Update on Undergraduate Medical Education Medical Faculty Senate

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Update on Undergraduate Medical Education Medical Faculty Senate Gail Morrison, MD Senior Vice Dean for Education Director of Academic Programs Professor of Medicine April 20, 2016

Update on Undergraduate Medical Education 1. 2015 Entering Class 2. 2016 Graduating Class 3. Curriculum Update 2015 2016 4. Yearly Update 2015-2016 2 2

PSOM Students Recruitment for 2015-2016 School of Medicine continues to attract large numbers of applications and recruits exceptionally strong students: Demographics 2012 2013 2014 2015 2016 Total Applications 5,973 5,740 5,742 5,436 5,720 Class Size 163 168 157 156 150-155 Selectivity Ratio (accepted/offers) 59% 62% 66% 64% TBA Yield (offers/total applications) 4.5% 4.6% 4.1% 4.5% TBA 3 3

The Best and the Brightest for 2014-2015 Demographics 2012 2013 2014 2015 Gender (% M/F) 55/45 54/46 55/45 53/47 UIM (%) 23 24 25% 23% Combined Degree (%) 12 14 15% 15% Mean GPA 3.82 3.82 3.83 3.85 Mean MCAT s 37 37.1 37.6 37.4 Nontraditional Students* (%) 63 60 65% 68% *Non-traditional students spend one or more years post college in activities prior to beginning medical school. 4 4

2015 Incoming Class Group of diverse students with diverse experiences and achievements prior to entering PSOM: 6 Fulbright scholars A number have received Goldwater, Gates-Cambridge and Thouron awards and a Thomas Watson Fellowship awards Performed research at NIH, Penn, Yale, Harvard, Duke, Stanford, Johns Hopkins, Sloan Kettering, Columbia Volunteered abroad in health clinics for the underserved, worked in the pharmaceutical and biotech industries, and Teach for America Many have published and presented articles in journals and at national conferences. Two of our students have served our country: one as a counterintelligence officer who received the Combat Action Ribbon in the marine corp and another in the 101 Airborne Division who received a Bronze Star. Global experiences: Africa, Central America, South America, Asia, India and the Middle East Recognized athletes and many with diverse artistic talents and musical interests 5 5

Graduating Class of 2016 Total Graduates: 140 Residency Matches at Academic University Hospital: 128 Residency Matches at Community-based Programs: 4 Did Not Enter Match: 8 MBA / Consulting: 8 6 6

PSOM Match: Specialty Specialty PSOM 2013 (N=160) PSOM 2014 (N=164) PSOM 2015 (N=165) PSOM 2016 (N=132) Primary Care Family Practice 5 (3.1%) 2 (1.2%) 4 (2.4%) 3(2.3%) Internal Medicine 39 (24.4%) 32 (19.5%) 52 (31.5%) 32 (24.2%) Pediatrics 17 (10.6%) 14 (8.5%) 14 (8.5%) 17 (12.9%) Internal Medicine Pediatrics 2 (1%) 0 3 (1.8%) 4 (3.03%) Total 63 (39.1%) 48 (29.2%) 73 (44.2%) 56 (42.4%) Surgery & Surgical Subspecialties Surgery 8 (5%) 11 (7%) 13 (7.8%) 7 (5.3%) Neurosurgery 3 (1.9%) 3 (2%) 3 (1.8%) 1 (.76%) Ophthalmology 4 (1.9%) 13 (8.%) 8 (4.8%) 7 (5.3%) Oral Maxillofacial 2 (1.3%) 3 (2%) 3 (1.8%) 3 (2.2%) Orthopaedic Surgery 8 (5%) 9 (5.5%) 5 (3.0%) 9 (6.8%) Otorhinolaryngology 3 (1.9%) 8 (5%) 7 (4.2%) 2 (1.5%) Plastic Surgery 2 (1.3%) 1 (0.6%) 6 (3.6%) 1 (.76%) Urology 2 (1.3%) 3 (2%) 0 0 Total 31 (19.5%) 51 (30%) 44 (27%) 40 (24%) 7 7

PSOM Match: Specialty Specialty 2013 (N=160) 2014 (N=164) 2015 (N=165) 2016 (N=132) Anesthesiology 7 (4.4%) 4 (2.4%) 9 (5.4%) 2 (1.5%) Dermatology 7 (4.4%) 7 (4.3%) 6 (3.6%) 6 (4.5%) Emergency Medicine 12 (7.5%) 17 (10.5%) 11 (6.6%) 10 (7.5%) Neurology 3 (1.9%) 8 (5%) 4 (2.4%) 9 (6.8%) OBGYN 5 (3.1%) 10 (6%) 7 (4.2%) 3 (2.3%) Pathology 5 (3.1%) 3 (1.8%) 4 (2.4%) 5 (3.8%) Psychiatry 9 (5.6%) 4 (2.4%) 2 (1.2%) 5 (3.8%) Radiation Oncology 2 (1.3%) 4 (2.4%) 2 (1.2%) 3 (2.3%) Radiology 4 (2.5%) 7 (4.3%) 1 (0.6%) 3 (2.3%) 8 8

PSOM Match* Residency Match 2013 2014 2015 2016 Penn 41 (26%) 42 (27%) 41 (25%) 37 (28%) HUP 26 35 31 30 CHOP 10 5 7 6 Scheie Eye 1 2 3 1 Pennsylvania Hosp. 1 0 0 0 Harvard 25 (16%) 26 (17%) 17 (10%) 20 (15%) Brigham & Women s 10 9 9 7 Mass General 11 14 7 6 Children s Boston 2 3 0 5 Mass Eye & Ear 1 0 1 1 Beth Israel Deaconess 1 0 0 1 *96% Matched at a University Program in 2016 9 9

