Welcome to the AAMC Building Better Curriculum Webinar Series We will begin our presentation shortly. Topic: UA COMP Clerkship Curriculum: How do we capture it & What do we report? Presenters from University of Arizona-College of Medicine, Phoenix: Paul R. Standley, Ph.D. Associate Dean Curricular Affairs & Program Evaluation Professor – Basic Medical Sciences and Physiology Cinda J. Stone, M.Ed. Director – Pre-Clerkship & Curricular Management Moderator: Angela Blood Director, Curricular Resources PLEASE NOTE: All users will be muted during the webinar but should use the chat feature to send questions to Angela Blood during the presentation. We will try to answer as many questions as possible at the end of the presentation.

AAMC Building a Better Curriculum Series UA COMP Clerkship Curriculum: How do we capture it & What do we report? Paul R. Standley, Ph.D. Associate Dean Curricular Affairs & Program Evaluation Professor – Basic Medical Sciences and Physiology Cinda J. Stone, M.Ed. Director – Pre-Clerkship & Curricular Management February 13, 2019

The past (it’s the lowest hanging fruit) The present (we are improving with a bit of struggle) The future (we ask for your help?)

The Past: pre-2015 Didactic afternoons Map SLOCLOEPO Px/Dx log from sun-setted E*value List in syllabi One and done checkbox, but no objectives.

Map SLOCLOEPO

Examples of PxDx OBGYN Clerkship

The Present: 2015-present

Present – one45; beyond the didactics and simple PxDx logging! Addition of hours of In/Out Patient Rotations Now 2 “sessions” in one45 CCT/Discipline tagging Threshold vs. Oversaturation New Px/Dx logging based upon levels of participation Observe and Discuss Actively Participate in Care Perform Procedure

Summarize In/Out-patient rotation hours

CCT/Discipline “Tag” List   Discipline Tags Behavioral Science / Behavioral Health Biochemistry Cell Biology Developmental Biology & Embryology Endocrinology Genetics Gross Anatomy Hematology Histology Immunology Microbiology Molecular Biology Neuroscience Oncology Pathology / Pathophysiology Pharmacology Physiology Public Health

Threshold vs. Saturation Theme designated in “red”

Future – Px/Dx/Tx – develop appropriate theme content List for each Dx: Define the key epidemiological characteristics of Dx List the risk factors for acquiring Dx Describe the pathophysiology of Dx Create a differential diagnosis algorithm for Dx Develop and initiate an effective treatment plan for Dx Obtain a relevant history and physical examination for Dx WILDCARD: Reflect upon the assigned theme objective related to each Dx   List for each Px, as appropriate: Explain the anatomy and pathophysiology related to the Px Define relevant pharmacology to the Px Summarize the informed consent process including risks, benefits, indications and alternatives) for the Px Compare associated imaging modalities for the Px Analyze potential complications and prevention or management strategies for the Px Understand post procedural care, patient education and anticipatory guidance for the Px WILDCARD: Reflect upon the assigned theme objective related to Px Vertical/horizontal integration of themes, basic sciences, etc. Opportunity for self-directed learning related to shelf exam preparation, etc.

Summary There is more to capturing clerkship curricula than didactics and patient logs Longitudinal and vertical integration of themes and basic sciences at least should be thoughtful, tracked, reported. Many of the students’ unique clinical experiences could be codified, but at what cost and for what purpose? Place for narrative medicine? Place for patient portfolios Moving to Years 1-4 Longitudinal Clinical Experiences; so much fertile ground!

We Desire Your Feedback Paul R. Standley, Ph.D. Associate Dean – Curricular Affairs & Program Evaluation Professor – Basic Medical Sciences and Physiology The University of Arizona College of Medicine – Phoenix 435 N. 5th Street Phoenix, AZ  85004 standley@email.Arizona.edu 602.827.2107 Cinda J. Stone, M.Ed. Director, PreClerkship and Curricular Management University of Arizona 435 North Fifth Street Phoenix, Arizona 85004 cjtstone@email.arizona.edu 602.827.2096

Thank you and we will see you next month! Please register for next month’s Building Better Curriculum Webinar Series on Wednesday, March 13, 2019 at 1:00 pm EST and view February’s series on AAMC’s website here: https://tinyurl.com/y6lzv957