1. Directing Geographically Disparate Clerkship Sites
Alan P. Ladd, MD
Associate Professor of Surgery
Indiana University School of Medicine

2. Objectives/Disclosure
Identify pertinent LCME guidelines in the management of geographically disparate sites
Develop a Timeline for the development of new disparate sites of instruction
Recognize ongoing assessment aspects for disparate site instruction
No Disclosures (wish I had some)

3. Pertinent LCME Guidelines
Link:
Handout (crib sheet)

4. Pertinent LCME Guidelines
Educational Program
ED-2: Central oversight
Clinical Encounters (diagnoses/patients)
Level of student responsibility
Monitoring

5. Pertinent LCME Guidelines
ED-8: Comparable Experiences
(related to ED-2)
Identical Educational objectives, administration, assessment, grading.
Enhancement of faculty teaching and assessment
Orientation of faculty
Feedback to sites

6. Pertinent LCME Guidelines
ED-25: Clinical supervision
ED-41: Faculty Integration
ED-44: Student support services/benefits

7. Pertinent LCME Guidelines
Faculty
FA-2: Faculty qualification/time
FA-4: Faculty commitment/effectiveness
FA-7: Faculty appointment
FA-10: Faculty feedback

8. Pertinent LCME Guidelines
Educational Resources
ER-7: Facility capability/IT resources
ER-9: Affiliation Agreements
Learning Environment

9. Site Establishment Start 12 mon 9 mon 6 mon 3 mon 15-18 mon
Faculty Recruitment
Initiate Conversation
Candidate List
Site Adequacy
Faculty Development
Outine Core content
Preceptor Guidelines
Schedules
Design Schedules
Documentation
Orientation Design
Start
12 mon
9 mon
6 mon
3 mon
15-18 mon
Administrative
Affiliation Agreements
Faculty Appointments
Services/Logisics
Housing
Student Services
Clerkship
Orientation
Assessment Schedule

10. Site Establishment 18 months 15 months Initial conversation
Develop faculty list
15 months
Dissemination of clinical instruction requirements
Determine site adequacy

11. Site Establishment 12 months 9 months Affiliation agreements
Faculty appointments
9 months
Student electronic access—IT
Faculty development to core content/objectives
Supervision guidelines
Student responsibilities

12. Site Establishment 6 months 3 months Housing Campus facility access
Outline daily student schedule
Arrange site training
Acquire site documentation/training needs

13. Site Establishment 2 months 1 month Outline local orientation
Identify local policies and procedures
1 month
Disseminate student schedules
Verify student services

14. Site Establishment During Rotation Global Orientation
Verify Instruction
Collect Assessments

15. Site Establishment Following Rotation
Gather site-specific and faculty assessments
Review student feedback

16. Site Visits Annual Site Assessments Identify goals for following year
Disseminate site and faculty assessments
Outline faculty development opportunities and update on intended curricular changes
Provide Faculty Development
Identify goals for following year

17. Considerations Grade Distribution/Inflation
Apprentice vs. Team-based Model
Student perception of Career in Surgery
Student Advising
Skill Opportunities
Scope of Practices
Subspecialty Offerings