school of medicine accreditation report 2016-2017 quarter 1: july 5, 2016 … › documents › 2017...

School of Medicine Accreditation Report

2016-2017 Quarter 1: July 5, 2016 – September 23, 2016

Report produced: 10/26/2016 2

MID-TERM FEEDBACK REPORT

POLICY All BCM Course Directors are responsible for ensuring that faculty members who teach, facilitate, or precept medical students provide verbal or written midterm feedback, including an overall evaluation of a student’s progress towards completion of course requirements, in order to allow the student sufficient time for remediation. In the core clerkships, Course Directors ensure that faculty members provide written midterm feedback using the Midterm Feedback and Evaluation Form. A Course that is less than four weeks in length must have a documented, alterative means by which a medical student can measure his or her profess in learning that is approved by the Dean of School of Medicine or designee. MONITORING

STUDENT EVALUATIONS OF MID-COURSE FEEDBACK FOR CLERKSHIPS (Question from End of Clerkship Evaluation) Quarter 1: July 5, 2016 - September 23, 2016

Were you provided with mid-clerkship feedback?

FCM MED NEURO OBGYN PEDS PSYC SURG

YES 100.0% 97.8% 100.0% 100.0% 97.1% 100.0% 100.0%

NO 0.0% 2.2% 0.0% 0.0% 2.9% 0.0% 0.0%

N= 22 46 55 31 34 19 38

Timeframe Mos 1, 2, 3 Qtr 1 Mos 1, 2, 3 Term 1 Term 1 Term 1 Term 1

STUDENT EVALUATIONS OF MID-COURSE FEEDBACK FOR SUB-INTERNSHIPS (Question from End of Sub-Internship Evaluation)

Quarter 1: July 5, 2016 - September 23, 2016

I received mid-rotation feedback on my performance from a resident, fellow, or attending physician.

FCM MED NEURO OBGYN PEDS PEDS-NEO SURG

YES 100.0% 100.0% N/A 100.0% 100.0% 100.0% 100.0%

NO 0.0% 0.0% N/A 0.0% 0.0% 0.0% 0.0%

N= 2 26 N/A 3 7 1 6

Timeframe Mos 1, 2, 3 Mos 1, 2, 3 Mos 1, 2, 3 Mos 1, 2, 3 Mos 1, 2, 3 Mos 1, 2, 3 Mos 1, 2, 3


DIRECT OBSERVATION REPORT POLICY

BCM Faculty participating in core clerkships must conduct direct observation of medical students during clinical encounters with patients for purposes of performing student assessments and providing feedback.

During clinical encounters, faculty members must directly observe part or all of a patient’s history and mental/physical exam.

Faculty members must document the direct observation utilizing a Direct Observation Form. Completed Direct Observation Forms must be submitted to the Course Director.

The minimum number of required direct observation varies based on the length of the clerkship, as stated in Table 1.

Table 1. Required Number of Direct Observations

Clerkship Length Minimum # of Direct

Observations

4 Weeks 1

8 Weeks 2

12 Weeks 3

MONITORING

STUDENT EVALUATIONS OF DIRECT OBSERVATION FOR CLERKSHIPS (Question from of End of Clerkship Evaluation) Quarter 1: July 5, 2016 - September 23, 2016

Were you observed taking relevant portions of the patient history?


Yes 100.0% 97.8% 98.2% 100.0% 100.0% 100.0% 100.0%

No 0.0% 2.2% 1.8% 0.0% 0.0% 0.0% 0.0%

N= 22 46 55 31 34 19 38



STUDENT EVALUATIONS OF DIRECT OBSERVATION FOR CLERKSHIPS (Question from of End of Clerkship Evaluation) Quarter 1: July 5, 2016 - September 23, 2016

Were you observed performing the relevant portions of the physical or mental status exam?


Yes 100.0% 97.8% 100.0% 100.0% 100.0% 100.0% 100.0%

No 0.0% 2.2% 0.0% 0.0% 0.0% 0.0% 0.0%

N= 22 46 55 31 34 19 38


STUDENT EVALUATIONS OF DIRECT OBSERVATION FOR SUB-INTERNSHIPS (Question from of End of Sub-Internship Evaluation)


I was observed by a resident, fellow or attending while I provided patient care on this Sub-Internship.


