UF College of Medicine: LCME Self-Study Opportunities Ahead Joseph Fantone, M.D. Senior Associate Dean of Educational Affairs University of Florida College of Medicine Joseph Fantone, M.D. Senior Associate Dean Educational Affairs

UF-COM Educational Programs Medical Students Graduate Students Physician Assistant Students Undergraduate Students Distant Education Students Residents and Fellows Post-doctoral Fellows CME & MOC

Patient Care Education Discovery Scholarship Service

UFCOM LCME SELF-STUDY Summary of Strengths Quality of Students and Graduates Quality of Faculty Quality of Education Program Dean’s Offices and Student Services Diversity of the Medical Student Body Extracurricular Opportunities Research and Scholarship University Campus Clinical Programs - Education Sites

LCME Preliminary Findings New curriculum - Faculty highly responsive to student feedback Comprehensive and proactive student counseling services - highly responsive to student needs Admissions process widely praised by students for patient-centeredness - strong factor in choosing UF Faculty development and mentoring programs Accommodations made for space constraints – New ed. bldg. will address

LCME Preliminary Findings: Opportunities Diversity – programs in place – too early to assess effectiveness New curriculum is incomplete – unable to determine if program objectives have been attained and competencies realized Observation of core clinical skills (history & physical exam) has not systematically occurred in each required clerkship – AAMC GQ Timeliness of clerkship grades

% URM Incoming % URM Total Medical students PA students Graduate Students Residents - GNV Residents - JAX Faculty - GNV Faculty- JAX Diversity: A Commitment to Inclusion

UF MATCH DAY 2015

UF Graduates Incoming UF Residents MATCH 2015

Match Results ( ) Outcome # in Match Primary care specialty * UF-GNV UF-JAX Florida: total * Includes Ob-Gyn

Match Results ( ) Outcome # in Match Primary care specialty * 42 %47 %41 %44 %35%38% UF-GNV UF-JAX Florida: total * Includes Ob-Gyn

Match Results ( ) Outcome # in Match Primary care specialty * 42 %47 %41 %44 %35%38% UF-GNV22 %23 % 9%17% 14% UF-JAX2.4 %3.2 %2.4 %5.3 %3.3 %2.3 % Florida: total * Includes Ob-Gyn

Match Results ( ) Outcome # in Match Primary care specialty * 42 %47 %41 %44 %35%38% UF-GNV22 %23 % 9%17% 14% UF-JAX2.4 %3.2 %2.4 %5.3 %3.3 %2.3 % Florida: total32 % 36 %31 %23 %27%26% * Includes Ob-Gyn

2015 RESIDENCY MATCH UF-COM SPECIALTY # STUDENTS (%) # UF-GNV + UF JAX Anesthesiology 4 (3.3)1 Cardiothoracic Surgery 1 (0.8) Dermatology 4 (3.3)2 Emergency Medicine 14 (11.5)1 + 3 Family Medicine 7 (5.7)1 Medicine 18 (14.8)8 Med - Peds 2 (1.6) Neurology 2 (1.6)1 Neurosurgery 4 (3.3)1 OB-GYN 8 (6.6)1 Ophthalmology 5 (4.1)3 SPECIALTY # STUDENTS (%) # UF-GNV + UF JAX Orthopedics 3 (2.5)1 Otolaryngology 2 (1.6) Pathology 2 (1.6) Pediatrics 16 (13.2)2 Plastic Surgery 1 (0.8) Prelim. Medicine 3 (2.5)2 Prelim. Surgery 1 (0.8) Psychiatry 3 (2.5) Radiation Oncology 4 (3.3)1 Radiology 8 (6.6)1 Surgery 7 (5.7)1 Urology 2 (1.6) TOTAL12130 (25 %)

OUTSTATE PROGRAM MATCHES# STUDENTS Beth Israel – Boston1 Children’s Hospital-Boston1 Children’s Hospital-Philadelphia1 Colorado1 Duke1 Emory3 Mayo - Rochester2 M.D. Anderson1 MGH1 Michigan2 Mt. Sinai – New York2 NYU1 Oregon1 Stanford2 UAB1 UCSF1 UTSW – Dallas6 Washington University1 TOTAL29 (24%)

60 students per year: 24 month program Surgery, CCU, and EM: most popular Approx. 30% enter primary care 2014: all graduates had jobs within 3 months of graduation Distinguished Young Alumnus Award: David Indarawis, Director of Clinical Education School of Physician Assistant Studies

School of Physician Assistant Studies: Opportunities & Challenges New clinical affiliations: Competition for clinical sites o FSU med school o 5 PA programs in the state - expansion o Payment up to: $2000/mo./student Funding and costs of tuition Independent practice: Florida Academy of PAs – PAs are part of a healthcare team headed by a physician

School of Physician Assistant Studies Accreditation Review Commission on Education for Physician Assistant (ARC-PA) Self-study underway – submitted May 2015 Site visit: June 12-13, 2017

