Master of Professional Studies in Medical Science. Master of Professional Studies in Medical Science

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1 PSHS team responses to the recommendations provided by the Professional Programs Review Committee to the Graduate Council for Proposed MS PSHS Program: dated March 15, We recommend a change to the title of the degree from Master of Professional Studies in Health Sciences to Master of Professional Studies in Medical Science. The title will be changed to Master of Professional Studies in Medical Science. 2. Admissions and Recruitment Procedures. What are the specific admission and selection requirements? How are students recruited and chosen? Do they apply to medical school first and then to the graduate program? While some of these questions have been answered in verbal discussions regarding how students are recruited and admitted to the program, that information is not included in the implementation proposal. We think it important to indicate that medical school slots are held for students who graduate from this program. To meet admissions requirements an applicant must: Have taken the new MCAT 2015 exam Have earned a bachelor s degree or will complete their bachelor s degree prior to the start of the academic year for which they are applying Have completed the following pre-requisite courses: o 1 Biochemistry course o 1 Additional Chemistry course o 2 Behavioral Science courses from any of the following: cultural anthropology, economics, health care administration, psychology, sociology, public policy, family studies, history, political science, social work, behavioral health o 2 Writing-intensive courses (e.g. creative writing) o 1 Humanities course from any of the following: art, music, theater, speech and communication, philosophy, religion, gender studies, ethics, literature, English Have a cumulative GPA of 3.0 or higher in either their undergraduate, post-baccalaureate or graduate studies Be an Arizona resident that meets at least one of the following criteria: o Socioeconomically disadvantaged o First generation college attendee o From Rural Arizona o Member of a Federally recognized American Indian Tribe o Committed to serving the under-served and diverse populations of Arizona The academic requirements for applying are intentionally similar to the medical school requirements. When a student has completed the MS program of study successfully they will transition directly into medical school and therefore must meet all of the academic prerequisites for medical school; conferred degree, pre-requisite coursework and have taken MCAT 2015 exam. Individuals apply directly to the Pathway Scholars Program for consideration. If an individual chooses to, they are able to apply to both the Pathway Scholars Program and the College of

2 Medicine Phoenix concurrently. Both application processes are managed by the College of Medicine Phoenix Office of Admissions and Recruitment. The program requires no fee for the initial application to the Pathway Scholars Program in the spirit of recruitment of socioeconomically disadvantaged students. This practice will continue when it becomes the Master of Professional Studies in Medical Science degree. Once application is received it will be reviewed to ensure the applicant meet the minimum requirements. All applications that meet the requirements are submitted to a Review Committee for interview selection. The maximum number of interview offerings issued is 72 with up to 36 on one of two interview days. Interviewees are given the option of one of two Applicant Visit Days. The Pathway Scholars Program Applicant Visit Day is constructed the same as the M.D. Applicant Visit Day. Applicants eat breakfast & lunch with current and past PSP students, learn more about the program and its curriculum, meet the faculty and staff, tour the Simulation Center, and participate in a Multiple Mini-Interview (MMI). Multiple Mini-Interview Process: 1. Each applicant will have two-minutes to read the scenario before entering the room to engage in a seven-minute conversation about the topic. 2. Each applicant will repeat this process nine times with nine different interviewers, some of whom are standardized patients. 3. No prior medical knowledge is required for any of the stations. 4. Each applicant will have the equal opportunity to highlight his/her strengths without the fear of bias by any one single interviewer. 5. Each applicant will be scored on a scale of one to 10, per station, for a total of 100 possible points during the MMI session. 6. The ten individual stations and composite scores are provided to the admissions committee; therefore giving the admissions committee ten different perspectives in ten different situations to determine the applicant's potential to grow and develop into an exemplary physician, scientist and leader who optimizes health and healthcare in Arizona and beyond. After the Applicant Visit Day is complete a formal selection committee reviews the interviewed applicants in total. Ten individuals are selected and an invitation is extended to participate in the program. A wait list of applicants is also selected should an accepted applicant decline. Once students have accepted they complete an application through the Graduate College. It is important to note that each year there are 80 seats that are be offered for the College of Medicine Phoenix. It is presumed each year that 10 of these seats will be taken by matriculating Pathway students, therefore, COM-P only recruits for 70 seats during their application process, holding 10 for the Pathway seats given they successfully complete matriculation requirements.

