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Can you believe it is July already? On June 29, we recognized MOP and 3rd and 4th year preceptors. Our thank you celebration included vino and munchies for the GI tract and for the cerebral cortex an outstanding presentation by Drs. Ladde and Thundiyil on providing real time feedback to students on clinical rotations. Several attendees asked me when the next Pep Talk would be hitting the cyberwaves. Actually, I had started the draft earlier in the day so I thought I would sit down and fire off the newsletter today to coincide with the “July effect” — the phenomenon of increased negative patient outcomes in the early portion of a resident’s training year. Actually, it is now being reported that there is a “reverse July effect” and that the odds of failure do not increase. I believe this is probably attributed to the diligence and attention to patient safety that medical educators emphasize throughout the year and the “boot camps” that medical schools provide for recent graduates before they begin PGY-1 positions.
So where do I start? Well, back in March the College of Medicine learned from the ACCME that we were accredited to offer CME credit. We have since held several functions, including the one June 30 and hope to be very visible in offering Continuous Professional Development for all of our faculty. In May, we graduated our fourth class. Can you believe there are now 263 Physician Knights around the country in residency positions? Many in the charter class, which graduated in 2013, are now packing up and heading to fellowships in specialties like critical care and cardiology, etc. This year’s graduation saw 94 individuals receive their M.D. and five of the new M.D.s were commissioned/promoted in branches of the armed services after receiving their degrees.
The college has begun the LCME re-accreditation process and we will have a Site Team visit in October 2017. Before this occurs, we must compile a Data Collection Instrument (database) and students, faculty and staff must complete a self-study of our program. The accreditation process has changed from 2012-2013 in that the 135 standards have been reduced to 12 with 90-some elements. The students have to conduct an Independent Student Analysis. This begins with a survey of the entire student body – the Classes of 2016-2019. Would you believe that all but one student out of 436 has completed the survey? Faculty should be so responsive.
The composition of the college has changed GME-wise. Last year this time we had 33 residents in our Internal Medicine program. This year we have 123 UCF residents in six programs: Internal Medicine in greater Orlando (Osceola and VAMC), Gainesville and Ocala; Family Medicine in Gainesville, and Emergency Medicine and Ob-Gyn in greater Orlando. Applications are in process for Transitional Medicine, Neurology and Surgery programs while Psychiatry is approved in Gainesville and planned in Orlando. The goal is to have 550 residents by 2022. This will be about 20 percent of the positions available across the state.
Students continue to excel in their achievements within the educational program and with bench marks such as Step 1, Step 2 and NRMP. Recently we received data for all matched 2015 seniors from the National Resident Matching Program. Our graduates were in the 75th percentile or above with respect to mean number of work, volunteer, and research experiences, the mean number of publications and mean Step 1 and 2 scores. Our graduates had 6.1 publications/presentations thanks to the spirit of inquiry we instill through the Focused Inquiry and Research Experience (FIRE) module. We can always use research mentors for students, so if you have ideas and want to mentor a student or two with their research project let me know and I will pass your interest along to the module faculty. We can also use mentors for our Community of Practice experiences in the first and second year – eight half days where you have students in your practice setting exposing them to real time clinical medicine. Again, let me know and I will inform the module faculty for the Practice of Medicine modules.
We are adding new projects in the M3 and M4 years to both teach and assess the 13 EPAs (Entrustable Professional Attributes) proposed by the AAMC. This definitely provides the opportunity for scholarly projects, such as a study of whether these new projects are effective. Our faculty Development Office developed a module about EPAs that has been peer-reviewed and published on MedEdPORTAL at https://www.mededportal.org/publication/10230, There is also an in-house version at http://edtech.med.ucf.edu/files/faculty-development/epa/story.html.
In addition, OSCEs (Objective Structure Clinical Exams) have been added in five of the six core clerkships. These also provide the opportunity for scholarly projects and MedEdPORTAL publications, on topics such as new case scenarios. We are developing a required selective in Emergency Medicine for 2017-2018 since we have six or seven partner sites for locations. We are also looking to develop more electives so let me know if you are interested. Dr. Klapheke, our assistant dean, is proposing the development of “academic” electives for M4 students planning an academic career in those disciplines. The electives might include a scholarly project, completion of the Resident as Teacher program, assisting with the M3 clerkship didactics and some clinical teaching of M3 clerkship students.
Over the past year, we have appointed 40 affiliated faculty as non-salaried core faculty. These are faculty who are located at Florida Hospital, Orlando Health, Osceola Regional, the VA Medical Centers at Bay Pines and Orlando and in private practice. Each is assigned to one of our clinical departments and participate in departmental meetings and other academic processes.
We now have two promotion cycles for affiliated and volunteer faculty rather than one for salaried and non-salaried core faculty. Documentation for consideration needs to be into my office – Faculty and Academic Affairs – by June 30 and December 31. Promotion documents must include: Updated curriculum vitae (CV); three professional reference letters addressed to me (one of the references should be from a module, clerkship or site director at the College of Medicine, if applicable); and a personal statement summarizing evidence of activities, products or achievements commensurate with promotion rank as specified in the affiliated-volunteer faculty handbook located at: https://med.ucf.edu/faculty-handbook/. All promotion documents should be forwarded electronically to: Carolyn Castro-Pagan at carolyn.pagan@ucf.edu or you may fax to 407-266-1149.
Additionally, most affiliated and volunteer faculty are due for their appointment renewal by June 30 of the respective year. We have an online application where you can easily request reappointment. The renewal process is as follows:
Complete your online application, by visiting https://forms.med.ucf.edu/Volunteer. Select “Renewal” form and you will be asked to provide the following: 1. Updated curriculum vitae (CV); 2. Updated personal data and participation registry; and 3.A personal statement of past/active participation in our medical education program. Once submitted, a renewal approval confirmation letter will be issued for an additional term of three years.
Wow – is this long! This Pep Talk shows the activity going on at your College of Medicine. I am so appreciative of all you do and I hope you take satisfaction in the impact you have had and will have on our KNIGHT graduates. CHARGE ON!
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