Yes 100.0% 100.0% N/A 100.0% 100.0% 100.0% 100.0%

No 0.0% 0.0% N/A 0.0% 0.0% 0.0% 0.0%

N= 2 26 N/A 3 7 1 6



TIMELINESS OF GRADES REPORT POLICY BCM Course Directors in the School of Medicine shall submit final grades to the Office of the Registrar within four weeks of the end of a course. MONITORING Completed within the BCM SOM 4 week timeframe Not in compliance with BCM SOM Policy but within the LCME guidelines: A medical school has in place a system of fair and timely summative assessment of medical student achievement in each course and clerkship of the medical education program. Final grades are available within six weeks of the end of a course or clerkship. Not in compliance with LCME guidelines.

TIMELINESS OF GRADES REPORT – Foundational Sciences Quarter 1: July 5, 2016 - September 23, 2016

Dept. Course Number Course Type Course Title End Date Enrolled

Missing Grades

Least Days

Most Days

Avg Days

MBHMO MAIN Foundations Hematology/Oncology 8/31/16 179 0 1 1 1

MBCAR MAIN Foundations Cardiology 8/29/16 179 0 3 3 3

TIMELINESS OF GRADES REPORT - Clerkships Quarter 1: July 5, 2016 - September 23, 2016

Dept. Course Number Course Type Course Title

End Date Enrolled

Missing Grades

Least Days

Most Days

Avg Days

MCFAM MAIN Clerkship Family & Community Medicine

8/26/16 5 0 7 7 7

MCFAM MAIN Clerkship Family & Community Medicine

7/29/16 7 0 13 13 13

MCOBG MAIN Clerkship Obstetrics & Gynecology 8/26/16 31 0 21 21 21

MCNEU MAIN Clerkship Neurology 7/29/16 18 0 25 25 25

MCPED MAIN Clerkship Pediatrics 8/26/16 36 0 25 25 25

MCSUR MAIN Clerkship Surgery 8/26/16 38 0 26 26 26

MCNEU MAIN Clerkship Neurology 8/26/16 19 0 28 28 28

MCPSY MAIN Clerkship Psychiatry 8/26/16 19 0 28 28 28


TIMELINESS OF GRADES REPORT – Sub-Internships Quarter 1: July 5, 2016 - September 23, 2016


End Date Enrolled

Missing Grades

Least Days

Most Days

Avg Days

MEFAM 515 Sub-Internship Family Medicine Sub-Internship

7/29/16 1 0 32 32 32

MEMED 503 Sub-Internship General Medicine Sub-Internship

8/26/16 5 0 12 12 12


8/26/16 3 0 12 13 12


7/29/16 6 0 25 25 25


7/29/16 6 0 25 25 25

MEOBG 503 Sub-Internship Obstetrics & Gynecology Subinternship

8/26/16 1 0 12 12 12

MEOBG 503 Sub-Internship Obstetrics & Gynecology Subinternship

7/29/16 1 0 24 24 24

MEPED 547 Sub-Internship Pediatric Sub-Internship TCH 8/26/16 3 0 14 14 14

MEPED 547 Sub-Internship Pediatric Sub-Internship TCH 7/29/16 2 0 28 28 28

MESUR 546 Sub-Internship Surgery Sub-Internship - SLEH 8/26/16 1 0 17 17 17

MESUR 501 Sub-Internship Surgery Sub-Internship - BTGH

7/29/16 2 0 28 28 28

MESUR 541 Sub-Internship Surgery Sub-Internship - VAMC

7/29/16 1 0 28 28 28

MESUR 546 Sub-Internship Surgery Sub-Internship - SLEH 7/29/16 1 0 28 28 28

TIMELINESS OF GRADES REPORT - Selectices Quarter 1: July 5, 2016 - September 23, 2016