3 All of the requirements for application, admissions & recruitment processes stated above will continue once the program transitions to a Master of Professional Studies in Medical Science. 3. Intended audience. As noted in the summary, this degree is serves well students intending to pursue careers in medicine. Thus, the committee suggests that removing language in the purpose statement (page 1) that refers to students who select not to pursue a career in medicine. The statement students who select not to pursue a career in medicine has been removed from page 1, section A. 4. Clarify the length of the program (number of semesters required to complete the degree). This program is 1 year in length and begins in June and ends in by June 15 of the following year. The courses in this program are dynamically dated to mirror the medical school curriculum calendar therefore this program is two semesters long. Please find the anticipated curriculum calendar as Appendix B. 5. Evaluation and Assessment. What are the measures of success? Is there an evaluation plan? The current measure is based on 1 st year performance. We were surprised at the response that FERPA precludes more specific information about the success of this program at its stated objectives of preparing this group for successful medical training. We suggest adding criteria of graduation from medical school and acceptance into residencies as evidence of long-term program success. To successfully complete the program and earn a Master of Professional Studies in Medical Science a student must pass each course and maintain a 3.0 GPA (or higher). The following courses will be assessed by letter grade: Introduction to Professional Studies in Medical Science, Fundamentals of Molecular Basis of Life and Disease, Fundamentals of Cardiovascular- Hematology and Leadership & Learning I and II. The following courses will be assessed by pass/fail: Biomed Career Exposure I and II, Fundamentals of Doctoring and Pathway Scholarly Project. Courses that are assessed by pass/fail utilize a behavioral competency assessment. An example of a behavioral assessment form can be found as Appendix C. Students receive a mid evaluation (formative) and an end evaluation (summative) in each of these courses. To matriculate into medical school students must receive a grade of 3.0 B or higher in the Fundamentals of Molecular Basis of Life and Disease and Fundamentals of Cardiovascular- Hematology courses and receive a pass in all pass/fail courses. Additionally, any student who did not meet the minimum MCAT score upon acceptance must sit for the MCAT 2015 and achieve the minimum score required for medical school. This minimum threshold has not yet been determined due to the new MCAT 2015 exam and limited results. There are two points of success for this program. The first measure of success is indicated by any student who completes the Master of Professional Studies in Medical Science program and matriculates into medical school. The second, and ultimate, measure of success is any student who is successful in completing medical school and matching into a residency. To date, the College of Medicine Phoenix has a 100% success rate for matching graduating students into residency. The requirements to complete medical school are as follows:

4 Completing and successfully passing of all required courses Successfully passing USMLE (United States Medical Licensing Examination) Step 1, Step 2 CK (Clinical Knowledge) and Step 2 CS (Clinical Skills) Successfully passing of Year 3 OSCE ( Observed Structured Clinical Exam) Must ultimately achieve a Level 2 (3 levels being assessable with Level 1 being unacceptable) or higher in all behavioral competencies Successful completion of an educational experience in a rural or medically underserved population Completion of all educational requirements within six years from matriculation date All ten students from the existing certificate program s inaugural cohort, Class of 2015, have matriculated into medical school and 8 of 10 are demonstrating success as medical students to date. Two students are meeting medical school requirements but have demonstrated potential for at-risk academic behavior, these students have required retake exams in at least 2 courses. The Pathway team works closely with Student Affairs to recognize areas of opportunity within the Pathway curriculum that could help further success of its students as they transition to medical school. These departments meet quarterly, along with the program s Advisory Committee, to discuss the progress of Pathway alumni in the medical school curriculum. This process will continue as the program becomes a Master of Professional Studies in Medical Science. 6. Clarify the nature and credit load for the scholarly project. The supplementary information supplied to the review committee should be added to the implementation proposal. [As you build the scholarly project course, you might take a look at the very successful internship requirement for the Applied Bio Sciences PSM - Diagnostic Laboratory Sciences track, which includes a research report in the form of a portfolio.] The clarification and supplemental information has been updated in the updated Implementation Request. Thank you for the recommendation of reviewing the Applied Bio Sciences PSM Diagnostic Laboratory Sciences track. 7. Clarify the question as to whether students repeat 618 and 620 or just do the case studies. Will the credits students earn for 618 in this degree double-count for the M.D.? Students do not repeat courses MEDP 618 or MEDP 620. These courses do not exist in the medical school curriculum. While the bioscience curriculum in MEDP 618 is analogous to MEDP 802 and MEDP 620 is to MEDP 806, but both 600 level courses do not include all content from the 800 level courses. The 618 and 620 courses contain a journal review component not present in 802 and 806. The 800 level coursework builds on the 600 level coursework. The course content is designed not to be redundant yet still allowing for assessment of how well the student can tolerate the rigors of 800 level coursework. 8. We recommend providing an outline of the coursework in a sequenced schedule or plan of study.

5 Please see Attachment B, the proposed curriculum calendar. 9. Support for applicants. Earlier readers of the proposal asked about the support available to students accepted into this program. What funding is made available and, since presumably many of the students in the program will come from challenging socio-economic backgrounds, does this funding carry over into Medical School? Given the socio-economic background of many of the students and the mission of the program it is the goal of the College of Medicine Phoenix to keep program costs to a minimum, while still requiring an investment on the student s behalf to demonstrate commitment. Currently students are responsible for $2,500 in tuition to be paid in two installments (per semester) of $1,250. The College of Medicine Phoenix has been, and will continue to contribute $2,500 for each student. Several community partnerships within the state of Arizona have been developed to subsidize the remainder of the program expenses. Current Community Partners are UnitedHealthcare, BlueCross BlueShield of Arizona, Arizona Community Foundation, APS and Sundt & DPR Construction. These community partners have indicated their intent to continue supporting the program to keep the cost of the program to $2,500 for each student. The College of Medicine Phoenix and the Development team are working to establish continued funding for medical school. Recognizably the program recruits from a disadvantage pool of students all efforts are directed in providing the student a level field to demonstrate their ability to succeed. The founding principles included not increasing the indebtedness of an already expensive commitment to become physicians. Many of our students are come from socioeconomically disadvantaged backgrounds and are therefore eligible to apply for existing College of Medicine Phoenix scholarships. Given their backgrounds the scholarship committee has been more compelled to give PSP alumni scholarships as first year medical students. One member of our first cohort did obtain the largest COM-P scholarship awarded for the academic year.

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