Improving Retention at the UMKC School of Medicine presented by Susan B. Wilson PhD MBA Associate Dean of Diversity and Community Partnership and Brenda Rogers, MD Associate Dean of Student Affairs

Background: Student Success Committee factors were identified that impact student success. These included:5 factors were identified that impact student success. These included: -Students who study independently and have academic difficulty. -Personal factors that impact academic achievement. - Level of academic support for courses with high D, F and W rates. -Student knowledge deficits regarding resources. -Student life skill deficits, including study skill s.

Goals To increase the graduating class size from 90 to 105.To increase the graduating class size from 90 to 105. To increase recruitment and retention of URM students and faculty.To increase recruitment and retention of URM students and faculty. To decrease rates of attrition in all student groups.To decrease rates of attrition in all student groups.

Baseline Metrics The overall attrition rate is 21% ( ); 15% ( and similar to other combined degree programs) when you eliminate Year 1 and 2 students.The overall attrition rate is 21% ( ); 15% ( and similar to other combined degree programs) when you eliminate Year 1 and 2 students. Attrition rates have decreased overall during the past four years (18.5% in 2007 to 2.8% in 2009).Attrition rates have decreased overall during the past four years (18.5% in 2007 to 2.8% in 2009). Attrition for women and men has been stable and is comparable.Attrition for women and men has been stable and is comparable.

Baseline Metrics Year 3-6 Attrition is 6-8 %, comparable to rates associated with 4 year medical school programs.Year 3-6 Attrition is 6-8 %, comparable to rates associated with 4 year medical school programs. Longitudinal URM attrition is generally higher than the general medical school population and has been dropping the past several years.Longitudinal URM attrition is generally higher than the general medical school population and has been dropping the past several years.

Strategy 1: Student /Faculty Outreach, Recruitment and Selection Enhanced outreach and pipeline efforts to recruit URM and rural students.Enhanced outreach and pipeline efforts to recruit URM and rural students. Improved communication and relationship- building strategies with these groups.Improved communication and relationship- building strategies with these groups. Implementation and refinement of “holistic review” practices in selection.Implementation and refinement of “holistic review” practices in selection. Development of a URM faculty recruitment and retention committee and plan.Development of a URM faculty recruitment and retention committee and plan.

Strategy 2: Target Academic Problem Areas and Provide Support Recognition that some students need more support than what faculty can realistically provide.Recognition that some students need more support than what faculty can realistically provide. Identify high D,F, W courses and analyze available academic support.Identify high D,F, W courses and analyze available academic support. Increase the number of out-of-class study groups, tutoring and other supports.Increase the number of out-of-class study groups, tutoring and other supports. Student grades are tracked by ETC’s and faculty and earlier intervention is provided utilizing the U-First System.Student grades are tracked by ETC’s and faculty and earlier intervention is provided utilizing the U-First System.

Target high-difficulty-level course(s) Human Structure Function is a four-part course that has traditionally had a higher- than –average D, F, W rate.Human Structure Function is a four-part course that has traditionally had a higher- than –average D, F, W rate. Each segment incorporates different teaching and learning methods; students find this aspect especially challenging.Each segment incorporates different teaching and learning methods; students find this aspect especially challenging. An orientation to the course was developed to assist students in understanding how to approach each segment and maximize success.An orientation to the course was developed to assist students in understanding how to approach each segment and maximize success.

Strategy 3: Provide support and mentoring at key transition points Assistant Dean position for year 1-2 students was added and strengthens physician visibility and mentoring.Assistant Dean position for year 1-2 students was added and strengthens physician visibility and mentoring. Assistant Dean of Career Counseling and programming helps students make better and earlier decisions about career direction.Assistant Dean of Career Counseling and programming helps students make better and earlier decisions about career direction. Learning specialist position was upgraded from part time to full time.Learning specialist position was upgraded from part time to full time.

Address Personal and Wellness Issues That Impact Academic Success Address Personal and Wellness Issues That Impact Academic Success Wellness coordinator hired.Wellness coordinator hired. Wellness assessment and plans are provided; workshops planned (78 consultations; all types)Wellness assessment and plans are provided; workshops planned (78 consultations; all types) Face book page was launched.Face book page was launched. Most common reported student issues: family difficulties, stress that impacts studying, financial stressors.Most common reported student issues: family difficulties, stress that impacts studying, financial stressors. In planning stages: conducting interviews at key transition points.In planning stages: conducting interviews at key transition points.

Strategy 4: Enhance and Promote Study and Skill-Building Groups All students are asked to provide feedback about whether they have a study group and who is participating.All students are asked to provide feedback about whether they have a study group and who is participating. Isolated students who study alone have greater difficulty; outreach to these students to encourage their participation is warranted.Isolated students who study alone have greater difficulty; outreach to these students to encourage their participation is warranted. Support is provided regarding forming study groups.Support is provided regarding forming study groups. Students are identified to provide tutoring and a mechanism to pay them was developed.Students are identified to provide tutoring and a mechanism to pay them was developed.

Develop Skill-Building Groups that Address Common Adjustment Problem Areas Because of the age (18-24 years) of our students, skill development is a critical factor that supports academic success.Because of the age (18-24 years) of our students, skill development is a critical factor that supports academic success. Groups are in development to address common adjustment problems: multi- tasking, perfectionism, procrastination, life and social skills and wellness.Groups are in development to address common adjustment problems: multi- tasking, perfectionism, procrastination, life and social skills and wellness.

Strategy 5: Increase Student Awareness of Resources A student handbook was developed with information specific to the SOM and is distributed at orientation and discussed in class meetings.A student handbook was developed with information specific to the SOM and is distributed at orientation and discussed in class meetings. Information helps student increase understanding of how to access resources important to success…in one placeInformation helps student increase understanding of how to access resources important to success…in one place

Future Directions The continued collection of detailed data on factors that are associated with success and difficulty.The continued collection of detailed data on factors that are associated with success and difficulty. Development of a new student survey which is administered at greater frequency to identify trends and opportunities for improvement.Development of a new student survey which is administered at greater frequency to identify trends and opportunities for improvement.

Thank you! Questions?