Dept. Course Number

Course Type Course Title

End Date Enrolled

Missing Grades

Least Days

Most Days

Avg Days

MCANE MAIN Selective Anesthesiology 7/29/16 2 0 19 26 22





MCDER MAIN Selective Dermatology 7/29/16 1 0 -2 -2 -2

MCDER MAIN Selective Dermatology 9/9/16 4 0 -2 5 3

MCDER MAIN Selective Dermatology 8/26/16 6 0 4 6 5

MCDER MAIN Selective Dermatology 8/12/16 3 0 7 20 11

MCGER MAIN Selective Geriatrics 8/12/16 1 0 4 4 4



MCGNT MAIN Selective Genetics –Pediatrics 7/15/16 1 0 5 5 5

MCGNT MAIN Selective Genetics - Pediatrics 8/12/16 1 0 7 7 7

MCGNT MAIN Selective Genetics –Pediatrics 9/9/16 1 0 11 11 11

MCGNT MAIN Selective Genetics – Prenatal 8/12/16 1 0 18 18 18

MCGNT MAIN Selective Genetics - Pediatrics 7/29/16 1 0 21 21 21



MCGNT MAIN Selective Genetics - Prenatal 7/29/16 1 0 32 32 32


MCNSU MAIN Selective Neurosurgery 8/12/16 1 0 7 7 7



MCOPH MAIN Selective Ophthalmology 8/12/16 3 0 33 33 33



MCORS MAIN Selective Orthopaedic Surgery 8/12/16 5 0 7 12 10



MCOTO MAIN Selective Otolaryngology-Head & Neck Surgery

8/26/16 4 0 21 21 21


9/9/16 6 0 12 24 16


8/12/16 6 0 27 27 27

MCPLS MAIN Selective Plastic Surgery 8/26/16 1 0 34 34 34

MCPMR MAIN Selective Physical Medicine & Rehabilitation 8/26/16 1 0 3 3 3




MCURL MAIN Selective Urology 8/26/16 5 0 27 27 27



TIMELINESS OF GRADES REPORT - Electives Quarter 1: July 5, 2016 - September 23, 2016