Graduate Programs New Programs IDP-BMS: Cancer Biology Concentration Medical Physics Certificate Programs and Distant Education Courses Opportunities Recruitment Stabilize Funding Model for Ph.D. (~ $42,000/yr.) Curriculum: Flexible and design for future workforce needs IDP-2

Department or Program# of Master’s Students # of Doctoral Students Biochemistry and Molecular Biology 023 Genetics 035 Immunology and Microbiology 041 Molecular Cell Biology 020 Neuroscience 039 Physiology and Pharmacology 019 Cancer Biology new Interdisciplinary Program in Biomedical Sciences 020 Epidemiology 3326 Biostatistics 1416 Genetics & Genomics 026 Clinical and Translational Science 50 Health Outcomes and Policy 30 Translational Biotechnology 20 Medical Science

Total Apps OffersEnrolled % Offers % Enrolled IDP-BMS Admissions

Graduate Student Medical Guild Awards UF College of Medicine Celebration of Research

Year # Medical Students Percent of Class Medical Student Research: MSRP Undergraduate Student Teaching BMS 4905: Senior Research (>320) BMS 3521: Human Physiology MDU 4000+: 5 Junior Honors Courses MDU4000+: 5 Psychiatry Courses BMS 400?: New Histology

UFCOM Strategic Plan Strategic Plan

UFCOM Strategic Plan I. Excellence in Education: 9 objectives and 34 Strategies OBJECTIVE 1: Recruit the brightest, most empathetic and service- oriented students who possess leadership potential and reflect the diversity of the state of Florida and nation. Engage in ongoing, systematic and focused efforts to attract and retain students from diverse backgrounds. OBJECTIVE 2: Enhance the curricula of our educational programs to improve students’ ability to master educational program learning outcomes and stated competencies. OBJECTIVE 3: Promote individual academic pursuits. OBJECTIVE 4: Promote the career development of teaching faculty. OBJECTIVE 5: Promote service learning in the educational programs. OBJECTIVE 6: Recruit the highest quality applicants of diverse backgrounds for our Graduate Medical Education (GME) programs.

UFCOM Strategic Plan OBJECTIVE 7: Train the next generation of excellent medical and biomedical science educators. OBJECTIVE 8: Integrate patient safety and quality improvement training into all health care-related educational programs. OBJECTIVE 9: Develop students, trainees and faculty into lifelong learners. Strategy: Engage students in interprofessional and collaborative team- based patient care, education and research. Strategy: Leverage technology to promote individualized self-directed education. Strategy: Stabilize funding support for graduate education programs. Strategy: Develop and implement assessments of Entrustable Professional Activities (EPAs) for each developmental transition

Timothy Flynn, M.D., Chair Senior Associate Dean for Clinical affairs University of Florida Motivation: Patient Safety “… aligning the professional development at the UME-GME transition with safe, effective, and compassionate care.” What do we want the person to do?

EPA 1: Gather a history and perform a physical examination EPA 2: Prioritize a differential diagnosis following a clinical encounter EPA 3: Recommend and interpret common diagnostic and screening EPA 4: Enter and discuss orders and prescriptions EPA 5: Document a clinical encounter in the patient record EPA 6: Provide an oral presentation of a clinical encounter EPA 7: Form clinical questions and retrieve evidence to advance patient care

EPA 8: Give or receive a patient handover to transition care responsibility EPA 9: Collaborate as a member of an interprofessional team EPA 10: Recognize a patient requiring urgent or emergent care and initiate evaluation and management EPA 11: Obtain informed consent for tests and/or procedures EPA 12: Perform general procedures of a physician EPA 13: Identify system failures and contribute to a culture of safety and improvement

Description of the activity: “Day 1 residents should be able to do …….” EPA 1: Gather a history and perform a physical examination Functions: History: examples Obtain a complete and accurate history in an organized fashion. Demonstrate patient-centered interview skills …….. Physical Exam: examples Perform a complete and accurate physical exam in logical and fluid sequence. Identify, describe, and document abnormal physical exam findings.

Assessments Clinical Skills Exams Curriculum

THE POWER OF TOGETHER UF Health Strategic Plan 2015 – 2020 Patient Care Education Discovery Scholarship Service

UF Health: Education “UF Health professional and academic programs will produce graduates who excel and lead in clinical care, science, teaching, and community health.” Goal #1: Train leaders of the future in science, the health professions, education and community service Goal #2: UF HSC is an inclusive learning community. Goal #3: UF Health interprofessional and team learning programs are nationally recognized for excellence and innovation. Goal #4: Professionals and scientists training at UF HSC are prepared for a technology-facilitated career. Goal #5: UF HSC graduates are prepared for a broad range of science careers

UF Health Research (6 total) Goal #3: Support research and research training programs of existing research faculty at UF Health. Goal #4: Attract well prepared and highly motivated graduate students and chart new pathways for developing the translational workforce Goal #5: UF Health will become a leading Learning Health System. UF Health Clinical (8 total) Goal 5: UF Health will provide integrated team care throughout the patient experience

George T. Harrell, M.D. Medical Education Building

Thank You Patient Care Education Discovery Scholarship Service