The MEC and LCME

Role of the MEC The LCME wants (demands?) that the MEC be the voice of the faculty in medical educaiton and that it be the policy-making body for medical education. The Dean (through the SADME) is the “executive arm” and the LCME requires evidence that MEC decisions be implemented The MEC is ultimately responsible for LCME compliant policy and for monitoring of compliance

ED- 1 Education Program Objectives The standard requires that all courses understand the link between institutional objectives, course objectives and session objectives. I think that we are in compliance particularly since the MEC has reinforced this with course directors during course review. Concerns remain about objectives that don’t appear in as separate courses. – Examples include ethics, health determinants and culturally competent care for diverse populations Some of these can be identified from GQ data and warrant MEC attention.

ED-5A – Active learning and independent study Standard requires: Self-assessment of learning needs; independent identification, analysis, and synthesis of relevant information; and appraisal of the credibility of information sources AND sufficient time away from scheduled activities. Problem: too much lecture; too much scheduled time (not enough time for active learning); not enough (any?) “active learning” in first year. – MEC policies about contact time for Y1 & 2 – MEC policies about percentage of lecture time in courses – Work to develop "active learning" sessions in Y1

ED 33 - Curriculum Management Standard requires rigorous course review and periodic review of entire program. Demonstrate accountability and control through improvement in weaker courses. There has been an annual half-day workshop reviewing entire curriculum (for the past 2 years). In addition to course review, it would be helpful to systematically review cross- discipline topics that appear in GQ

ED 19 – Interprofessional education Greg Ogrinc has been working on this It is a mixed bag so far – GQ says that that a high percentage of our students are engaged in IPE activities… – … but that they do not (yet?) agree with the statement that these exercises helped to better understand the role of these other professions in care of patients.

ED – 24 – Resident preparation for teaching Standard requires annual, mandatory programs for all residents/fellows with documented participation. There is a program as part of PGY 1 orientation Annual institutional exercise for recredentialling – Videos and exam Departmental programs – Not institutionally (centrally) monitored – attendance?

Clerkship Issues ED-38 Duty Hours – John Dick has been monitoring. They will want to know what is done to correct issues that arise. ED-8 Clerkship comparability – Demonstrate comparability across sites AND that successful action is taken if there are sites that are not comparable.