End Date Enrolled

Missing Grades

Least Days

Most Days Avg Days

MEANE 401 Clinical Elective Clinical Anesthesiology 8/26/16 1 0 3 3 3

MEANE 425 Clinical Elective Anesthesiology 8/26/16 1 0 3 3 3

MEANE 505A Clinical Elective Cardiovascular Anesthesiology

7/29/16 1 0 4 4 4

MEANE 508 Clinical Elective Pediatric Cardiovascular Anesthesiology

7/29/16 1 0 4 4 4

MEANE 504 Clinical Elective Pediatric Anesthesia 7/29/16 1 0 26 26 26

MEANE 507 Clinical Elective Pain Medicine 7/29/16 1 0 26 26 26

MEANE 504 Clinical Elective Pediatric Anesthesia 8/26/16 1 0 31 31 31

MEDER 502 Clinical Elective Clinical Dermatology 7/29/16 1 0 -2 -2 -2

MEDER 505 Clinical Elective Pediatric Dermatology 7/29/16 1 0 18 18 18

MEFAM 504 Clinical Elective Clinical Preceptorship in Family Practice

7/29/16 1 0 -2 -2 -2

MEFAM 516 Clinical Elective Hospice & Palliative Care The Hospice at TMC

8/26/16 1 0 4 4 4

MEFAM 516 Clinical Elective Hospice & Palliative Care The Hospice at TMC

7/29/16 1 0 5 5 5

MEMED 515C Clinical Elective Cardiology Consult/CCU - 7/29/16 1 0 -4 -4 -4


BTGH

MEMED 523B Clinical Elective Medical Intensive Care - BTGH

7/29/16 1 0 -3 -3 -3

MEMED 526G Clinical Elective BTGH Academic Clinical Gastroenterology

8/26/16 1 0 -2 -2 -2

MEMED 620 Clinical Elective Medical Toxicology 7/15/16 1 0 4 4 4

MEMED 538C Clinical Elective Infectious Disease -VAMC 7/29/16 1 0 4 4 4

MEMED 504 Clinical Elective Emergency Medicine 7/29/16 1 0 5 5 5

MEMED 538A Clinical Elective Infectious Disease - BTGH 7/29/16 2 0 6 6 6

MEMED 525A Clinical Elective Clinical Endocrinology 8/26/16 2 0 13 17 15

MEMED 504A Clinical Elective Emergency Ultrasound 8/26/16 1 0 21 21 21

MEMED 515C Clinical Elective Cardiology Consult/CCU - BTGH

8/26/16 2 0 26 34 30

MEMED 523B Clinical Elective Medical Intensive Care - BTGH

8/26/16 1 0 34 34 34

MEMED 515A Clinical Elective Clinical Cardiology & Electrocardiography

8/26/16 1 0 41 41 41

MEMED 538C Clinical Elective Infectious Disease -VAMC 8/26/16 2 0 41 41 41

MEMED SPNC Non-Clinical Elective

Geriatric Medicine Research - BCM

7/29/16 1 0 55 55 55

MEOBG 530 Clinical Elective Fetal Intervention 8/26/16 1 0 3 3 3

MEOBG 526 Clinical Elective Pediatric and Adolescent Gynecology

8/26/16 1 0 5 5 5

MEOBG 526 Clinical Elective Pediatric and Adolescent Gynecology

7/29/16 1 0 6 6 6

MEOBG 525 Clinical Elective General Gynecology 7/29/16 1 0 12 12 12

MEOBG 525 Clinical Elective General Gynecology 8/26/16 1 0 12 12 12

MEOBG 504 Clinical Elective Gynecologic Oncology 7/29/16 1 0 14 14 14

MEOBG 507 Clinical Elective Maternal-Fetal Medicine 7/29/16 2 0 17 17 17

MEOPH 514 Clinical Elective Vitreoretinal Surgery 7/29/16 1 0 26 26 26

MEORS 501 Clinical Elective Orthopaedics 7/29/16 3 0 5 21 13

MEPAT 518D Clinical Elective Hematopathology 8/26/16 1 0 4 4 4

MEPAT 569 Clinical Elective Dermatopathology 8/26/16 1 0 12 12 12

MEPED 506 Clinical Elective Developmental Pediatrics 7/29/16 1 0 -1 -1 -1

MEPED 505A Clinical Elective Pediatric Infectious Diseases 7/29/16 1 0 4 4 4

MEPED 539 Clinical Elective Pediatric Allergy/Immunology 8/26/16 1 0 5 5 5

MEPED 545 Clinical Elective Adolescent Medicine & Sports Medicine

7/29/16 1 0 6 6 6

MEPED 505A Clinical Elective Pediatric Infectious Diseases 8/26/16 1 0 6 6 6

MEPED 454 Clinical Elective Child Abuse Pediatrics 8/26/16 1 0 7 7 7

MEPED 557 Clinical Elective Pediatric Intensive Care Unit 8/26/16 1 0 7 7 7

MEPED 557 Clinical Elective Pediatric Intensive Care Unit 7/29/16 2 0 -28 14 -7

MEPED 524 Clinical Elective Pediatric Gastroenterology, Hepatology & Nutrition

7/29/16 1 0 33 33 33

MEPED 518 Clinical Elective Pediatric Cardiology 7/29/16 1 0 84 84 84

MEPMR 503 Clinical Elective Pediatric Rehabilitation 7/29/16 1 0 4 4 4

MEPMR 506 Clinical Elective Spinal Cord Injury Rehabilitation

7/29/16 1 0 11 11 11

MEPMR 504 Clinical Elective Intro to Physical Medicine & Rehabilitation

8/26/16 1 0 11 11 11

MEPMR 506 Clinical Elective Spinal Cord Injury Rehabilitation

8/26/16 1 0 26 26 26


MEPMR 509 Clinical Elective Brain Injury & Stroke Rehabilitation

8/26/16 1 0 26 26 26

MEPMR 509 Clinical Elective Brain Injury & Stroke Rehabilitation

7/29/16 1 0 34 34 34

MEPSY 546 Clinical Elective Outpatient Child & Adolescent Psychiatry

7/29/16 1 0 26 26 26

MEPSY 539A Clinical Elective Inpatient Psychiatry Menninger Clinic

8/26/16 1 0 26 26 26

MEPSY 525 Clinical Elective Geriatric Psychiatry 7/29/16 1 0 32 32 32

MEPSY 539A Clinical Elective Inpatient Psychiatry Menninger Clinic

7/29/16 1 0 32 32 32

MEPSY 545 Clinical Elective Inpatient Psychiatry - Ben Taub General Hospital

7/29/16 1 0 32 32 32

MEPSY 546 Clinical Elective Outpatient Child & Adolescent Psychiatry

8/26/16 1 0 33 33 33

MERAD 522 Clinical Elective Interventional Radiology 7/29/16 2 0 4 4 4

MERAD 526 Clinical Elective Abdominal Imaging 8/26/16 1 0 6 6 6

MERAD 506 Clinical Elective Diagnostic Radiology 8/26/16 6 0 7 7 7

MERAD 520 Clinical Elective Neuroradiology 8/26/16 1 0 14 14 14

MERAD 522 Clinical Elective Interventional Radiology 8/26/16 1 0 14 14 14

MERAD 520 Clinical Elective Neuroradiology 7/29/16 1 0 25 25 25

MERAD 526 Clinical Elective Abdominal Imaging 7/29/16 1 0 32 32 32

MERAO 501A Clinical Elective Radiation Oncology 8/26/16 1 0 33 33 33

MESUR 525 Clinical Elective Vascular Surgery - VAMC 8/26/16 1 0 5 5 5

MESUR 550 Clinical Elective Ben Taub Surgical Oncology (Green Service)

8/26/16 1 0 7 7 7

MESUR 550 Clinical Elective Ben Taub Surgical Oncology (Green Service)

