanced Physical Examination Skills Clinical Reasoning & Decision-Making

Obstetrics & Gynecology Third Year June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. April May Internal Medicine Emergency Medicine Psychiatry Neurology Obstetrics & Gynecology Winter Break Family Medicine Pediatrics Surgery M3 Capstone

Fourth Year Primary Acting Internship USMLE Step 2 Vacation Elective June July Aug. Sep. Oct. Nov. Dec. Jan. Feb. March April Primary Acting Internship USMLE Step 2 Vacation Elective Vacation/Interviews Winter Break Secondary Acting Internship AHEC Rotation Transition to Residency Course Graduation

Obtain a complete history for a patient presenting to establish care in the outpatient Obtain a complete history for a patient being admitted to the hospital Obtain a focused history for a patient presenting with a new complaint M1-M2 Obtain an interval history for a patient being seen in follow-up Develop a diagnostic plan for a common clinical presentation Provide accurate and concise documentation of an office visit clinical encounter Provide accurate and complete documentation of a hospital admission M3 Provide accurate and concise documentation of a hospital discharge Write, dictate, and/or enter safe and appropriate patient orders Write progress notes that communicate patient status and management plans M4

Perform a screening physical exam for a patient presenting to establish care in the outpatient Perform a focused physical exam for a patient presenting with a new complaint Interpret results of common laboratory tests M1-M2 Interpret a chest X-ray Interpret an EKG Perform bag mask ventilation Perform simple skin suturing M3 Obtain informed consent for low risk procedures Recognize a decompensating patient, initiate urgent treatment, and seek additional help M4

Response to Physician Shortage

Source: Kentucky Health News, 2014.

Primary Care Physician Retirement Source: The Commonwealth of Kentucky Health Care Workforce Capacity Report, May 2013.

M.D. Program Applicant Pool Increased National Interest

M.D. Program Total Enrollment 2011 - 2016 17% growth

UKCOM and U.S. MCAT Matriculant Averages Increased Class Size without Sacrificing Quality   UKCOM Matriculant Mean Matriculant Range National 2014 31.9 26-39  30.7 2013 31.7 27-41 31.3 2012 25-40 31.2 2011 30.5 24-38 31.1

Other schools producing physicians in Kentucky: *Based on entering 2014 class.

UK COM is quickly becoming the 4th largest provider of students for the Commonwealth.

Center for Health Education and Research

The Medical Center-WKU Health Sciences Complex

Rationale: KY has a shortage of physicians. UK COM has a deep applicant pool. UK COM is at its enrollment capacity on the Lexington campus. These University partnerships provide the educational space.  These clinical partnerships provide sites for clinical education. These regional partnerships are the only way that UK COM can greatly expand class size to produce more doctors for KY. This partnership provides the parameters for expansion possibility. Details of this implementation will be worked out with faculty, staff, etc. in the coming months to years.

UK CoM Graduates Staying for Residency Training (2011-2015) Graduation Year