Overview of Medical Clerkship Program Performance and Improvement Initiatives
This document provides details on the performance and action plans for various medical clerkship sites, including grade distributions, student feedback, and quality of teaching evaluations. Strategies to address underperforming rotations, increase clinical pass rates, and enhance teaching quality are outlined. The data reflects site-specific challenges and improvement efforts within the medical education program.
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OB GYN Rebecca Pschirrer, MD, Clerkship Director Paul Hanissian, MD, Clerkship Director Lori Avery, Clerkship Administrator
Grade Distribution: CPMC NBME shelf percentile score at CPMC (31 students) 50.8 compared to Geisel Average of 65.2 Work closely with CPMC faculty to improve underperforming rotation for students Site visit planned: 14 March 2014 Q block phone conference with local clerkship site director (Fung Lam, MD), and invite quarterly the Medical Director, Graduate & Undergraduate Medical Education for CPMC (Susan Day, MD)
Grade Distribution: Nashua Nashua: Proportionally more students receiving Clinical Pass (36%, 20/55) than clerkship average (15%) Action Plan: May 2013 Site visit reviewed clinical grade evaluations. Grades 2013-2014: average clinical grade: HP Implemented the revised final grade evaluation beginning of academic year 2013
Grade Distribution: Peterborough Proportionally more students receiving Clinical Honors (70%, 7/10) than clerkship average (33.5%) Action Plan: Reviewed evaluations & grade packets. Students NBME shelf exam average 80.5, Honors. Clinical grade concordant with objective performance. No grade inflation suspected. Small numbers of students (~4/year)
Grade Distribution: Concord Proportionally fewer students receiving Clinical Pass (2.2%, 1/44) than clerkship average (15%) Action Plan: Upcoming site visit, plan for review with local site director. Sample bias: high proportion of students interested in OB/GYN and FP rotate @ Concord
Hartford Hospital Score for quality of teaching by residents was an outlier on the low end (3.25) compared to clerkship average of 4.1. Action Plan: Review data mid year with local site director Phone call May 2013, prompted by exit interview concerns Phone call December 2013, mid-rotation concerns Phone conference January 2014 with clerkship site director and residency director Recognized issue DMS and UCONN students Increased program stress: 7 medical leaves in residency program New residency director Follow-up planned with site visit and meeting with residents, Spring 2014
Essential Skills & Conditions Provide clear alternative means to accomplish, where appropriate Done Change student responsibility: manage manage with assist Done Drop Pap smear from skills and add Cervical Cancer Screening to conditions Done
Learning Sessions/Activities Drop Litigation & Clinical Practice Done Well Woman Care objectives in Ilios Done Consider re-distribution end of clerkship activities to start of clerkship When possible, we have done so and will continue to do so Increase continuity with preceptors When possible, we have done so and will continue to do so