7/29/16 1 0 10 10 10

MESUR 525C Clinical Elective Vascular Surgery - SLEH 7/29/16 1 0 13 13 13

MESUR 514B Clinical Elective Surgical Oncology - SLEH 7/29/16 1 0 14 14 14

MESUR 537 Clinical Elective Surgery Int. Care Unit -BTGH 7/29/16 1 0 31 31 31

MEURL 501 Clinical Elective Clinical Urology 7/29/16 1 0 17 17 17


DUTY HOURS REPORT POLICY

Duty hours, including all in-house call activities, must be limited to an average of 80 hours per week over a four-week period. Duty periods may be scheduled to a maximum of 24 hours of continuous duty in the hospital. An additional four hours may be spent to ensure appropriate, effective and safe transition of care. Minimum time off between scheduled duties is 10 hours. Students must also receive a minimum of either 24 hours off per seven-day work period, or four days off per 28-day work period. During clinical encounters, faculty members must directly observe part or all of a patient’s history and mental/physical exam.

MONITORING Clerkships:

Report on Duty Hours for Core Clerkships (Duty Hour question asked on the End-of-Clerkship Evaluation)


Did you work LESS than 80 hours per week on average over a four-week period?


Yes 100.0% 89.1% 100.0% 100.0% 100.0% 100.0% 94.7%

No 0.0% 10.9% 0.0% 0.0% 0.0% 0.0% 5.3%

N= 22 46 55 31 34 19 38


Report on Duty Hours for Core Clerkships

(Duty Hour question asked on the End-of-Clerkship Evaluation) Quarter 1: July 5, 2016 - September 23, 2016

Did you get at least 10 hours off between scheduled duties?


Yes 95.5% 100.0% 100.0% 96.8% 94.1% 84.2% 73.7%

No 4.6% 0.0% 0.0% 3.2% 5.9% 15.8% 26.3%

N= 22 46 55 31 34 19 38



Report on Duty Hours for Core Clerkships (Duty Hour question asked on the End-of-Clerkship Evaluation)


Did you get four days off per 28-day work period?


Yes 100.0% 97.8% 100.0% 100.0% 100.0% 89.5% 97.4%

No 0.0% 2.2% 0.0% 0.0% 0.0% 10.5% 2.6%

N= 22 46 55 31 34 19 38


Sub-Internships:

Report on Duty Hours for Sub-Internships (Duty Hour question asked on the End-of-Sub-I Evaluation)


Did you work LESS than 80 hours per week on average over a four-week period?


Yes 100.0% 96.2% N/A 100.0% 85.7% 100.0% 83.3%

No 0.0% 3.8% N/A 0.0% 14.3% 0.0% 16.7%

N= 2 26 N/A 3 7 1 6


Report on Duty Hours for Sub-Internships

(Duty Hour question asked on the End-of-Sub-I Evaluation) Quarter 1: July 5, 2016 - September 23, 2016



Yes 100.0% 100.0% N/A 100.0% 100.0% 100.0% 100.0%

No 0.0% 0.0% N/A 0.0% 0.0% 0.0% 0.0%

N= 2 26 N/A 3 7 1 6



Report on Duty Hours for Sub-Internships (Duty Hour question asked on the End-of-Sub-I Evaluation)


Did you get four days off per 28-day work period?


Yes 100.0% 100.0% N/A 100.0% 100.0% 100.0% 100.0%

No 0.0% 0.0% N/A 0.0% 0.0% 0.0% 0.0%

N= 2 26 N/A 3 7 1 6


Selectives:

Report on Duty Hours for Selectives (Duty Hour question asked on the End-of-Selective Evaluation)


Did this 2-week selective adhere to the Duty Hours Policy?

OPHT ORTHO OTOL UROL

Yes 100.0% 89.5% 90.9% 100.0%

No 0.0% 10.5% 9.1% 0.0%

N= 22 19 22 17

Timeframe Mos 1, 2, 3 Mos 1, 2, 3 Mos 1, 2, 3 Mos 1, 2, 3

Report on Duty Hours for Selectives

(Duty Hour question asked on the End-of-Selective Evaluation) Quarter 1: July 5, 2016 - September 23, 2016


OPHT ORTHO OTOL UROL

Yes 100.0% 89.5% 95.5% 82.4%

No 0.0% 10.5% 4.6% 17.7%

N= 22 19 22 17

Timeframe Mos 1, 2, 3 Mos 1, 2, 3 Mos 1, 2, 3 Mos 1, 2, 3

school of medicine accreditation report 2016-2017 quarter 1: july 5, 2016 … › documents › 2017...

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