PSOM Match Residency Match 2013 2014 2015 2016 Other University Programs 83 (52%) 85 (56%) 100 (61%) 71 (54%) California UCSF, UCLA, Stanford, UC Davis, UC San Diego New York NYU, Columbia, Cornell, Mt. Sinai, Rochester 17 20 19 15 21 22 12 12 Yale - - 5 2 Duke 3 0 2 2 Washington Univ. 4 4 0 9 Hopkins 5 4 7 2 Michigan 2 4 2 0 Univ. of Chicago 1 1 0 2 Univ. of Washington 3 4 3 6 All Others 27 26 50 21 Community Hospitals 9 (6%) 7 (4%) 7 (4%) 4 (3%) No Residency Desired 3 7 1 8 10 10

Curriculum Update 1. Curriculum name change 2. Revised Mission Statement as of December 2015 3. Clerkship Length Recommendations 4. New Courses: Cancer Biology/Ultrasound 5. LCME Site Visit 11 11

Curriculum Design: Learning for Life Integrated, Individualized, Innovative -- Modular -- 1.5 years preclinical blocks 1 year core clinical clerkships 1.5 years elective, selective, scholarly pursuit -- Flexible to accommodate MD+ degree -- -- Team Learning and Team Training -- Integrated Innovative Individualized

Penn Medicine Mission Statement Our mission is to advance knowledge and improve health through research, patient care, and the education of trainees in an inclusive culture that embraces diversity, fosters innovation, stimulates critical thinking, supports lifelong learning, and sustains our legacy of excellence. Approved December 2015 13 13

Module 4 Clerkship Length Recommendations Present Schedule Internal Medicine Family Medicine 12 weeks OB/GYN Pediatrics Surgery (8) Anesthesia (1) Emergency Medicine (3) Psychiatry (6) Neurology (3) Ophthalmology Orthopedic Otorhinolaryngology (3) 6/6 12 weeks 12 weeks 12 weeks Recommended and implemented : New Schedule (January 2016) Internal Medicine OB/GYN Surgery (8) Anesthesia (1) Psychiatry (4) Neurology (4) Family Medicine 12 weeks Pediatrics Ophthalmology Orthopedic Otorhinolaryngology (3) Emergency Medicine (4) 6/6 12 weeks 12 weeks 12 weeks

New Courses Cancer Biology Implemented Fall 2015 One week integrated course with Epidemiology/Biostatistics Course Director: Brian Keith, PhD Goals and Objectives: Using cancer biology as a mechanism to integrate basic science with evidence based medicine (Epidemiology/Biostatistics) Evaluation: Fall 2015: 4.50 (Ratings are on scale where 1=poor, 2=fair, 3=good, 4=very good, 5=excellent) Ultrasound Curriculum Implemented Fall 2015 Measey Foundation Grant Four year curriculum and training in ultrasound for all medical students Course Director: Wilma Chan, MD Module 1: Ultrasound incorporated with Anatomy and ICM Module 2: Ultrasound incorporated with ICM For 2016-2017: Implemented also in Module 4 clinical clerkships Goals and Objectives: Become knowledgeable and competent in use of ultrasound technology for diagnostic purposes Evaluation: Fall 2015: 4.14 Ratings are on scale where 1=poor, 2=fair, 3=good, 4=very good, 5=excellent) 15 15

LCME Update LCME Site Visit Three days: January 10 to January 13, 2016 Site Team: Stephen Ray Mitchell, MD Dean for Medical Education Professor, Pediatrics and Medicine Georgetown University School of Medicine Philip McHale, PhD Adjunct Associate Professor of Physiology University of Oklahoma College of Medicine Toni M. Ganzel, MD/MBA Dean, University of Louisville School of Medicine Maria Savoia, MD/FACP Dean for Medical Education University of California-San Diego, School of Medicine Barbara L. Hempstead, MD, PhD Senior Associate Dean, Education Professor of Medicine and Neuroscience Weill Cornell Medical College of Cornell University Report due by June 2016 to PSOM 16 16

Curriculum Outcomes Assessments 17 17

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MD+ Programs Vast Resources/Interdisciplinary Study 70 60 50 40 30 20 10 0 2016 PERELMAN GRADUATES SELECTING INDIVIDUALIZED PROGRAMS 34.8% MD graduates 140 GRADUATES 65.2% MD+ graduates 39.2% received certificates 14% received MS 12% received MD/PhD Dual Degrees (5 years) MD/PhD* (average 8 years) MD/JD MBA-Master of Business Administration MSCE-Master of Science in Clinical Epidemiology MTR-Masters in Translation Research MPH-Master of Public Health MSHP-Masters of Science Program in Health Policy Research MSME-Master of Science in Medical Ethics ML-Master in Law and Health Certificates (4 Years) Clinical Neuroscience Community Health (Bridging the Gaps) Global Health Healthcare Management, Entrepreneurship, and Technology (H-MET) Law Medical Education Public Health Medicine Research Sayre Clinic Women s Health Fifth Year Fellowship-Research 21 21

Yearly Update: 2015-2016 Successfully recruited outstanding entering class 2015 Graduating class (2016): Outstanding Match across all disciplines US News & World Report Rank: #3 Continue to expand and implement new programs with support of our outstanding faculty and staff and their commitment to teaching our exceptional students (Cancer/Biology and Ultrasound Curriculum) Continue to offer opportunities for graduates to do MD+ degree during medical school. 22 22

Request a Vote Continue the Perelman School of Medicine Curriculum Learning for Life 2016 2017 23 23